Colonic Prostheses View Full Text


Ontology type: schema:Chapter     


Chapter Info

DATE

2012-06-09

AUTHORS

Tae Il Kim

ABSTRACT

Currently, several types of self-expandable metal stents (SEMS) for colonic use are commercially available. They have both common and unique features to include compressible delivery system, stent material, design, deployed diameter and length, radial force exerted, flexibility, degree of shortening during expansion, and recapturability. Delivery systems have been developed to allow efficient placement; efficient maneuverability, especially in difficult anatomical locations; and recapturability during deployment. As for stent design, many stent models have improved flexibility to conform to complex curves, and the deployed diameter and length of stent vary to meet diverse needs. Moreover, the end portion of most stents is woven to prevent mucosal injury due to exposed wires and have a flare to potentially reduce the risk of migration. In addition, while most of the stents show various degree of shortening in length during expansion, to facilitate accurate stent placement, highly visible endoscopic and/or fluoroscopic markers have been placed on the delivery system or stent. Uncovered/covered types of SEMS have their own advantages and disadvantages to include tumor ingrowth and stent migration. To improve the clinical outcome of patients or easy maneuverability for its operators, we need to understand the features of each stent through experience and estimate their effect on clinical outcomes and ease of application. More... »

PAGES

121-126

Identifiers

URI

http://scigraph.springernature.com/pub.10.1007/978-1-4614-3746-8_8

DOI

http://dx.doi.org/10.1007/978-1-4614-3746-8_8

DIMENSIONS

https://app.dimensions.ai/details/publication/pub.1026857462


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