IMPLANT INFORMATION about the Trunk (esp. Respiratory, Digestive System)

  
What … for? (Indications)

Implants in the region of the digestive tract serve to repair and restore e. g. the continuity of the 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
   
Esophageal, duodenal stent
Numbers n/a
Times
Depending from underlying disease.
ContraindicationsbehavioralMissing, low compliance
 medicalInfectious diseases, comorbidities precluding the expected benefit, frailty, procedure specific impediments, low life expectancy
  
  
 during surgeryUnexpected grade of disease.
Risksduring surgeryImpracticability (e.g. inability to pass through), problems with general anesthesia, death .
  
short termWound infection, no benefit.
long termChronic infection, rejection of the implant, no benefit.
restrictionsDepending from underlying disease, control regiment.
Failuresn/a, too many varieties
MaterialautologousFat
allogenicCollagenhuman
xenogenousCollagenporcine
alloplasticPolyglactin 910 (PGLA)90% glycolide, 10% L-lactide
 PolypropylenMesh
 Monocryl-PDS-Prolene-CompositePhysiomesh
Monocryl-Prolene-CompositeUltrapro mesh, Hernia-System
Prolene-PDZ-ORZ (oxidated regenerated cellulosis) Composite
Vicryl-Prolene-Composite
Vicryl ribbon
PDS, PPDX, PPDO (Polydioxanon)Ribbons, pins, foils
NitinolMetal stents
(metal alloy of nickel and titanium)pulmonal: tracheal, bronchial. gastrointestinal: esophageal, cardia, duodenal, biliary, colonic, rectal, segmental
PolydioxanonBiodegradable stent ELLA, integrity 6-8 weeks, disintegration 11-12 weeks
Polysorbate 20Additive, surfactant
Statisticsn/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)
–  ProblemsComplications 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 Societiessee here
Use the patient-information button or the doctor-finder in the medical societies section. If available you´ll find information in your language and matching the possibilities of your region.
Criticismn/a
Selected patient informationsNutrition Guidelines Following Gastrointestinal Luminal Stent Placement (UVA)
– Gastroesophageal Reflux Disease (GERD)
Information about dialysis and kidney disease
 
Register for patientsn/a
Disclaimer

 

The information and links and whatsoever shown on this page are compiled with care. However, Implant-Register can´t take any responsibility for the information given, nor their content, nor their up-to-date nature, particularly in interlinked pages. You may help us with your contribution, granting us the decision to publish or not. Be careful with conclusions for yourself, in doubt double-check and consider medical solutions are individual and have to be found with an educated medical person.