PMC6556362_01
(a-f) Laparoscopic removal of Angelchik prosthesis and interval sleeve gastrectomy. (a) Angelchik prosthesis (AP) in situ. (b) AP Dacron ribbon seen encircling the gastroesophageal junction (GEJ). (c) AP dissected free. (d) Angelchik prosthesis ex vivo. (e) Laparoscopic sleeve gastrectomy. (f) UGI after laparoscopic sleeve gastrectomy.
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After performing extensive adhesiolysis, the AP was visualized and removed (Figures 1(a)-1(d)). After this work-up and recovery, laparoscopic sleeve gastrectomy was safely performed nine weeks later (Figure 1(e)). An upper GI series demonstrated retained fundus, which may explain the inadequate weight loss (Figure 1(f)).