“Stents” biodegradables en las estenosis benignas gastrointestinales y biliopancreáticas: estado del arte

IF 0.1 Q4 MEDICINE, GENERAL & INTERNAL Anales de la Facultad de Medicina-Universidad de la Republica Uruguay Pub Date : 2023-06-01 DOI:10.56684/ammd/2023.1.05
Öscar A Álvarez-Barrera, R. Castaño-Llano, Juan Esteban Puerta-Botero, Natalia Sierra-Prada
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Abstract

The use of endoscopic stents is a well-recognized and accepted option to treat malignant obstructions of the gastrointestinal tract. Advances in stent technology have led to the development of devices with previously unimagined materials. We are constantly exposed to the development of stents with contemporary designs and materials. In this article I focus on the importance and use of biodegradable stents. Biodegradable stents are an attractive option for use in patients with recurrent/recalcitrant benign strictures of the esophagus, bile duct, small intestine, and colon. In theory, using these biodegradable stents, repetitive dilations of recalcitrant digestive stenosis can be avoided, as well as surgical resections of the gastrointestinal tract, mainly in patients with high surgical risk or patients who refuse surgical treatment, and the number of interventional endoscopic procedures can also be minimized. The role of prophylactic biodegradable stents in preventing strictures secondary to gastrointestinal surgery is an idea that needs to be investigated.
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良性胃肠道和胆胰狭窄的生物可降解支架:现状
内镜支架的使用是一种公认和接受的选择来治疗胃肠道恶性阻塞。支架技术的进步导致了以前无法想象的材料设备的发展。我们不断接触到具有当代设计和材料的支架的发展。在这篇文章中,我着重于生物可降解支架的重要性和应用。可生物降解支架是食道、胆管、小肠和结肠复发/顽固性良性狭窄患者的一个有吸引力的选择。理论上,使用这些可生物降解的支架,可以避免顽固性消化狭窄的重复扩张,以及胃肠道的手术切除,主要用于手术风险高的患者或拒绝手术治疗的患者,并且可以减少介入内镜手术的次数。预防性可生物降解支架在预防胃肠道手术继发狭窄中的作用是一个需要研究的想法。
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