Advances in Hydrogel Adhesives for Gastrointestinal Wound Closure and Repair

Millions of individuals undergo gastrointestinal (GI) tract surgeries each year with common postoperative complications including bleeding, perforation, anastomotic leakage, and infection. Today, techniques such as suturing and stapling seal internal wounds, and electrocoagulation stops bleeding. Th...

Full description

Bibliographic Details
Main Authors: Xingyu Hu, Mark W. Grinstaff
Format: Article
Language:English
Published: MDPI AG 2023-03-01
Series:Gels
Subjects:
Online Access:https://www.mdpi.com/2310-2861/9/4/282
_version_ 1827745027677224960
author Xingyu Hu
Mark W. Grinstaff
author_facet Xingyu Hu
Mark W. Grinstaff
author_sort Xingyu Hu
collection DOAJ
description Millions of individuals undergo gastrointestinal (GI) tract surgeries each year with common postoperative complications including bleeding, perforation, anastomotic leakage, and infection. Today, techniques such as suturing and stapling seal internal wounds, and electrocoagulation stops bleeding. These methods induce secondary damage to the tissue and can be technically difficult to perform depending on the wound site location. To overcome these challenges and to further advance wound closure, hydrogel adhesives are being investigated to specifically target GI tract wounds because of their atraumatic nature, fluid-tight sealing capability, favorable wound healing properties, and facile application. However, challenges remain that limit their use, such as weak underwater adhesive strength, slow gelation, and/or acidic degradation. In this review, we summarize recent advances in hydrogel adhesives to treat various GI tract wounds, with a focus on novel material designs and compositions to combat the environment-specific challenges of GI injury. We conclude with a discussion of potential opportunities from both research and clinical perspectives.
first_indexed 2024-03-11T05:00:20Z
format Article
id doaj.art-a7ac5e8ba9ac4b20b1c73ce4c27f8b1d
institution Directory Open Access Journal
issn 2310-2861
language English
last_indexed 2024-03-11T05:00:20Z
publishDate 2023-03-01
publisher MDPI AG
record_format Article
series Gels
spelling doaj.art-a7ac5e8ba9ac4b20b1c73ce4c27f8b1d2023-11-17T19:21:15ZengMDPI AGGels2310-28612023-03-019428210.3390/gels9040282Advances in Hydrogel Adhesives for Gastrointestinal Wound Closure and RepairXingyu Hu0Mark W. Grinstaff1Departments of Chemistry and Biomedical Engineering, Boston University, Boston, MA 02215, USADepartments of Chemistry and Biomedical Engineering, Boston University, Boston, MA 02215, USAMillions of individuals undergo gastrointestinal (GI) tract surgeries each year with common postoperative complications including bleeding, perforation, anastomotic leakage, and infection. Today, techniques such as suturing and stapling seal internal wounds, and electrocoagulation stops bleeding. These methods induce secondary damage to the tissue and can be technically difficult to perform depending on the wound site location. To overcome these challenges and to further advance wound closure, hydrogel adhesives are being investigated to specifically target GI tract wounds because of their atraumatic nature, fluid-tight sealing capability, favorable wound healing properties, and facile application. However, challenges remain that limit their use, such as weak underwater adhesive strength, slow gelation, and/or acidic degradation. In this review, we summarize recent advances in hydrogel adhesives to treat various GI tract wounds, with a focus on novel material designs and compositions to combat the environment-specific challenges of GI injury. We conclude with a discussion of potential opportunities from both research and clinical perspectives.https://www.mdpi.com/2310-2861/9/4/282hydrogeladhesivegastrointestinal tractwound healingpolymersmechanical properties
spellingShingle Xingyu Hu
Mark W. Grinstaff
Advances in Hydrogel Adhesives for Gastrointestinal Wound Closure and Repair
Gels
hydrogel
adhesive
gastrointestinal tract
wound healing
polymers
mechanical properties
title Advances in Hydrogel Adhesives for Gastrointestinal Wound Closure and Repair
title_full Advances in Hydrogel Adhesives for Gastrointestinal Wound Closure and Repair
title_fullStr Advances in Hydrogel Adhesives for Gastrointestinal Wound Closure and Repair
title_full_unstemmed Advances in Hydrogel Adhesives for Gastrointestinal Wound Closure and Repair
title_short Advances in Hydrogel Adhesives for Gastrointestinal Wound Closure and Repair
title_sort advances in hydrogel adhesives for gastrointestinal wound closure and repair
topic hydrogel
adhesive
gastrointestinal tract
wound healing
polymers
mechanical properties
url https://www.mdpi.com/2310-2861/9/4/282
work_keys_str_mv AT xingyuhu advancesinhydrogeladhesivesforgastrointestinalwoundclosureandrepair
AT markwgrinstaff advancesinhydrogeladhesivesforgastrointestinalwoundclosureandrepair