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Focused Review Series: Updates on Gastrointestinal and Pancreaticobiliary Stents
Recent Advances in Gastrointestinal Stent Development
Jin-Seok Park, Seok Jeong, Don Haeng Lee
Clin Endosc 2015;48(3):209-215.   Published online May 29, 2015
DOI: https://doi.org/10.5946/ce.2015.48.3.209
AbstractAbstract PDFPubReaderePub

Endoscopic stenting is increasingly being used in the management of gastrointestinal luminal obstruction, and has become the current treatment of choice for the palliation of blockage caused by malignant or benign growths. A variety of stents have been developed to enhance the efficacy of the procedure, and improvements are ongoing. In this article, we review the history of, and recent advances in, gastrointestinal stenting. We describe the rationale behind the design as well as the resulting outcome for each stent type.

Citations

Citations to this article as recorded by  
  • Wireless Peristaltic Pump for Transporting Viscous Fluids and Solid Cargos in Confined Spaces
    Saksham Sharma, Laura Caroline Jung, Nicholas Lee, Yusheng Wang, Ane Kirk‐Jadric, Rishi Naik, Xiaoguang Dong
    Advanced Functional Materials.2024;[Epub]     CrossRef
  • An experimental investigation of the mechanical performance of PLLA wire-braided stents
    Agnese Lucchetti, Caroline Emonts, Akram Idrissi, Thomas Gries, Ted J. Vaughan
    Journal of the Mechanical Behavior of Biomedical Materials.2023; 138: 105568.     CrossRef
  • Effect of Percutaneous Endobiliary Radiofrequency Ablation in Malignant Bile Stenosis
    Hamza ÖZER, Bige SAYIN, İlkay AKMANGİT
    Düzce Tıp Fakültesi Dergisi.2023; 25(1): 78.     CrossRef
  • Technical Review on Endoscopic Treatment Devices for Management of Upper Gastrointestinal Postsurgical Leaks
    Renato Medas, Eduardo Rodrigues-Pinto, Eiji Sakai
    Gastroenterology Research and Practice.2023; 2023: 1.     CrossRef
  • Theranostic gastrointestinal residence systems
    Binbin Ying, Hao Huang, Yuyan Su, Julia G. Howarth, Zhen Gu, Kewang Nan
    Device.2023; 1(2): 100053.     CrossRef
  • A Strong Adhesive Biological Hydrogel for Colon Leakage Repair and Abdominal Adhesion Prevention
    Qijiang Mao, Zhengze Huang, Yiyin Zhang, Qi Chen, Kexin Jiang, Yi Hong, Hongwei Ouyang, Yuelong Liang
    Advanced Healthcare Materials.2023;[Epub]     CrossRef
  • Current status in endoscopic management of upper gastrointestinal perforations, leaks and fistulas
    Shannon Melissa Chan, Kitty Kit Ying Auyeung, Siu Fung Lam, Philip Wai Yan Chiu, Anthony Yuen Bun Teoh
    Digestive Endoscopy.2022; 34(1): 43.     CrossRef
  • A viewpoint on material and design considerations for oesophageal stents with extended lifetime
    Caitlin E. Jackson, Liam S. J. Johnson, Dominic A. Williams, Hans-Ulrich Laasch, Derek W. Edwards, Alison G. Harvey
    Journal of Materials Science.2022; 57(1): 3.     CrossRef
  • Futuristic Developments and Applications in Endoluminal Stenting
    Joel Ferreira-Silva, Renato Medas, Mohit Girotra, Monique Barakat, James H. Tabibian, Eduardo Rodrigues-Pinto, Jose Celso ARDENGH
    Gastroenterology Research and Practice.2022; 2022: 1.     CrossRef
  • Emerging trends in biliary stents: a materials and manufacturing perspective
    Saswat Choudhury, Sonal Asthana, Shervanthi Homer-Vanniasinkam, Kaushik Chatterjee
    Biomaterials Science.2022; 10(14): 3716.     CrossRef
  • Palliation of Malignant Dysphagia: Dilation, Stents, Cryoablation or Photodynamic Therapy—A Surgical Perspective
    Uzma Rahman, Olugbenga T. Okusanya
    Foregut: The Journal of the American Foregut Society.2022; 2(2): 180.     CrossRef
  • Magnetic Living Hydrogels for Intestinal Localization, Retention, and Diagnosis
    Xinyue Liu, Yueying Yang, Maria Eugenia Inda, Shaoting Lin, Jingjing Wu, Yoonho Kim, Xiaoyu Chen, Dacheng Ma, Timothy K. Lu, Xuanhe Zhao
    Advanced Functional Materials.2021;[Epub]     CrossRef
  • First approach for the optimization and fabrication of a customizable esophageal stent prototype by 3D printing technologies
    J Ivorra, L Quiles, L Compañy, N J Perez, T Boronat
    IOP Conference Series: Materials Science and Engineering.2021; 1193(1): 012120.     CrossRef
  • Gastrointestinal Luminal Stenting: The Early US Experience with the Duodenal HANAROSTENT
    Brian M. Fung, Brian E. Kadera, James H. Tabibian
    Gastrointestinal Tumors.2021; 8(1): 1.     CrossRef
  • Development and In Vitro Evaluation of 5-Fluorouracil-Eluting Stents for the Treatment of Colorectal Cancer and Cancer-Related Obstruction
    Mohammad Arafat, Paris Fouladian, Anthony Wignall, Yunmei Song, Ankit Parikh, Hugo Albrecht, Clive A. Prestidge, Sanjay Garg, Anton Blencowe
    Pharmaceutics.2020; 13(1): 17.     CrossRef
  • Bio-Based Covered Stents: The Potential of Biologically Derived Membranes
    Shigeo Ichihashi, Alicia Fernández-Colino, Frederic Wolf, Diana M. Rojas-González, Kimihiko Kichikawa, Stefan Jockenhoevel, Thomas Schmitz-Rode, Petra Mela
    Tissue Engineering Part B: Reviews.2019; 25(2): 135.     CrossRef
  • Recent advancements in the minimally invasive management of esophageal perforation, leaks, and fistulae
    Shirin Siddiqi, Dean P. Schraufnagel, Hafiz Umair Siddiqui, Michael J. Javorski, Adam Mace, Abdulrhman S. Elnaggar, Haytham Elgharably, Patrick R. Vargo, Robert Steffen, Saad M. Hasan, Siva Raja
    Expert Review of Medical Devices.2019; 16(3): 197.     CrossRef
  • Drug-eluting non-vascular stents for localised drug targeting in obstructive gastrointestinal cancers
    Mohammad Arafat, Paris Fouladian, Anton Blencowe, Hugo Albrecht, Yunmei Song, Sanjay Garg
    Journal of Controlled Release.2019; 308: 209.     CrossRef
  • Endoscopic Closure of Gastrointestinal Fistulae and Leaks
    Jaehoon Cho, Ara B. Sahakian
    Gastrointestinal Endoscopy Clinics of North America.2018; 28(2): 233.     CrossRef


