最新设计的带锚钩和薄输送系统的激光切割金属支架用于内镜超声引导下的肝胃造口术：这是一个梦想支架吗？

IF 0.4 Q4 GASTROENTEROLOGY & HEPATOLOGY

Journal of Digestive Endoscopy Pub Date : 2021-09-01 DOI:10.1055/s-0041-1739566

S. Rana

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引用次数: 0

摘要

摘要内镜超声引导肝胃造瘘术（EUS-HGS）涉及在两个腹腔内可移动器官（即肝脏和胃）之间建立吻合，没有介入性狭窄。因此，EUS-HGS中支架移位的风险非常高，支架移位可能导致严重的危及生命的并发症，如胆汁性腹膜炎。在过去的几年里，人们越来越努力地为EUS-HGS设计一种安全有效的支架，该支架可以避免支架迁移的风险，并且还可以快速插入，优选地，在一步操作中。在这篇新闻和观点中，我们讨论了来自日本的一项实验研究，该研究评估了一种新的部分覆盖的自膨胀激光切割金属支架，该支架具有薄递送系统（7.2 F）和抗迁移锚定钩，用于体模和动物模型中的单步EUS-HGS。

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Newly Designed Laser-Cut Metal Stent with an Anchoring Hook and Thin Delivery System for Endoscopic Ultrasound–Guided Hepaticogastrostomy: Is It a Dream Stent?

Abstract Endoscopic ultrasound–guided hepaticogastrostomy (EUS-HGS) involves creation of an anastomosis between two intra-abdominal mobile organs, namely, liver and the stomach, with no intervening stricture. Therefore, the risk of stent migration in EUS-HGS is very high and the stent migration can lead on to severe life-threatening complications like biliary peritonitis. During last few years, there have been increased efforts to design a safe and effective stent for EUS-HGS that obviates the risk of stent migration and can also be inserted quickly, preferably, in a single-step procedure. In this news and views, we discuss an experimental study from Japan that has evaluated a new partially covered self-expandable laser cut metal stent with a thin delivery system (7.2 F) and antimigration anchoring hooks for single-step EUS-HGS in phantom and animal models.

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来源期刊

Journal of Digestive Endoscopy GASTROENTEROLOGY & HEPATOLOGY-

自引率

28.60%

发文量

审稿时长

22 weeks

期刊介绍： The Journal of Digestive Endoscopy (JDE) is the official publication of the Society of Gastrointestinal Endoscopy of India that has over 1500 members. The society comprises of several key clinicians in this field from different parts of the country and has key international speakers in its advisory board. JDE is a double-blinded peer-reviewed, print and online journal publishing quarterly. It focuses on original investigations, reviews, case reports and clinical images as well as key investigations including but not limited to cholangiopancreatography, fluoroscopy, capsule endoscopy etc.