Gastrointestinal Stent Update

Overview

Journal Gut Liver

Specialty Gastroenterology

Date 2010 Nov 25

PMID 21103290

Citations 2

Authors

Sung-Gwon Kang

Affiliations

Soon will be listed here.

Abstract

The use of self-expanding metallic stents in the upper gastrointestinal tract, placed under radiologic imaging or endoscopic guidance, is the current treatment of choice for the palliation of malignant gastrointestinal outlet obstructions. Advances in metallic stent design and delivery systems have progressed to the stage where this treatment is now considered a minimally invasive therapy. Metallic stent placement will broaden further into the field of nonsurgical therapy for the gastrointestinal tract. To date, metallic stents placed in the esophagus, gastric outlet, colorectum, and bile ducts are not intended to be curative, but rather to provide a palliative treatment for obstructions. The evolution of metallic stent technology will render such procedures not only palliative but also therapeutic, by enabling local drug delivery, and the use of biodegradable materials will reduce procedure-related complications.

Citing Articles

Esophageal Stenting: How I Do It.

Silva R GE Port J Gastroenterol. 2023; 30(Suppl 1):35-44.

PMID: 37908740 PMC: 10631140. DOI: 10.1159/000530704.

Self-Expanding Biodegradable Stents for Postoperative Upper Gastrointestinal Issues.

Kones O, Oran E JSLS. 2018; 22(2).

PMID: 29950802 PMC: 6016862. DOI: 10.4293/JSLS.2018.00011.

References

Grundy A . The Strecker Esophageal stent in the management of oesophageal strictures: technique of insertion and early clinical experience. Clin Radiol. 1994; 49(6):421-4. DOI: 10.1016/s0009-9260(05)81831-8. View

Conio M, Blanchi S, Filiberti R, De Ceglie A . Self-expanding plastic stent to palliate symptomatic tissue in/overgrowth after self-expanding metal stent placement for esophageal cancer. Dis Esophagus. 2010; 23(7):590-6. DOI: 10.1111/j.1442-2050.2010.01068.x. View

Uitdehaag M, Siersema P, Spaander M, Vleggaar F, Verschuur E, Steyerberg E . A new fully covered stent with antimigration properties for the palliation of malignant dysphagia: a prospective cohort study. Gastrointest Endosc. 2009; 71(3):600-5. DOI: 10.1016/j.gie.2009.09.023. View

Song H, Park S, Jung H, Kim S, Kim J, Huh S . Benign and malignant esophageal strictures: treatment with a polyurethane-covered retrievable expandable metallic stent. Radiology. 1997; 203(3):747-52. DOI: 10.1148/radiology.203.3.9169699. View

Tejero E, Mainar A, Fernandez L, Tobio R, De Gregorio M . New procedure for the treatment of colorectal neoplastic obstructions. Dis Colon Rectum. 1994; 37(11):1158-9. DOI: 10.1007/BF02049822. View

Isayama H, Kawabe T, Nakai Y, Ito Y, Togawa O, Kogure H . Management of distal malignant biliary obstruction with the ComVi stent, a new covered metallic stent. Surg Endosc. 2009; 24(1):131-7. DOI: 10.1007/s00464-009-0537-9. View

Karnel F, JANTSCH H, Niederle B . [Implantation of a metal stent in a malignant stenosis in a colon interposition]. Rofo. 1991; 154(1):120-2. DOI: 10.1055/s-2008-1033096. View

Krokidis M, Hatzidakis A . Percutaneous transcholecystic placement of an ePTFE/FEP-covered stent in the common bile duct. Cardiovasc Intervent Radiol. 2009; 33(3):639-42. DOI: 10.1007/s00270-009-9585-8. View

Hair C, Devonshire D . Severe hyperplastic tissue stenosis of a novel biodegradable esophageal stent and subsequent successful management with high-pressure balloon dilation. Endoscopy. 2010; 42 Suppl 2:E132-3. DOI: 10.1055/s-0029-1244011. View

10.

Lee S, Shin J, Han J, Cho C, Kim M, Lee S . Histologic influence of paclitaxel-eluting covered metallic stents in a canine biliary model. Gastrointest Endosc. 2009; 69(6):1140-7. DOI: 10.1016/j.gie.2008.08.005. View

11.

Schembre D . Advances in esophageal stenting: the evolution of fully covered stents for malignant and benign disease. Adv Ther. 2010; 27(7):413-25. DOI: 10.1007/s12325-010-0042-5. View

12.

Uno Y, Obara K, Kanazawa K, Sasaki Y, Fukuda S, Munakata A . Stent implantation for malignant pyloric stenosis. Gastrointest Endosc. 1998; 46(6):552-5. DOI: 10.1016/s0016-5107(97)70014-2. View

13.

Guo S, Wang Z, Zhang Y, Lei L, Shi J, Chen K . In vivo evaluation of 5-fluorouracil-containing self-expandable nitinol stent in rabbits: Efficiency in long-term local drug delivery. J Pharm Sci. 2010; 99(7):3009-18. DOI: 10.1002/jps.22066. View

14.

van Boeckel P, Repici A, Vleggaar F, Solito B, Rando G, Cortelezzi C . A new metal stent with a controlled-release system for palliation of malignant dysphagia: a prospective, multicenter study. Gastrointest Endosc. 2009; 71(3):455-60. DOI: 10.1016/j.gie.2009.09.046. View

15.

Fry S, Fleischer D . Management of a refractory benign esophageal stricture with a new biodegradable stent. Gastrointest Endosc. 1997; 45(2):179-82. DOI: 10.1016/s0016-5107(97)70244-x. View

16.

Guaglianone E, Cardines R, Vuotto C, Di Rosa R, Babini V, Mastrantonio P . Microbial biofilms associated with biliary stent clogging. FEMS Immunol Med Microbiol. 2010; 59(3):410-20. DOI: 10.1111/j.1574-695X.2010.00686.x. View

17.

Maetani I, Nambu T, Omuta S, Ukita T, Shigoka H . Treating bilio-duodenal obstruction: combining new endoscopic technique with 6 Fr stent introducer. World J Gastroenterol. 2010; 16(22):2828-31. PMC: 2883142. DOI: 10.3748/wjg.v16.i22.2828. View

18.

Fujiwara Y, Sawada S, Tanabe Y, Yoshida K, Katsube Y . [Experimental evaluation of expandable metallic stent placement in the trachea, esophagus and urethra]. Rinsho Hoshasen. 1990; 35(5):557-62. View

19.

Januschowski R . [Stents for the palliative treatment of malignant gastric outlet stenoses]. Dtsch Med Wochenschr. 1997; 122(18):578-82. DOI: 10.1055/s-2008-1047657. View

20.

Raber L, Windecker S . Current status of drug-eluting stents. Cardiovasc Ther. 2010; 29(3):176-89. DOI: 10.1111/j.1755-5922.2010.00144.x. View