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| 1 | Endoscopic ultrasound-guided vs endoscopic retrograde cholangiopancreatography biliary drainage for obstructed distal malignant biliary strictures: A systematic review and meta-analysis显示文摘BACKGROUND For palliation of malignant biliary obstruction(MBO), the gold-standard method of biliary drainage is endoscopic retrograde cholangiopancreatography(ERCP)with the placement of metallic stents. Endoscopic ultrasound(EUS)-guided drainage is an alternative that is typically reserved for cases of ERCP failure.Recently, however, there have been robust randomized clinical trials(RCTs)comparing EUS-guided drainage and ERCP as primary approaches to MBO.AIM To compare EUS guidance and ERCP in terms of their effectiveness and safety in palliative biliary drainage for MBO.METHODS This was a systematic review and meta-analysis, in which we searched the MEDLINE, Excerpta Medica, and Cochrane Central Register of Controlled Trials databases. Only RCTs comparing EUS and ERCP for primary drainage of MBO were eligible. All of the studies selected provided data regarding the rates of technical and clinical success, as well as the duration of the procedure, adverse events, and stent patency. We assessed the risk of biases using the Jadad score and the quality of evidence using the Grading of Recommendations Assessment,Development and Evaluation criteria.RESULTS The database searches yielded 5920 records, from which we selected 3 RCTs involving a total of 222 patients(112 submitted to EUS and 110 submitted to ERCP). In the EUS and ERCP groups, the rate of technical success was 91.96%n and 91.81%, respectively, with a risk difference(RD) of 0.00%(95%CI:-0.07, 0.07;P = 0.97; I^2 = 0%). The clinical success was 84.81% and 85.53% in the EUS and ERCP groups, respectively, with an RD of-0.01%(95%CI:-0.12, 0.10; P = 0.90; I^2 =0%). The mean difference(MD) for the duration of the procedure was-0.12%(95%CI:-8.20, 7.97; P = 0.98; I^2 = 84%). In the EUS and ERCP groups, there were14 and 25 adverse events, respectively, with an RD of-0.06%(95%CI:-0.23, 0.12; P= 0.54; I^2 = 77%). The MD for stent patency was 9.32%(95%CI:-4.53, 23.18; P =0.19; I^2 = 44%). The stent dysfunction rate was significantly lower in the EUS t group(MD =-0.22%; 95 CI:-0.35,-0.08; P = 0.001; I^2 = 0%).CONCLUSION EUS represents an interesting alternative to ERCP for MBO drainage,demonstrating lower stent dysfunction rates compared with ERCP. Technical and clinical success, duration, adverse events and patency rates were similar. | Fernanda P Logiudice Wanderlei M Bernardo Facundo Galetti Vitor M Sagae Carolina O Matsubayashi Antonio C Madruga Neto Vitor O Brunaldi Diogo T H de Moura Tomazo Franzini Spencer Cheng Sergio E Matuguma Eduardo G H de Moura | 2019 | World Journal of Gastrointestinal Endoscopy2019，11，4： | 6 |
| 2 | 中心和外周动脉脉搏波传导速度测量的重复性:社区动脉粥样硬化风险研究显示文摘通过脉搏波传导速度(pulsewavevelocity,PwV)检测动脉硬化程度是当前对高血压和心血管病风险评估和分层所日渐常用的方式。颈股动脉脉搏波传导速度(catroidfemoralarteryPWV,cfPWV)是一项公认的测定中心动脉硬化程度的方式。 | Meyer ML Tanaka H Palta P Patel MD Camplain R Couper D Cheng S Al Qunaibet A Poon AK Heiss G 陈云 叶鹏 | 2016 | 中华高血压杂志2016，24，5： | 6 |
| 3 | Influence of deposition parameters on the internal stress in a-C:H films显示文摘 | Cheng Y H Wu Y P Chen J G | 1999 | Surface and Coating Technol1999，111，： | 2 |
| 4 | Multi-stage vacuum cooling process of cabbage 显示文摘 | Cheng H P Hsueh C F | 2007 | Journal of Food Engineer2007，79，1： | 1 |
| 5 | Genetic analysis of a novel dominant rice dwarf mutant 986083D显示文摘 | Qin R Z Qiu Y Cheng Z J Shan X Y Guo X P Zhai H Q Wan J M | 2008 | Euphytica2008，160，： | 1 |
| 6 | A test of climate, sun, and culture relationships from an 1 810 year Chinese ca- ve record显示文摘 | Zhang P Z Cheng H Edwards R L | 2008 | Science2008，322，： | 1 |
| 7 | Optimal trajectory syn-thesis for terrain-following flight显示文摘 | Menon P K A Kim E Cheng V H L | 1991 | Journal of Guidance Control and Dynamics1991，14，4： | 1 |
| 8 | Cultivation of Acetobacter xylinum for bacterial cellulose production in a modified airlift reactor显示文摘 | Cheng H P Wang P M Chen J W | 2002 | Biotechnology and Applied Biochemistry2002，35，2： | 1 |
| 9 | Microstructure evolution of AlN films deposited under various pressures by RF reactive sputtering显示文摘 | Cheng H Sun Y Hing P | 2003 | Surf Coat Technol2003，166，： | 1 |
| 10 | low-dose intraoperative mitomycin cas chemoadjuvent for pteryium surgery 显示文摘 | Cheng H C Tseng S H Kao P L | 2001 | Cornea2001，20，1： | 1 |
| 11 | Targeting the phosphoinositide 3- kinase pathway in cancer 显示文摘 | Liu P Cheng H Roberts T M | 2009 | Nat Rev Drug Discov2009，8，8： | 1 |
| 12 | 5-Amidinobenzothiophenes as dual inhibitors of factors IXa and Xa 显示文摘 | QIAOJ X CHENG X H MODI D P | 2005 | Bioorg Med Chem Lett2005，15，1： | 1 |
| 13 | Nitrogen vacancy-promoted photocatalytic activity of graphitic carbon nitride显示文摘 | Niu P Liu G Cheng H M | 2012 | The Journal of Physical Chemistry C2012，116，11： | 1 |
| 14 | The climatic cyclicity in semiarid-arid central Asia over the past 500 000 years显示文摘 | Cheng H Zhang P Z Spotl C | 2012 | Geophysical Research Letters2012，39，01705： | 1 |
| 15 | Catalytic conversion of biomass-derived feed stocks into olefins and aromatics with ZSM-5:The hydrogen to carbon effective ratio显示文摘 | Zhang H Y Cheng Y T Tushar P V | 2011 | Energy&Environmental Science2011，，4： | 1 |
| 16 | Surface characteristics of crop-residue-derived black carbon and lead (Ⅱ) adsorption显示文摘 | Qiu Y P Cheng H Y Xu C | 2008 | Water Research2008，42，3： | 1 |
| 17 | A test of climate, sun,and culture relationships from an 1810-year Chinese cave record显示文摘 | Zhang P Z Cheng H Edwards R L | 2008 | Science2008，322，： | 1 |
| 18 | Wind loads on square cylinder in homogeneous turbulent flows 显示文摘 | Cheng C M Lu P C Chen R H | 1992 | Journal of Wind Engineering and Industrial Aerodynamics1992，4144，： | 1 |
| 19 | Molecular biology and genetics of the Rh blood group system显示文摘 | HUANG C H LIU P Z CHENG J G | 2000 | Semin Hematol2000，37，2： | 1 |
| 20 | Cell cycle dysregulation by green tea polyphenol epigallocatechin-3-gallate显示文摘 | Ahmad N Cheng P Mukhtar H | 2000 | Biochem Biophys Res Commun2000，275，2： | 1 |
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