Stents autoexpandibles biodegradables en endoscopia intervencionista gastrointestinal y pancreatobiliar. Estado actual

  • Óscar Álvarez
  • Rodrigo Castaño Llano
  • David Restrepo
Palabras clave: Stent reabsorbible, estenosis biliares benignas, estenosis colónicas benignas, estenosis gastroduodenales benignas

Resumen

Los stents biodegradables son una opción muy atractiva para utilizar en pacientes con estenosis benignas recurrentes/recalcitrantes del tracto digestivo y biliar. En teoría, utilizando estos stents biodegradables, se pueden evitar dilataciones repetitivas de estenosis digestivas o biliares refractarias al manejo convencional, como también se podrían evitar resecciones quirúrgicas, principalmente en pacientes de alto riesgo quirúrgi- co, y se minimiza el número de procedimientos endoscópicos intervencionistas. 

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Biografía del autor/a

Óscar Álvarez
  1. Radiólogo. Internista. Gastroenterólogo. Profesor, Universidad de Texas, Campo Regional, San Antonio. Director, Gastroenterología, VA Texas Valley Coastal Bend. Harlingen, Texas. 

Rodrigo Castaño Llano
  1. Cirugía Gastrointestinal y Endoscopia. Jefe, Posgrado de Cirugía General, UPB. Grupo de Gastrohepatología, Universidad de Antioquia. Instituto de Cancerología Clínica las Américas. Medellín, Colombia. 

David Restrepo
  1. Estudiante de Medicina, Universidad CES. Medellín, Colombia. 

Referencias bibliográficas

Tringali A, Blero D, Boskoski I, et al. Difficult removal of fully covered self expandable metal stents (SEMS) for benign biliary strictures: The “SEMS in SEMS” technique. Dig Liver Dis. 2014;46(6):568-71.

Sharaiha RZ, Kim KJ, Singh VK, et al. Endoscopic stenting for benign upper gastrointestinal strictures and leaks. Surg Endosc. 2014;28:178-84.

Almadi MA, Azzam N, Alharbi O, Mohammed AH, Sadaf N, Aljebreen AM. Complications and survival in patients undergoing colonic stenting for malignant obstruction. World J Gastroenterol. 2013;19:7138-45.

van Boeckel PG, Dua KS, Weusten BL, et al. Fully covered self-expandable metal stents (SEMS), partially covered SEMS and self-expandable plastic stents for the treatment of benign esophageal ruptures and anastomotic leaks. BMC Gastroenterology. 2012;12:19.

Gutierrez-Salmean G, Pelaez-Luna M, Gonzalez-Galeote E, Lozoya-Gonzalez D, Fuchs-Tarlovsky V, Farca-Belsaguy A. Outcomes of temporary self-expanding plastic stents (SEPS) use for gastrointestinal leaks. A case series. Rev Gastroenterol Méx. 2009;74:181-6.

Committee AT, Tokar JL, Banerjee S, et al. Drug-eluting/ biodegradable stents. Gastrointest Endosc. 2011;74:954-8.

Lorenzo-Zuniga V, Moreno-de-Vega V, Marin I, Boix J. Biodegradable stents in gastrointestinal endoscopy. World J Gastroenter. 2014;20:2212-7.

Guo Q, Knight PT, Mather PT. Tailored drug release from biodegradable stent coatings based on hybrid polyuretha- nes. J Control Release. 2009;137:224-33.

Hermawan H, Dube D, Mantovani D. Degradable metallic biomaterials: design and development of Fe-Mn alloys for stents. J Biomed Mater Res A. 2010;93:1-11.

Saito Y, Tanaka T, Andoh A, et al. Usefulness of biodegra- dable stents constructed of poly-l-lactic acid monofilaments in patients with benign esophageal stenosis. World J Gastroenter. 2007;13:3977-80.

Neamtu I, Chiriac AP, Diaconu A, Nita LE, Balan V, Nistor

MT. Current concepts on cardiovascular stent devices. Mini Rev Med Chem. 2014;14(6):505-36.

Austin AS, Khan Z, Cole AT, Freeman JG. Placement of esophageal self-expanding metallic stents without fluoroscopy. Gastrointest Endosc. 2001;54:357-9.

Han Y, Jing Q, Xu B, et al. Safety and efficacy of biodegrada-

ble polymer-coated sirolimus-eluting stents in «real-world» practice: 18-month clinical and 9-month angiographic outcomes. JACC. 2009;2:303-9.

