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Self-Expandable Stents in the Gastrointestinal Tract pp 35–49Cite as

History of Self-Expandable Metal and Self-Expandable Plastic Stent Development

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Abstract

The first self-expandable metal stent (SEMS) for biliary use was devised by Gianturco and reported by Wright et al. in 1985. The Gianturco Z-stent was made of stainless steel wire bent into a zigzag pattern with connected ends. It was compressed and introduced through a Teflon sheath of 8–12 French depending on the wire caliber and the diameter of the stent. Since then, many investigators have devised different kinds of SEMS for the biliary system and the gastrointestinal tract and one self-expandable plastic stent (SEPS) for esophageal use. SEMS have been found to be effective for relief of esophageal, gastroduodenal, colonic, and biliary obstructions, either palliatively or as a bridge to surgical resection, in patients with primary or metastatic cancer. SEPS have been used for palliation of esophageal obstruction and fistula but are approved for benign esophageal disease and removal. In recent years, indications for placement of a SEMS have been extended to patients with benign biliary, esophageal, and gastrointestinal strictures when patients have failed balloon dilation therapy. The purpose of this chapter is to review the history of SEMS/SEPS development in the biliary system and the gastrointestinal tract.

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Authors and Affiliations

  1. Department of Radiology, Asan Medical Center, University of Ulsan College of Medicine, 388-1, Poongnap-2dong Songpa-gu, Seoul, 138-736, Republic of Korea

    Ho-Young Song M.D.

  2. Radiology Department, Asan Medical Center, Seoul, Republic of Korea

    Jin Hyoung Kim M.D.

  3. Department of Radiology, Seoul National University Bundang Hospital, Seongnam, Republic of Korea

    Chang Jin Yoon M.D., Ph.D.

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  1. Ho-Young Song M.D.
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  2. Jin Hyoung Kim M.D.
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  3. Chang Jin Yoon M.D., Ph.D.
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Correspondence to Ho-Young Song M.D. .

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Editors and Affiliations

  1. , Virginia Mason Medical Center, Digestive Disease Institute, 1100 Ninth Ave, Seattle, 98111, Washington, USA

    Richard Kozarek

  2. , Division of Gastroenterology and Hepatol, Mayo Clinic College of Medicine, 200 First St. SW, Rochester, 55905, Minnesota, USA

    Todd Baron

  3. , Department of Radiology, Asan Medical Center, Pungnap-2Dong 388-1, Seoul, 138-736, Korea, Republic of (South Korea)

    Ho-Young Song

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Song, HY., Kim, J.H., Yoon, C.J. (2013). History of Self-Expandable Metal and Self-Expandable Plastic Stent Development. In: Kozarek, R., Baron, T., Song, HY. (eds) Self-Expandable Stents in the Gastrointestinal Tract. Springer, New York, NY. https://doi.org/10.1007/978-1-4614-3746-8_3

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  • Publisher Name: Springer, New York, NY

  • Print ISBN: 978-1-4614-3745-1

  • Online ISBN: 978-1-4614-3746-8

  • eBook Packages: MedicineMedicine (R0)

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