  • Experimental and Clinical Transplantation.2018;[Epub]     CrossRef
  • Endoscopic retrograde cholangiography: Complications, emergencies, and related topics
    ThomasR Wojda, JohnD Nuschke, EllynA Smith, Ronak Modi, Samuel Schadt, David Strosberg, Berhanu Geme, SagarC Galwankar, StanislawP Stawicki
    International Journal of Academic Medicine.2018; 4(2): 124.     CrossRef
  • Adverse events of self-expandable esophageal metallic stents in patients with long-term survival from advanced malignant disease
    Vitor Sousa Medeiros, Bruno Costa Martins, Luciano Lenz, Maria Sylvia Ierardi Ribeiro, Gustavo Andrade de Paulo, Marcelo Simas Lima, Adriana Vaz Safatle-Ribeiro, Fabio Shighuehissa Kawaguti, Caterina Pennacchi, Sebastian N. Geiger, Victor R. Bastos, Ulyss
    Gastrointestinal Endoscopy.2017; 86(2): 299.     CrossRef
  • Update on Enteral Stents
    Emanuele Dabizzi, Paolo Giorgio Arcidiacono
    Current Treatment Options in Gastroenterology.2016; 14(2): 178.     CrossRef
  • Current Status of Biliary Metal Stents
    Hyeong Seok Nam, Dae Hwan Kang
    Clinical Endoscopy.2016; 49(2): 124.     CrossRef
  • The location of obstruction predicts stent occlusion in malignant gastric outlet obstruction
    Douglas Grunwald, Jonah Cohen, Anthony Bartley, Jennifer Sheridan, Ram Chuttani, Mandeep S. Sawhney, Douglas K. Pleskow, Tyler M. Berzin, Meir Mizrahi
    Therapeutic Advances in Gastroenterology.2016; 9(6): 815.     CrossRef
  • Efficacy of Self-Expandable Metallic Stent Inserted for Refractory Hemorrhage of Duodenal Cancer
    Takashi Orii, Yukihiko Karasawa, Hiroe Kitahara, Masaki Yoshimura, Motohiro Okumura
    Case Reports in Gastroenterology.2016; 10(1): 156.     CrossRef
  • 8,800 View
  • 152 Download
  • 23 Web of Science
  • 26 Crossref
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Original Article
Endoscopic Submucosal Dissection Using a Novel Versatile Knife: An Animal Feasibility Study (with Video)
Chang-Il Kwon, Gwangil Kim, Il-Kwun Chung, Won Hee Kim, Kwang Hyun Ko, Sung Pyo Hong, Seok Jeong, Don Haeng Lee
Clin Endosc 2014;47(6):544-554.   Published online November 30, 2014
DOI: https://doi.org/10.5946/ce.2014.47.6.544
AbstractAbstract PDFSupplementary MaterialPubReaderePub
Background/Aims

