Biodegradable Stents in Resistant Peptic Oesophageal Stricture: Is It the Right Way to Go?

Clinical Medicine Insights: Gastroenterology

Review

Gerlin Naidoo¹  Tom Richardson¹  Namal Rupasinghe¹  Sayantan Bhattacharya²  Howard Smart³ 

[1] Department of Digestive Diseases, Warrington Hospital, Warrington and Halton Hospitals NHS Foundation Trust, Warrington, UK;Department of Digestive Diseases, Warrington Hospital, Warrington and Halton Hospitals NHS Foundation Trust, Warrington, UK;Consultant Upper GI Surgeon, Warrington, UK;Department of General Surgery, Warrington Hospital, Warrington and Halton Hospitals NHS Foundation Trust, Warrington, UK;Endoscopy Unit, Royal Liverpool University Hospital, Liverpool, UK;

关键词: Biodegradable stent;    oesophageal stents;    peptic stricture;    resistant oesophageal stricture;   

DOI  :  10.1177/1179552218819492

 received in 2017-10-09, accepted in 2018-11-14,  发布年份 2018

来源: Sage Journals

【 摘 要 】

Peptic oesophageal stricture can be considered as the end result of prolonged gastro-oesophageal reflux. The ‘gold standard’ treatment for peptic stricture is endoscopic dilatation with balloon or bougie. It is predicted that up to 40% of patients remain symptomatic with dysphagia due to refractory (resistant to treatment) or recurrent strictures, needing frequent interventions at short intervals. Such patients have poor nutritional status due to the primary disease and are susceptible to complications related to repeated endoscopic dilatation such as bleeding and perforation. This general review aims to analyse existing published evidence and address the role of biodegradable stents in resistant peptic strictures as an alternative treatment to provide long-term dysphagia-free intervals.

【 授权许可】

CC BY-NC   
© The Author(s) 2018