Onuma Y, Serruys P, den Heijer P, et al. MAHOROBA, first- in-man study: 6-month results of a biodegradable polymer sustained release tacrolimus-eluting stent in de novo coro- nary stenoses. Eur Heart J. 2009;30:1477-85.

Wykrzykowska JJ, Onuma Y, Serruys PW. Advances in stent drug delivery: the future is in bioabsorbable stents. Expert Opin Drug Deliv. 2009;6:113-26.

Basha J, Appasani S, Vaiphei K, Gupta V, Singh K, Kochhar R. Biodegradable stents: truly biodegradable with good tis- sue harmony. Endoscopy. 2013;45(Suppl 2):E116-7.

Athanasiou KA, Niederauer GG, Agrawal CM. Sterilization, toxicity, biocompatibility and clinical applications of polylactic acid/polyglycolic acid copolymers. Biomaterials. 1996;17:93-102.

Griffiths EA, Gregory CJ, Pursnani KG, Ward JB, Stockwell RC. The use of biodegradable (SX-ELLA) oesophageal stents to treat dysphagia due to benign and malignant oesophageal disease. Surg Endosc. 2012;26:2367-75.

Kemppainen E, Talja M, Riihela M, Pohjonen T, Tormala P, Alfthan O. A bioresorbable urethral stent. An experimental study. Urol Res. 1993;21:235-8.

Goldin E, Fiorini A, Ratan Y, et al. A new biodegradable and self-expandable stent for benign esophageal strictures. Gastrointest Endosc. 1996;43:294.

Fry SW, Fleischer DE. Management of a refractory benign esophageal stricture with a new biodegradable stent. Gastrointest Endosc. 1997;45:179-82.

Rejchrt S, Kopacova M, Brozik J, Bures J. Biodegradable stents for the treatment of benign stenoses of the small and large intestines. Endoscopy. 2011;43:911-7.

Parviainen M, Sand J, Harmoinen A, et al. A new biodegra- dable stent for the pancreaticojejunal anastomosis after pan- creaticoduodenal resection: in vitro examination and pilot experiences in humans. Pancreas. 2000;21:14-21.

Tanaka T, Takahashi M, Nitta N, et al. Newly developed bio- degradable stents for benign gastrointestinal tract stenoses: a preliminary clinical trial. Digestion. 2006;74:199-205.

Rejchrt S, Kopacova M, Bartova J, Bures J. Intestinal biode- gradable stents. initial experience in the czech republic. Folia Gastroenterol Hepatol. 2009;7:7.

Vandenplas Y, Hauser B, Devreker T, Urbain D, Reynaert H. A biodegradable esophageal stent in the treatment of a corro- sive esophageal stenosis in a child. J Pediatr Gastroenterol Nutr. 2009;49:254-7.

van Hooft JE, van Berge Henegouwen MI, Rauws EA, Bergman JJ, Busch OR, Fockens P. Endoscopic treatment of benign anastomotic esophagogastric strictures with a biode- gradable stent. Gastrointest Endosc. 2011;73:1043-7.

Hirdes MM, Siersema PD, van Boeckel PG, Vleggaar FP. Single and sequential biodegradable stent placement for refractory benign esophageal strictures: a prospective follow-up study. Endoscopy. 2012;44:649-54.

Karakan T, Utku OG, Dorukoz O, et al. Biodegradable stents for caustic esophageal strictures: a new therapeutic approach. Dis Esophagus. 2013;26:319-22.

Stivaros SM, Williams LR, Senger C, Wilbraham L, Laasch HU. Woven polydioxanone biodegradable stents: a new treatment option for benign and malignant oesophageal strictures. Eur Radiol. 2010;20:1069-72.

Repici A, Vleggaar FP, Hassan C, et al. Efficacy and safety of biodegradable stents for refractory benign esophageal stric- tures: the BEST (Biodegradable Esophageal Stent) study. Gastrointest Endosc. 2010;72:927-34.

Hair CS, Devonshire DA. 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.

Orive-Calzada A, Alvarez-Rubio M, Romero-Izquierdo S, et al. Severe epithelial hyperplasia as a complication of a novel biodegradable stent. Endoscopy. 2009;41(Suppl 2):E137-8.

