2017
DOI: 10.3748/wjg.v23.i41.7489
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3D-printed “fistula stent” designed for management of enterocutaneous fistula: An advanced strategy

Abstract: Enterocutaneous fistulas (ECFs) are great challenges during the open abdomen. The loss of digestive juice, water-electrolyte imbalance and malnutrition are intractable issues during management of ECF. Techniques such as “fistula patch” and vacuum-assisted closure therapy have been applied to prevent contamination of open abdominal wounds by intestinal fistula drainage. However, failures are encountered due to high-output fistula and anatomical complexity. Here, we report 3D-printed patient-personalized fistula… Show more

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Cited by 40 publications
(43 citation statements)
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“…The first limitation is that the PORO-LAY scaffolds are made from a proprietary blend of polyurethane and polyvinyl alcohol. While polyvinyl alcohol is well known to be food safe and nontoxic [ 51 ], compatibility and use of 3D printed polyurethane scaffolds is only beginning to gain attention [ 52 , 53 , 54 ]. Polyurethanes have long been used in biomedical tubing, catheters, and for some time, in breast and skin medical applications.…”
Section: Discussionmentioning
confidence: 99%
“…The first limitation is that the PORO-LAY scaffolds are made from a proprietary blend of polyurethane and polyvinyl alcohol. While polyvinyl alcohol is well known to be food safe and nontoxic [ 51 ], compatibility and use of 3D printed polyurethane scaffolds is only beginning to gain attention [ 52 , 53 , 54 ]. Polyurethanes have long been used in biomedical tubing, catheters, and for some time, in breast and skin medical applications.…”
Section: Discussionmentioning
confidence: 99%
“…Concerning the potentials of intestinal organoids in gut repair, preparations of organoid‐laden scaffolds that accord with intestinal tract anatomy are of great basic and clinical importance. To realize this purpose, development of printable and organoid‐compatible hydrogels is promising because they can be used to produce personalized scaffolds by 3D‐printing technology (Huang et al, ; Madden et al, ; Xu, Ren, Huang, Li, & Ren, ). Moreover, compared with chemical fluorescent compounds, fusion of fluorescent protein genes using CRISPR‐Cas9 causes the least influence to intestinal organoids.…”
Section: Future Directionsmentioning
confidence: 99%
“…have 3D printed a fistula stent using an FDM printer that uses a pharmaceutical grade thermoplastic polyurethane (TPU) filament. These researchers have also provided clinical results 17 . Although their work shows the successful usage of a 3D-printed patient-specific stent, we must emphasize that such practices are very rare and that no long-term follow-up study has been conducted.…”
Section: Introductionmentioning
confidence: 99%