In order to reduce the procedure time and the number of accessory changes during endoscopic submucosal dissection (ESD), we developed a novel versatile knife, which has the combined advantages of several conventional knives. The aim of this study was to compare the efficacy, safety, and histological quality of ESD performed using this novel versatile knife and a combination of several conventional knives.

Methods

This was an in vivo animal study comparing two different modalities of ESD in mini-pigs. Completion time of each resection was documented, and the resected specimens were retrieved and evaluated for completeness. To assess the quality control of the procedures and adverse events, detailed histopathological examinations were performed.

Results

A total of 18 specimens were dissected by ESD safely and easily (nine specimens using the new versatile knife; nine specimens by mixing conventional knives). All resections were completed as en bloc resections. There was no significant difference in procedure time between the 2 modalities (456 seconds vs. 355 seconds, p=0.258) and cutting speed (1.983 mm2/sec vs. 1.57 mm2/sec, p=1.000). The rate of adverse events and histological quality did not statistically differ between the modalities.

Conclusions

ESD with a versatile knife appeared to be an easy, safe, and technically efficient method.

Citations

Citations to this article as recorded by  
  • Comparison of synchronous dual wavelength diode laser versus conventional endo-knives for esophageal endoscopic submucosal dissection: an animal study
    Jian Tang, Shufang Ye, Xueliang Ji, Jun Li, Feng Liu
    Surgical Endoscopy.2018; 32(12): 5037.     CrossRef
  • Technological review on endoscopic submucosal dissection: available equipment, recent developments and emerging techniques
    Georgios Mavrogenis, Juergen Hochberger, Pierre Deprez, Morteza Shafazand, Dimitri Coumaros, Katsumi Yamamoto
    Scandinavian Journal of Gastroenterology.2017; 52(4): 486.     CrossRef
  • 7,272 View
  • 60 Download
  • 3 Web of Science
  • 2 Crossref
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Case Report
Percutaneous Cholangioscopic Lithotripsy for Afferent Loop Syndrome Caused by Enterolith Development after Roux-en-Y Hepaticojejunostomy: A Case Report
Seong Hyun Kim, Seok Jeong, Don Haeng Lee, Sung Soo Yoo, Keon-Young Lee
Clin Endosc 2013;46(6):679-682.   Published online November 19, 2013
DOI: https://doi.org/10.5946/ce.2013.46.6.679
AbstractAbstract PDFPubReaderePub

Afferent loop obstruction caused by enterolith formation is rare and cannot be easily treated with endoscopy because of the difficulty associated with the nonsurgical removal of enteroliths. A 74-year-old woman was admitted with fever and acute abdominal pain. Clinical features and imaging studies suggested afferent loop obstruction caused by an enterolith after Roux-en-Y hepaticojejunostomy. Percutaneous transhepatic biliary drainage was initially performed because of severe cholangitis with septic shock. The enterolith was located in the jejunal limb adjacent to the hepaticojejunostomy site. Cholangioscopic lithotripsy was performed through the percutaneous transhepatic route to the enterolith, and the fragments were moved into the efferent loop using scope push and saline flush methods. Here, we describe a case of afferent loop syndrome caused by an enterolith that developed after Roux-en-Y hepaticojejunostomy and was treated with percutaneous transhepatic cholangio-enteroscopic lithotripsy.

