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Updated: Jul 31, 2025

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Endoscopic luminal stenting: Current applications and future perspectives.

Miltiadis Moutzoukis¹, Konstantinos Argyriou², Andreas Kapsoritakis³

¹Department of Gastroenterology, University Hospital of Ioannina, Ioannina GR45333, Greece.

World Journal of Gastrointestinal Endoscopy

|May 4, 2023

Summary

Endoscopic luminal stenting (ELS) offers a safe, minimally invasive treatment for gastrointestinal obstructions. Advances in stent technology continue to expand ELS applications for various conditions.

Keywords:

Bariatric surgery Cancer Endoscopic luminal stenting Inflammatory bowel disease Leak Obstruction Stenting Stricture

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Area of Science:

Gastroenterology
Minimally Invasive Surgery
Biomedical Engineering

Background:

Endoscopic luminal stenting (ELS) is a minimally invasive technique for managing malignant gastrointestinal obstructions.
ELS provides rapid symptom relief for various neoplastic strictures (esophageal, gastric, colorectal, biliary, pancreatic) safely.
ELS has become a preferred first-line treatment over radiotherapy and surgery in palliative and neoadjuvant settings.

Purpose of the Study:

To review current developments in endoscopic luminal stenting (ELS).
To discuss innovations in stent design, accessories, techniques, and applications.
To identify areas for future research in ELS.

Main Methods:

Systematic literature review.
Analysis of current advancements in ELS technology.
Discussion of expanded clinical applications.

Main Results:

ELS is effective for malignant and non-neoplastic obstructions, perforations, fistulae, and bleeding.
Technological innovations have driven the expansion of ELS indications.
Rapid technological changes present challenges for clinician adaptation.

Conclusions:

ELS is a versatile and evolving endoscopic procedure.
Continued innovation in stent technology is crucial for ELS advancement.
Further research is needed to address challenges and explore new applications.