Fischer A, Bausch D, Baier P, Braun A, Richter-Schrag H. Risk of biodegradable stent-induced hypergranulation cau- sing re-stenosis of a gastric conduit after esophageal resec- tion. Endoscopy. 2012;44(Suppl 2):E125-6.

Dumoulin FL, Plassmann D. Tissue hyperplasia following placement of a biodegradable stent for a refractory esopha- geal stricture: treatment with argon plasma coagulation. Endoscopy. 2012;44(Suppl 2):E356-7.

Canena JM, Liberato MJ, Rio-Tinto RA, et al. A comparison of the temporary placement of 3 different self-expanding stents for the treatment of refractory benign esophageal stric- tures: a prospective multicentre study. BMC. 2012;12:70.

Jung GE, Sauer P, Schaible A. Tracheoesophageal fistula following implantation of a biodegradable stent for a refrac- tory benign esophageal stricture. Endoscopy. 2010;42(Suppl 2):E338-9.

Repici A, Pagano N, Rando G, et al. A retrospective analysis of early and late outcome of biodegradable stent placement in the management of refractory anastomotic colorectal strictures. Surg Endosc. 2013;27:2487-91.

Perez Roldan F, Gonzalez Carro P, Villafanez Garcia MC, et al. Usefulness of biodegradable polydioxanone stents in the treatment of postsurgical colorectal strictures and fistulas. Endoscopy. 2012;44:297-300.

Toth E, Nielsen J, Nemeth A, et al. Treatment of a benign colorectal anastomotic stricture with a biodegradable stent. Endoscopy. 2011;43(Suppl 2):E252-3.

Janik V, Horak L, Hnanicek J, Malek J, Laasch HU. Biodegradable polydioxanone stents: a new option for therapy-resistant anastomotic strictures of the colon. Eur Radiol. 2011;21:1956-61.

Rodrigues C, Oliveira A, Santos L, Pires E, Deus J.

Biodegradable stent for the treatment of a colonic stric- ture in Crohn’s disease. World J Gastrointest Endosc. 2013;5:265-9.

Ginsberg G, Cope C, Shah J, et al. In vivo evaluation of a new bioabsorbable self-expanding biliary stent. Gastrointest Endosc. 2003;58:777-84.

Meng B, Wang J, Zhu N, Meng QY, Cui FZ, Xu YX. Study of biodegradable and self-expandable PLLA helical biliary stent in vivo and in vitro. J Mater Sci Mater Med. 2006;17:611-7.

Kaffes AJ, Liu K. Fully covered self-expandable metal stents for treatment of benign biliary strictures. Gastrointest Endosc. 2013;78:13-21.

Itoi T, Kasuya K, Abe Y, Isayama H. Endoscopic placement of a new short-term biodegradable pancreatic and biliary

stent in an animal model: a preliminary feasibility study

(with videos). J Hepatobiliary Pancreat Sci. 2011;18:463-7. 47. Lamsa T, Jin H, Mikkonen J, Laukkarinen J, Sand J, Nordback I. Biocompatibility of a new bioabsorbable radiopaque stent material (BaSO4 containing poly-L,D-lactide) in the rat pancreas. Pancreatology. 2006;6:301-5.

Laukkarinen JM, Sand JA, Chow P, et al. A novel biode-

gradable biliary stent in the normal duct hepaticojejunal anastomosis: an 18-month follow-up in a large animal model. J Gastrointest Surgery. 2007;11:750-7.

Petrtyl J, Bruha R, Horak L, Zadorova Z, Dosedel J, Laasch HU. Management of benign intrahepatic bile duct strictu- res: initial experience with polydioxanone biodegradable stents. Endoscopy. 2010;42(Suppl 2):E89-90.

Mauri G, Michelozzi C, Melchiorre F, et al. Biodegradable biliary stent implantation in the treatment of benign bilio- plastic-refractory biliary strictures: preliminary experience. Eur Radiol. 2013;23:3304-10.

Publicado
2016-11-03
Cómo citar
Álvarez, Óscar, Castaño Llano, R., & Restrepo, D. (2016). Stents autoexpandibles biodegradables en endoscopia intervencionista gastrointestinal y pancreatobiliar. Estado actual. Revista Colombiana De Gastroenterología, 30(2), 178-186. https://doi.org/10.22516/25007440.38
Sección
Revisión de tema