ACS Applied Materials & Interfaces, Год журнала: 2025, Номер unknown
Опубликована: Апрель 8, 2025
Achieving robust adhesion of bioadhesives on wet tissues to block gastric perforation remains a challenge due the gradually deteriorated adhesive-tissue interactions by interfacial acidity and multienzyme fluids, thus accompanying failure shedding life-threatening risks. Here, we report biocompatible double-umbrella-shaped endoscopy-deliverable hydrogel occluder (EHO) made caffeic acid (CA)-grafted chitosan (CS) polyacrylamide (PAM) molding technique, which is capable customizable, rapid, robust, long-term sealing large perforations. In addition physiochemical (e.g., H-bonding, chelation) between polymers, efficient also integrates advantages fast mechanical interlocking in space gradual self-expansion over time tolerant acidic mechanically dynamic environments. The EHO exhibits favorable biodegradability reducible disulfide cross-linkers remarkable protective barrier functions impede infiltration digestive pepsin into wound. To validate EHO's therapeutic efficacy, further demonstrate vivo via endoscopic delivery porcine stomach monitor healing process with improved retention endogenous growth factors. Besides, views simple fabrication using biodegradable can be facilely tailored various topologies according application scenarios surgical minimally invasive delivery, offering promising alternative for clinical repair gastrointestinal perforations other organs.
Язык: Английский