Stent is referred as plastic or metal tube inserted in human body
into lumen or duct to keep the passage open. Various types of stents
such as expandable stents and simple plastic stents are used for
various purposes. Different types of stents such as coronary,
vascular, and biliary stents are employed for various purposes.
‘Biliary’ is referred to the bile duct, which is a long tube-like
structure carrying bile fluid. Bile plays an important role in food
digestion. It is secreted by liver into intestinal passage through
the bile duct, which opens in intestine. Stents applied in biliary
disorders are called biliary stents. Biliary stents very first
introduced in 1979 palliation of malignant biliary strictures which
offered paradigm shift in biliary disorder. Biliary stents are used
in various applications such as malignant biliary obstruction,
biliary strictures, and leaking of bile duct. Akin to any other
devices, biliary stents are associated with a few complications; of
this, occlusion of the stent is the most common reason for stent
failure.
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However, biliary stents have become an integral part in palliation of
malignant strictures. Plastic and metal biliary stents are available
in the market. Plastic biliary stents are composed of polyethylene
and Teflon. These are available in a variety of configuration.
Companies have modified stents to decrease the biofilm formation,
thereby increasing patency time which includes coating with
specialized material and windsock distal design. Plastic stents are
generally radiopaque and available with introducer kits. The
self-expanding metal stents (SEMs) offers the advantages due to
increased diameter of stent thereby reducing recurrent obstruction
and increasing patency duration. Some self-expanding metal stents
have retrieval loops such as wall flex that facilitate its
repositioning and removal after the initial placement. Covered
self-expanding metal stents are now evaluated for application in
benign disease. Plastic biliary stents are used separately or with an
associated pusher or introducer catheter.
Increase in patency duration of plastic and self-expanding metal
stents remains an integral area of future research. High prevalence
of biliary diseases across the globe is driving the biliary stents
market. Rise in surgical procedures of biliary diseases is expected
to boost the biliary stents market across the globe. Increase in
usage of substitutes in biliary surgeries is anticipated to restrain
the biliary stents market. High cost of procedure of biliary stents
insertion is also adversely affecting the market growth. Further
investigation on how to increase patency period for plastic and metal
stents could be the research highlight in near future. Biodegradable
stents that do not require removal are being developed. Advanced
research studies need to be conducted in this field.
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The global biliary stents market can be segmented based on type,
application, and geography. In terms of type, the biliary stents
market can be divided into plastic, metal, and others. The plastic
segment is estimated to expand in the near future due to the
comparatively low cost, and easy insertion and removal during
surgeries. Self-expanding metal stents could be the second
sub-segment of biliary stent type due to high price factor. In terms
of application, the biliary stents market can be divided into
malignant obstruction, benign biliary strictures, biliary leaks, and
others. Malignant obstruction and benign biliary strictures segments
are likely to expand at a rapid pace during the forecast period due
to their rising prevalence and lack of substitutes to biliary stent
insertion.
Based on geography, the global biliary stents market can be segmented
into Asia Pacific, North America, Europe, Latin America, and Middle
East & Africa. North America is expected to account for major
share of the global biliary stents market during the forecast period
owing to the developed healthcare infrastructure and rise in
population suffering from biliary disorders. Europe is anticipated to
be the second largest region of the global biliary stents market.
India and China are the developing countries in Asia Pacific. Major
players operating in the global biliary stents market include GE
Healthcare, Medtronic plc, Stryker Corporation, Blue Belt
Technologies Inc., Cook Group Incorporated, Brainlab AG, Boston
Scientific Corporation, and Abbot Vascular among others.
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