Establishing a rabbit model of malignant esophagostenosis using the endoscopic implantation technique for studies on ste
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METHODOLOGY
Open Access
Establishing a rabbit model of malignant esophagostenosis using the endoscopic implantation technique for studies on stent innovation Jin Huang1,2, Jinquan Shuang1, Guanyin Xiong1, Xiang Wang1, Yin Zhang1, Xiaowei Tang1, Zhining Fan1*, Yingzhou Shen2, Hanming Song2 and Zhi Liu2
Abstract Background: Stents are recommended in patients with dysphagia caused by esophageal stricture, but an ideal stent does not currently exist. Thus, studies on new esophageal stents are necessary, and suitable animal models are desperately needed for these studies. The aim of this study was to establish a model of malignant esophageal stricture in rabbit for studies on stent innovation. Methods: A total of 38 New Zealand white rabbits were used in this study. Using the endoscopic submucosal injection technique, VX2 fragments were inoculated into the submucosal layer of the rabbit thoracic esophagus, and an endoscopic follow-up was subsequently performed to observe the tumor development and progression. The self-expandable metal stents were randomly deployed in rabbits with severe esophageal stricture to investigate the safety and feasibility of the animal models for stenting. Results: An endoscopic implantation procedure for VX2 tumors was completed in 34/38 rabbits, and tumor development was confirmed in 30/34 animals. The success rate of the endoscopic implantation and tumor development were 89.4% (95% CI, 79.6% to 99.2%) and 88.2% (95% CI, 76.9% to 99.5%) respectively. During the endoscopic follow-up period, severe esophageal stricture occurred in 22/30 rabbits with a rate of 73.3% (95% CI, 57.5% to 89.1%), and 12/22 models received stent placement. During and after stent implantation, no severe stent-related complication or mortality occurred in the animal models. The rabbits that received stent placement survived longer than those without stent implantation (the mean survival time: 53.9 days versus 40.3 days, P = 0.016). Conclusion: The endoscopic method is a safe and effective method for establishing a malignant esophagostenosis model in rabbits. This model can simulate the human body environment for stent deployment and is an excellent tool for the study of stent innovation for the treatment of esophageal cancer. Keywords: Esophageal squamous cell carcinoma, Animal model, Endoscopic surgical procedure, Rabbit, Stent therapy
* Correspondence: [email protected] 1 Digestive Medical Center, The Second Affiliated Hospital of Nanjing Medical University, No 121 Jiang Jiayuan, Xiaguan District, Nanjing 210011, Jiangsu Province, China Full list of author information is available at the end of the article © 2014 Huang et al.; licensee BioMed Central Ltd. This is an Open Access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/2.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited. The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/p
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