IMPLANT INFORMATION about Lung / Digestive / Trunk

   
What … for? (Indications)

Implants in the region of the lung, digestive tract and trunk serve to repair and restore e. g. the continuity of the pulmonary (tracheal, bronchial) and gastrointestinal tract (esophageal, biliary, pancreatic, duodenal, colo-rectal).
They help for abdominal wall reconstruction and the gastroesophageal Reflux Disease (GERD), accidental bowel leakage (fecal or bowel incontinence) and hernia repair.

 Stent
Stent
 trunk 03 stent boston sc   trunk 04 stent boston sc
Esophageal, duodenal stent
Numbers n/a
Times
Depending from underlying disease.
 Sezione di un'arteria con stent inserito. Inserimento chirurgico
Contraindications behavioral Missing, low compliance
  medical Infectious diseases, comorbidities precluding the expected benefit, frailty, procedure specific impediments, low life expectancy
   
   
  during surgery Unexpected grade of disease.
Risks during surgery Impracticability (e.g. inability to pass through), problems with general anesthesia, death .
   
short term Wound infection, no benefit.
long term Chronic infection, rejection of the implant, no benefit.
restrictions Depending from underlying disease, control regiment.
Failures n/a, too many varieties
Material autologous Fat
allogenic Collagen human
xenogenous Collagen porcine
alloplastic Polyglactin 910 (PGLA) 90% glycolide, 10% L-lactide
  Polypropylen Mesh
  Monocryl-PDS-Prolene-Composite Physiomesh
Monocryl-Prolene-Composite Ultrapro mesh, Hernia-System
Prolene-PDZ-ORZ (oxidated regenerated cellulosis) Composite
Vicryl-Prolene-Composite
Vicryl ribbon
PDS, PPDX, PPDO (Polydioxanon) Ribbons, pins, foils
Nitinol Metal stents
(metal alloy of nickel and titanium) pulmonal: tracheal, bronchial. gastrointestinal: esophageal, cardia, duodenal, biliary, colonic, rectal, segmental
Polydioxanon Biodegradable stent ELLA, integrity 6-8 weeks, disintegration 11-12 weeks
Polysorbate 20 Additive, surfactant
Statistics n/a
Literature –   Basic –   Enteral Stents – Technology Status (ASGE 2011)
    –   Gastrointestinal Tract Stenting (2010)
    –   Safety and efficacy of gastrointestinal stents in cancer patients at a community hospital
    –   The role of endoluminal stents in gastrointestinal diseases
    –   Gastroduodenal Stent Placement: Current Status
    –   A Japanese prospective multicenter study of self-expandable metal stent placement for malignant colorectal obstruction: short-term safety and efficacy within 7 days of stent procedure in 513 cases (Matsuzawa et al. 2015)
–  Problems Complications of Gastrointestinal Endoscopy (Green, 2006)
–   Complications of ERCP (Endoscopic retrograde cholangiopancreatography 2012)
–   Membrane Degradation of Covered Stents in the Upper Gastrointestinal Tract… (Kim JH et al., 2008)
Science/ Future – MDLAP-closed loop System (Medical Doctor Artificial Pancreas) artificial pancreas
Medical Societies see here  
   
Criticism n/a
Selected patient informations –       Nutrition Guidelines Following Gastrointestinal Luminal Stent Placement (UVA)

–       Gastroesophageal Reflux Disease (GERD)

 
Register for patients n/a
Disclaimer

 

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