Citations

Citations to this article as recorded by  
  • Migrated Pancreaticojejunal Stent Forming a Stent–Stone Complex in the Jejunum with Resultant Small Bowel Obstruction: A Case Report
    Jiwon Kim, Young Han Kim, Byung-Hee Lee
    Journal of the Korean Society of Radiology.2023; 84(2): 512.     CrossRef
  • Enterolith Causing Afferent Loop Perforation After Distal Gastrectomy
    Naoya Ozawa, Masaki Kanzaki
    Cureus.2023;[Epub]     CrossRef
  • Successful treatment of postoperative nonobstructive recurrent cholangitis by tract conversion surgery after total pancreatectomy: a case report
    Masanori Odaira, Fumiki Toriumi, Shota Hoshino, Nozomi Iwama, Yasuhiro Ito, Takashi Endo, Hirohisa Harada
    Surgical Case Reports.2023;[Epub]     CrossRef
  • Enterolith in Roux limb causing extrahepatic biliary obstruction in a patient with a hepaticojejunostomy: case report and relevant literature review
    Vipan Kumar, Venu Bhargava Mulpuri, Pankaj Gupta, Vikas Gupta
    BMJ Case Reports.2022; 15(3): e246935.     CrossRef
  • Choledochoscopy: An update
    Tsinrong Lee, Thomas Zheng Jie Teng, Vishal G Shelat
    World Journal of Gastrointestinal Endoscopy.2021; 13(12): 571.     CrossRef
  • Roux‐en‐Y enterolith leading to obstruction and ischemic necrosis after pediatric orthotopic liver transplantation
    Ralph C. Quillin, Advaith Bongu, Vania Kasper, Jennifer M. Vittorio, Mercedes Martinez, Steven J. Lobritto, Adam D. Griesemer, James V. Guarrera
    Pediatric Transplantation.2018;[Epub]     CrossRef
  • Recurrent Cholangitis by Biliary Stasis Due to Non-Obstructive Afferent Loop Syndrome After Pylorus-Preserving Pancreatoduodenectomy: Report of a Case
    Yukihiro Sanada, Naoya Yamada, Masanobu Taguchi, Kazue Morishima, Naoya Kasahara, Yuji Kaneda, Atsushi Miki, Yasunao Ishiguro, Akira Kurogochi, Kazuhiro Endo, Masaru Koizumi, Hideki Sasanuma, Takehito Fujiwara, Yasunaru Sakuma, Atsushi Shimizu, Masanobu H
    International Surgery.2014; 99(4): 426.     CrossRef
  • 6,066 View
  • 46 Download
  • 7 Crossref
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Original Article
Peroral Endoscopic Myotomy for Treating Achalasia in an Animal Model: A Feasibility Study
Byoung Wook Bang, Young Chul Choi, Hyung Gil Kim, Kye Sook Kwon, Yong Woon Shin, Don Haeng Lee, Joon Mee Kim
Clin Endosc 2013;46(1):54-58.   Published online January 31, 2013
DOI: https://doi.org/10.5946/ce.2013.46.1.54
AbstractAbstract PDFPubReaderePub
Background/Aims

Laparoscopic Heller myotomy with antireflux procedure is considered to be a standard treatment for achalasia. Recently, peroral endoscopic myotomy (POEM) was developed and performed on patients with achalasia. However, there is no report on POEM use in South Korea. The aim of this study was to evaluate the technical feasibility of POEM in a porcine model.

