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Structural deterioration in Celestin tubes.

I Mackenzie, A S Whyte, H I Tankel

    The British Journal of Surgery
    |November 1, 1976
    PubMed
    Summary
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    Nylon-latex Celestin tubes used for benign stricture bypass can degrade structurally after two years, causing complications. Alternative esophageal tubes may be better for long-term use.

    Area of Science:

    • Gastroenterology
    • Medical Device Engineering
    • Surgical Materials Science

    Background:

    • Benign esophageal strictures often require long-term management with indwelling tubes.
    • Celestin tubes, composed of nylon-latex, have been utilized for esophageal bypass.
    • Assessing the long-term durability and complication profile of indwelling esophageal tubes is crucial for patient care.

    Observation:

    • Two cases presented with structural deterioration of nylon-latex Celestin tubes after two years in situ.
    • These esophageal tubes were placed to bypass benign strictures.
    • Deterioration led to complications necessitating premature tube removal and replacement.

    Findings:

    • Nylon-latex Celestin tubes demonstrate limited structural integrity beyond two years.

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  • Long-term indwelling use of these specific tubes is associated with a risk of mechanical failure.
  • Complications arising from tube degradation require surgical intervention.

    • Implications:

    • The findings suggest that nylon-latex Celestin tubes may not be suitable for esophageal bypass requiring a lifespan of two years or more.
    • Consideration of alternative endo-esophageal tube materials or designs is recommended for long-term stricture management.
    • Further research into the degradation mechanisms and development of more durable esophageal prosthetics is warranted.