Ferreira-Silva Joel, Medas Renato, Girotra Mohit, Barakat Monique, Tabibian James H, Rodrigues-Pinto Eduardo
Gastroenterology Department, Centro Hospitalar São João, Porto, Portugal.
Faculty of Medicine of the University of Porto, Porto, Portugal.
Gastroenterol Res Pract. 2022 Jan 11;2022:6774925. doi: 10.1155/2022/6774925. eCollection 2022.
Endoscopic stenting is a well-established option for the treatment of malignant obstruction, temporary management of benign strictures, and sealing transmural defects, as well as drainage of pancreatic fluid collections and biliary obstruction. In recent years, in addition to expansion in indications for endoscopic stenting, considerable strides have been made in stent technology, and several types of devices with advanced designs and materials are continuously being developed. In this review, we discuss the important developments in stent designs and novel indications for endoluminal and transluminal stenting. Our discussion specifically focuses on (i) biodegradable as well as (ii) irradiating and drug-eluting stents for esophageal, gastroduodenal, biliary, and colonic indications, (iii) endoscopic stenting in inflammatory bowel disease, and (iv) lumen-apposing metal stent.
内镜支架置入术是治疗恶性梗阻、临时处理良性狭窄、封闭透壁缺损以及引流胰液积聚和胆道梗阻的一种成熟方法。近年来，除了内镜支架置入术的适应证有所扩展外，支架技术也取得了长足进步，几种具有先进设计和材料的器械不断涌现。在本综述中，我们讨论了支架设计的重要进展以及腔内和跨腔支架置入术的新适应证。我们的讨论特别聚焦于：（i）用于食管、胃十二指肠、胆道和结肠适应证的可生物降解支架以及（ii）可放射和药物洗脱支架，（iii）炎症性肠病中的内镜支架置入术，以及（iv）管腔贴附金属支架。
