| METALS AND METAL MATRIX COMPOSITES |
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| Surface Functionalization Strategies for Esophageal Stents to Reduce Restenosis |
| LIU Xiaofeng1,2, LI Chaojing1,2, WANG Fujun1,2, WANG Lu1,2,*
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1 College of Textiles, Donghua University, Shanghai 201620, China 2 MOE Key Laboratory of Textile Science & Technology, Donghua University, Shanghai 201620, China |
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Abstract Malignant esophageal obstruction, predominantly caused by tumors, leads to dysphagia. Stent implantation serves as a key therapeutic intervention for relieving this malignant stenosis. However, post-stent restenosis, primarily driven by persistent tumor proliferation and excessive tissue hyperplasia, significantly compromises patient quality of life and overall survival. Recent years have witnessed significant research endeavors globally focused on developing multimodal therapeutic strategies centered on esophageal stents, leveraging surface functionalization techniques to confer anti-restenotic properties. These advancements encompass a spectrum of functionalized stents, including anti-adhesion stents, drug-eluting stents, photothermal stents, internal radiation stents, photodynamic stents, and synergistic therapy stents. This paper provides a systematic review of the design concepts and evolution of these diverse stent types. Furthermore, it proposes future research directions for esophageal anti-tumor stents, focusing on enhancing long-term biocompatibility/adaptability and optimizing targeted therapeutic efficacy.
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Published: 25 April 2026
Online: 2026-05-06
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