Endoscopic placement of a new short-term biodegradable pancreatic and biliary stent in an animal model: a preliminary feasibility study (with videos)

被引:28
作者
Itoi, Takao [1 ]
Kasuya, Kazuhiko [2 ]
Abe, Yuta [3 ]
Isayama, Hiroyuki [4 ]
机构
[1] Tokyo Med Univ, Dept Gastroenterol & Hepatol, Shinjuku Ku, Tokyo 1600023, Japan
[2] Tokyo Med Univ, Dept Surg 3, Tokyo 1600023, Japan
[3] Tokyo Med Univ, Hachioji Med Ctr, Dept Digest Surg, Tokyo 1600023, Japan
[4] Univ Tokyo, Grad Sch Med, Dept Gastroenterol, Tokyo, Japan
关键词
Endoscopic retrograde cholangiopancreatography; Biodegradable stent; Animal model; DUCT; STRICTURES; SAFETY;
D O I
10.1007/s00534-010-0364-3
中图分类号
R57 [消化系及腹部疾病];
学科分类号
摘要
Recently, biodegradable pancreatic stents have been designed and placed in vivo and in vitro. The aim of this study is to investigate the feasibility of endoscopic stenting using the novel, braided, self-expandable, biodegradable, pancreatic and biliary stent in a pig model. A braided, self-expandable, biodegradable stent was endoscopically placed into the pancreatic duct and bile duct in 4 pigs. Eventually, necropsy was performed to evaluate the stent placement after the procedure. Pancreatic and biliary stents were successfully inserted and easily deployed across the papilla into the main pancreatic duct and bile duct, respectively, in all the animals under endoscopic and fluoroscopic guidance. Necropsy performed immediate following stent placement, found that stents had been placed across the papilla and stent expansion had occurred in all cases. Although this stent is not radiopaque and the number of cases was small in this experimental study, endoscopic stenting using this novel, braided, self-expandable, biodegradable, pancreatic and biliary stent was feasible in the pig model. Further animal studies to evaluate the short-term patency, tissue reactivity and degradability of the stents are warranted.
引用
收藏
页码:463 / 467
页数:5
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