1. Polyethylene stent blockage: a porcine model
- Author
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Michel Carretier, Philippe Aucher, Jacques Irani, Stephane Robert, Ghislaine Grollier, Michel Beauchant, Jean-Pierre Richer, N. Maillot, Christian Moesch, and Bon D
- Subjects
medicine.medical_specialty ,Common bile duct ,biology ,business.industry ,medicine.medical_treatment ,Gastroenterology ,Stent ,Jaundice ,Surgery ,medicine.anatomical_structure ,Biliary tract ,Internal medicine ,medicine ,biology.protein ,Radiology, Nuclear Medicine and imaging ,Anaerobic bacteria ,medicine.symptom ,Mucoprotein ,Pancreas ,business ,Lecithinase - Abstract
Background: Endoscopic insertion of biliary stents is a useful treatment for obstructive jaundice resulting from unresectable tumors of the pancreas and biliary tree. The main drawback is the recurrence of jaundice due to clogging. The aim of this study was to establish an experimental model of polyethylene stent clogging in large white pigs. Methods: A straight polyethylene stent of 5F (group I), 7F (group II) or 10F size (group III) was inserted in the common bile duct. Animals were killed at 2 months, or earlier if physical signs suggesting stent clogging occurred. Chemicophysical analysis of stent deposition combined stereomicroscopy and identification of the contents by means of Fourrier transform infrared spectroscopy. Bacteriologic analyses included identification of aerobic and anaerobic bacteria and measurement of β-glucuronidase, lecithinase and lipase activities. Results: Physical signs suggesting stent obstruction or death occurred in 8 of 8 animals in group I, 11 of 12 in group II, and 2 of 8 in group III ( p Clostridium species were associated with the highest enzyme activities. Conclusions: In this model the major component of early stent deposits was mucoprotein, and numerous aerobic and anaerobic bacteria were isolated. Formation of calcium bilirubinate was a late phenomenon and poorly related to bacterial enzymatic activities. (Gastrointest Endosc 2000;51:12-8.)
- Published
- 2000
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