Biomedical Engineering Reference
In-Depth Information
20
Biomaterials for
Gastrointestinal Medicine,
Repair, and Reconstruction
Richard M. Day
CONTENTS
20.1 Introduction.........................................................................................................................
634
20.2 Biomaterials Used for Gastroesophageal Refl ux Disease...................................................
635
20.2.1 Gastroesophageal Refl ux Disease ........................................................................
635
20.2.2 Sphincter Augmentation Using Biomaterials ......................................................
635
20.2.2.1 Ethylene Vinyl Alcohol Copolymer .....................................................
635
20.3 Biomaterials Used for Gastrointestinal Fistula Repair .......................................................
636
20.3.1 Gastrointestinal Fistulas........................................................................................
636
20.3.2 Fistula Repair Using Biomaterials ........................................................................
636
20.3.2.1 Fibrin Glue............................................................................................
636
20.4 Bulking Biomaterials ..........................................................................................................
637
20.4.1 Fecal Incontinence.................................................................................................
637
20.4.2 Injectable Bulking Materials.................................................................................
638
20.4.2.1 Polymer Microspheres..........................................................................
638
20.4.2.2 Collagen Bulking Materials .................................................................
640
20.4.2.3 Zirconium Dioxide Microspheres .......................................................
641
20.5 Biomaterials and Laparotomy Procedures..........................................................................
641
20.5.1 Intra-Abdominal Adhesions ..................................................................................
641
20.5.2 Biomaterials to Prevent Intra-Abdominal Adhesions ..........................................
641
20.5.2.1 Hyaluronic Acid-Based Biomaterials ..................................................
641
20.5.2.2 Nanofi brous Sheets...............................................................................
642
20.6 Targeted Drug Delivery with Biomaterials.........................................................................
644
20.6.1 Drug Delivery to the Colon ...................................................................................
644
20.6.1.1 Chitosan-Based Drug Delivery Systems ..............................................
644
20.6.1.2 Alginate-Based Drug Delivery Systems...............................................
645
20.6.1.3 Nanoparticle Drug Delivery Systems...................................................
646
20.7 Biomaterials for Intestinal Tissue Engineering ..................................................................
647
20.7.1 Intestinal Failure and Tissue Engineering .............................................................
647
20.7.2 Biomaterials Used for Intestinal Tissue Engineering............................................
648
20.7.2.1 Fibrous Synthetic Polymer Scaffolds....................................................
648
20.7.2.2 Foam Synthetic Polymer Scaffolds.......................................................
648
20.7.2.3 Collagen-Based Scaffolds.....................................................................
650
20.7.2.4 Indirect Three-Dimensional Printed Scaffolds ....................................
651
20.7.2.5 Neovascularization of Intestinal Tissue Engineering Scaffolds...........
651
20.8 Summary.............................................................................................................................
653
References ......................................................................................................................................
654
633