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Biodegradable Self-Expandable Stents for Benign Strictures: Indications and Outcomes

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Gastrointestinal and Pancreatico-Biliary Diseases: Advanced Diagnostic and Therapeutic Endoscopy

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Abstract

Biodegradable stents have been used for more than a decade for the treatment of refractory benign esophageal stenosis. Once deployed, they reach their maximum diameter in a few days after deployment and maintain their initial radial force for a minimum of 5 weeks. This force is gradually reduced in the following weeks, and the stents are completely absorbed after 11–12 weeks of placement. Evidence from published studies demonstrates that their effectiveness is similar to other stent types (fully covered self-expandable metallic stents or plastic stents). Moreover, patients treated with biodegradable stents require fewer reinterventions during follow-up and no additional endoscopy to remove them. Biodegradable stent deployment is considered a safe procedure and is mainly related to minor, self-limited adverse events.

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Authors and Affiliations

  1. Department of Gastroenterology, Hepatopancreatology and Digestive Oncology, Erasme University Hospital, Université Libre de Bruxelles, Brussels, Belgium

    Paraskevas Gkolfakis

  2. Hepatogastroenterology Unit, 2nd Department of Internal Medicine, “Attikon” University General Hospital, Medical School, National and Kapodistrian University of Athens, Athens, Greece

    Ioannis S. Papanikolaou

  3. Department of Gastroenterology and Hepatology, Radboud University Medical Center, Nijmegen, The Netherlands

    Peter Siersema

Authors
  1. Paraskevas Gkolfakis
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  2. Ioannis S. Papanikolaou
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  3. Peter Siersema
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Corresponding author

Correspondence to Peter Siersema .

Editor information

Editors and Affiliations

  1. Gastrointestinal Endoscopy Unit, Vita-Salute San Raffaele University, MILANO, Milano, Italy

    Pier Alberto Testoni

  2. Digestive Diseases Center, Showa University Hospital, Tokyo, Japan

    Haruhiro Inoue

  3. Div. of Gastroenterology and Hepatology, Mayo Clinic, Jacksonville, FL, USA

    Michael B. Wallace

Section Editor information

  1. Department of Gastroenterology and Hepatology, Mayo Clinic, Jacksonville, Florida, USA

    Michael B. Wallace

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Gkolfakis, P., Papanikolaou, I.S., Siersema, P. (2021). Biodegradable Self-Expandable Stents for Benign Strictures: Indications and Outcomes. In: Testoni, P.A., Inoue, H., Wallace, M.B. (eds) Gastrointestinal and Pancreatico-Biliary Diseases: Advanced Diagnostic and Therapeutic Endoscopy. Springer, Cham. https://doi.org/10.1007/978-3-030-29964-4_53-1

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  • DOI: https://doi.org/10.1007/978-3-030-29964-4_53-1

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  • Publisher Name: Springer, Cham

  • Print ISBN: 978-3-030-29964-4

  • Online ISBN: 978-3-030-29964-4

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