Methods

POEM was performed on two mini pigs. We performed upper endoscopy under general anesthesia. A submucosal tunnel was created and the circular muscle layer was incised using several knives. The mucosal entry was closed using resolution clips. We performed a follow-up endoscopy and sacrificed the pigs 2 weeks after the POEM. The myotomy site was evaluated grossly and histologically.

Results

POEM was successfully performed on the two mini pigs. No injuries to any abdominal or mediastinal structures occurred. Two weeks after the POEM, the esophageal mucosa healed without any endoscopic evidence of complications. Necropsy revealed that the circular muscle layer was completely lost and replaced with fibrotic tissue.

Conclusions

We found that POEM is a technically feasible method which can be performed on an animal model. However, to ensure safe use on patients with achalasia, further studies on technical methods and long-term follow-up examinations are required.

Citations

Citations to this article as recorded by  
  • Pilot prospective study on formal training in per-oral endoscopic myotomy (POEM) during advanced endoscopy fellowship
    Salmaan Jawaid, Peter V. Draganov, Hiroyuki Aihara, Mouen A. Khashab, Dennis Yang
    Endoscopy International Open.2021; 09(12): E1890.     CrossRef
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    A. Peñaloza-Ramírez, J. Suárez-Correa, J. Báez-Blanco, C. Sabogal-Gómez, H. Kuan-Casas, C. Sánchez-Pignalosa, P. Aponte-Ordóñez
    Revista de Gastroenterología de México.2018; 83(2): 86.     CrossRef
  • In vivo experience with peroral endoscopic myotomy: An essential activity for developing the technique in humans
    A. Peñaloza-Ramírez, J. Suárez-Correa, J. Báez-Blanco, C. Sabogal-Gómez, H. Kuan-Casas, C. Sánchez-Pignalosa, P. Aponte-Ordóñez
    Revista de Gastroenterología de México (English Edition).2018; 83(2): 86.     CrossRef
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    Xiaowei Tang, Yutang Ren, Zhengjie Wei, Jieqiong Zhou, Zhiliang Deng, Zhenyu Chen, Bo Jiang, Wei Gong
    Surgical Endoscopy.2016; 30(9): 3774.     CrossRef
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    Journal of Pediatric Surgery.2015; 50(1): 201.     CrossRef
  • The Ideal Experimental Training Session for Minimally Invasive Endoluminal Techniques
    Sakai P
    Gastroenterology & Hepatology: Open Access.2015;[Epub]     CrossRef
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    Clinical Endoscopy.2014; 47(5): 371.     CrossRef
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    Daniel von Renteln, Melina C. Vassiliou, Thomas Rösch
    Techniques in Gastrointestinal Endoscopy.2013; 15(3): 153.     CrossRef
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    Dennis Yang, Mihir S. Wagh
    Diagnostic and Therapeutic Endoscopy.2013; 2013: 1.     CrossRef
  • Peroral Endoscopic Myotomy in a Porcine Model: A Step to Achalasia Patients
    Su Jin Hong
    Clinical Endoscopy.2013; 46(1): 1.     CrossRef
  • 6,336 View
  • 59 Download
  • 10 Crossref
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Review
Recent Advances in Image-enhanced Endoscopy
Won Young Cho, Jae Young Jang, Don Haeng Lee, The Endoscopic Technology and Investigation Study Group
Clin Endosc 2011;44(2):65-75.   Published online December 31, 2011
DOI: https://doi.org/10.5946/ce.2011.44.2.65
AbstractAbstract PDFPubReaderePub

The desire to better recognized such malignancies, which may be difficult to distinguish from inflammation or trauma, has accelerated the development of endoscopy with new optical technologies. Narrow-band imaging is a novel endoscopic technique that may enhance the accuracy of diagnosis using narrow-bandwidth filters in a red-green-blue sequential illumination system. Autofluorescence imaging is based on the detection of natural tissue fluorescence emitted by endogenous molecules. I-scan technology using a digital filter that modifies normal images through software functions, is the newly developed image-enhanced endoscopic technology from PENTAX. Flexible spectral imaging color enhancement enhances the visualization of mucosal structure and microcirculation by the selection of spectral transmittance with a dedicated wavelength. Confocal laser endomicroscopy images were collected with an argon beam with a scanning depth of 0 (epithelium) to 250 µm (lamina propria) and analyzed using the reflected light.

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