{"title":"Bioresorbable biliary stents: A step forward.","authors":"Li-Bo Zhang, Yan Wang, Xiao-Jun Yang","doi":"10.12998/wjcc.v13.i27.108391","DOIUrl":null,"url":null,"abstract":"<p><p>The case report by Elsayed <i>et al</i> presented a multidisciplinary approach to treating recurrent biliary strictures following proximal bile duct injury. Bioresorbable biliary stents, an innovative option for managing biliary strictures in recent years, are a key part of this approach. Unlike traditional metal/plastic stents, bioresorbable stents made from materials like polylactic acid (PLA) or polycaprolactone gradually degrade in the body. This eliminates the need for endoscopic removal, reducing patient trauma and costs. Nondegradable stents often lead to complications such as restenosis, migration, or infection. In contrast, bioresorbable stents can have their degradation rate tailored to the bile duct healing process (<i>e.g.</i>, PLA stents remained unobstructed for 25.7 weeks in a porcine model), minimizing long-term complications. We analyzed the advantages and disadvantages of bioresorbable stents, outlined future research directions, and aimed to offer valuable insights for clinical practice.</p>","PeriodicalId":23912,"journal":{"name":"World Journal of Clinical Cases","volume":"13 27","pages":"108391"},"PeriodicalIF":1.0000,"publicationDate":"2025-09-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12362438/pdf/","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"World Journal of Clinical Cases","FirstCategoryId":"3","ListUrlMain":"https://doi.org/10.12998/wjcc.v13.i27.108391","RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q3","JCRName":"MEDICINE, GENERAL & INTERNAL","Score":null,"Total":0}
引用次数: 0
Abstract
The case report by Elsayed et al presented a multidisciplinary approach to treating recurrent biliary strictures following proximal bile duct injury. Bioresorbable biliary stents, an innovative option for managing biliary strictures in recent years, are a key part of this approach. Unlike traditional metal/plastic stents, bioresorbable stents made from materials like polylactic acid (PLA) or polycaprolactone gradually degrade in the body. This eliminates the need for endoscopic removal, reducing patient trauma and costs. Nondegradable stents often lead to complications such as restenosis, migration, or infection. In contrast, bioresorbable stents can have their degradation rate tailored to the bile duct healing process (e.g., PLA stents remained unobstructed for 25.7 weeks in a porcine model), minimizing long-term complications. We analyzed the advantages and disadvantages of bioresorbable stents, outlined future research directions, and aimed to offer valuable insights for clinical practice.
期刊介绍:
The World Journal of Clinical Cases (WJCC) is a high-quality, peer reviewed, open-access journal. The primary task of WJCC is to rapidly publish high-quality original articles, reviews, editorials, and case reports in the field of clinical cases. In order to promote productive academic communication, the peer review process for the WJCC is transparent; to this end, all published manuscripts are accompanied by the anonymized reviewers’ comments as well as the authors’ responses. The primary aims of the WJCC are to improve diagnostic, therapeutic and preventive modalities and the skills of clinicians and to guide clinical practice in clinical cases.