{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,17]],"date-time":"2026-08-17T23:12:14Z","timestamp":1787008334383,"version":"build-2736575974"},"reference-count":5,"publisher":"Oxford University Press (OUP)","issue":"4","license":[{"start":{"date-parts":[[2021,5,26]],"date-time":"2021-05-26T00:00:00Z","timestamp":1621987200000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/academic.oup.com\/journals\/pages\/open_access\/funder_policies\/chorus\/standard_publication_model"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2021,6,28]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:p>A frail 93-year-old lady presented with delirium, on a background of heart failure, cerebrovascular disease, constipation and osteoporosis. A computed tomography (CT) pulmonary angiography, undertaken due to persistent hypoxia, identified no pathology aside from an unusual appearance of the left hypochondrium, necessitating further elucidation with CT abdomen. This unexpectedly reported the presence of a gastric band, leading us to consider possible misidentification. Perusing her General Practitioner (GP) records demonstrated that she underwent surgical insertion of an Angelchik prosthesis in 1984. Angelchik prostheses were anti-reflux devices used for a short period, before falling from favour due to increasing evidence around late developing complications. A collateral history from family revealed that this patient had experienced multiple longstanding symptoms including bloating, reflux and constipation, potentially linked to her prosthesis, a previously unestablished link.<\/jats:p>","DOI":"10.1093\/ageing\/afab089","type":"journal-article","created":{"date-parts":[[2021,4,30]],"date-time":"2021-04-30T15:10:46Z","timestamp":1619795446000},"page":"1426-1427","source":"Crossref","is-referenced-by-count":2,"title":["Lessons from recent medical history: an obsolete anti-reflux device in an older patient with variable gastrointestinal symptoms"],"prefix":"10.1093","volume":"50","author":[{"given":"Charlotte","family":"Squires","sequence":"first","affiliation":[{"name":"Department of Medicine for the Elderly, Borders General Hospital, NHS Borders, Melrose, UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ross J","family":"Porter","sequence":"additional","affiliation":[{"name":"Department of Medicine for the Elderly, Borders General Hospital, NHS Borders, Centre for Inflammation Research, Queen\u2019s Medical Research Institute, University of Edinburgh, Melrose, UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Benjamin M","family":"Ward","sequence":"additional","affiliation":[{"name":"Department of Radiology, Borders General Hospital, NHS Borders, Melrose, UK"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"286","published-online":{"date-parts":[[2021,5,26]]},"reference":[{"key":"2021070813205971000_ref1","first-page":"246","article-title":"A new surgical procedure for the treatment of gastroesophageal reflux and hiatal hernia","volume":"148","author":"Angelchik","year":"1994","journal-title":"Surg Gynecol Obstet"},{"key":"2021070813205971000_ref2","doi-asserted-by":"crossref","first-page":"686","DOI":"10.1097\/00000658-198206000-00002","article-title":"Treatment of symptomatic gastroesophageal reflux using the Angelchik prosthesis","volume":"195","author":"Starling","year":"1982","journal-title":"Ann Surg"},{"key":"2021070813205971000_ref3","first-page":"12","article-title":"The Angelchik antireflux prosthesis: long-term clinical and technical follow-up","volume":"37","author":"Thibault","year":"1994","journal-title":"Can J Surg"},{"key":"2021070813205971000_ref4","doi-asserted-by":"crossref","first-page":"1385","DOI":"10.1016\/0003-4975(94)90088-4","article-title":"The Angelchik prosthesis: What have we learned in fifteen years?","volume":"57","author":"Crookes","year":"1994","journal-title":"Ann Thorac Surg"},{"key":"2021070813205971000_ref5","first-page":"355","article-title":"An objective long-term evaluation of the Angelchik antireflux prosthesis","volume":"73","author":"Evans","year":"1991","journal-title":"Ann R Coll Surg Engl"}],"container-title":["Age and Ageing"],"original-title":[],"language":"en","link":[{"URL":"http:\/\/academic.oup.com\/ageing\/article-pdf\/50\/4\/1426\/38839566\/afab089.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"syndication"},{"URL":"http:\/\/academic.oup.com\/ageing\/article-pdf\/50\/4\/1426\/38839566\/afab089.pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2021,7,8]],"date-time":"2021-07-08T18:10:39Z","timestamp":1625767839000},"score":1,"resource":{"primary":{"URL":"https:\/\/academic.oup.com\/ageing\/article\/50\/4\/1426\/6284383"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2021,5,26]]},"references-count":5,"journal-issue":{"issue":"4","published-online":{"date-parts":[[2021,5,26]]},"published-print":{"date-parts":[[2021,6,28]]}},"URL":"https:\/\/doi.org\/10.1093\/ageing\/afab089","relation":{},"ISSN":["0002-0729","1468-2834"],"issn-type":[{"value":"0002-0729","type":"print"},{"value":"1468-2834","type":"electronic"}],"subject":[],"published-other":{"date-parts":[[2021,7]]},"published":{"date-parts":[[2021,5,26]]}}}