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REVIEW article
Front. Med.
Sec. Hepatobiliary Diseases
Volume 11 - 2024 |
doi: 10.3389/fmed.2024.1334154
This article is part of the Research Topic Advances in Therapeutic Gastrointestinal Endoscopy: from Bench to Bedside View all 6 articles
Title : the past, present, and future of endoscopic management for biliary strictures: technological innovations and stent advancements
Provisionally accepted- 1 Jiangsu University Affiliated People's Hospital, Zhenjiang, Jiangsu Province, China
- 2 Changzhou Wujin People's Hospital, Changning, Jiangsu Province, China
- 3 Shanghai University, Shanghai, Shanghai Municipality, China
Biliary stricture can be induced by intrinsic narrowing and extrinsic compression, with the majority of cases being malignant. Clinically, distinguishing between benign and malignant biliary strictures remains a considerable challenge, and the ongoing disagreement over the optimal choice of biliary stents significantly influences treatment strategies and impacts patients' survival and prognosis. The utilization and advancement of endoscopic techniques have heightened the diagnostic sensitivity for biliary strictures. Concurrently, innovative technologies such as Endoscopic Ultrasound and Magnetic Compression Anastomosis emerge as viable alternatives when Endoscopic Retrograde Cholangiopancreatography (ERCP) is not an option, providing fresh insights for the clinical management of these patients.Traditional plastic and metal stents, characterized by their complex application and limited scope, have been unable to fully satisfy clinical needs. The introduction of novel stent varieties has notably improved this scenario, marking a considerable progression towards precision medicine. However, the clinical validation of the diverse stent materials available is incomplete. Hence, a thorough discussion on the present state and evolving trends of biliary stents is warranted.
Keywords: Biliary stricture, Endoscopic treatment, Biliary stents, biodegradable materials, precision medicine
Received: 06 Nov 2023; Accepted: 15 Nov 2024.
Copyright: © 2024 Yang, Nie, Xu, He and Yao. This is an open-access article distributed under the terms of the Creative Commons Attribution License (CC BY). The use, distribution or reproduction in other forums is permitted, provided the original author(s) or licensor are credited and that the original publication in this journal is cited, in accordance with accepted academic practice. No use, distribution or reproduction is permitted which does not comply with these terms.
* Correspondence:
Jun Yao, Jiangsu University Affiliated People's Hospital, Zhenjiang, 212000, Jiangsu Province, China
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