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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 | Ectopic scalp rep|anta- tion: a case report显示文摘 | Sanger JR Logiudice JA Rowe D | 2010 | J Plast Reconstr Aesthet Surg2010，63，1： | 1 |
| 3 | Pediatric tissue expansion indications and complications显示文摘 | Gosain AK | 2003 | J Craniofac Surg2003，14，6： | 1 |
| 4 | Lumbar Repositioning Deficit in a Specific Low Back Pain Population显示文摘 | Peter B. O’Sullivan Angus Burnett Alexander N. Floyd Kristen Gadsdon Julia Logiudice Daniel Miller Hilary Quirke | 2003 | Spine2003，，10： | 1 |
| 5 | Guidelines for informed consent in biomedical research involving paediatric populations as research participants显示文摘 | Gill D Crawley FP LoGiudice M | 2003 | Eur J Pediatr2003，162，： | 1 |
| 6 | Pediatric tissue expansion: indications and complications显示文摘 | LoGiudice J Gosain AK | 2003 | J Craniofac Surg2003，14，6： | 1 |
| 7 | Lipolytic activity of antarctic cold-adapted marine bacteria (Terra Nova Bay,Ross Sea)显示文摘 | LOGIUDICE A MICHAUD L DEPASCALE D | 2006 | Applied Microbiology and Biotechnology2006，101，5： | 1 |
| 8 | Pediatric tissue expansion:indications and complications显示文摘 | LoGiudice J Gosain AK | 2003 | J Craniofac Surg2003，14，6： | 1 |
| 9 | Effectiveness of balance training exercise in people with mild to moderate severity Alzheimer's disease: protocol fora randomised trial显示文摘 | Hill KD LoGiudice D Lautensch!ager NT | 2009 | BMC Geriatr2009，，： | 1 |
| 10 | Hospital doctors'attitudes towards older people显示文摘 | Leung S Logiudice D Schwarz J | 2009 | Int Med J2009，28，4： | 1 |
| 11 | Pediatric tissue expansion:indications and complications显示文摘 | LoGiudice J Gosain AK | 2003 | J Craniofac Surg2003，14，： | 1 |
| 12 | Treatment of acute high-risk pulmonary embolism显示文摘 | Perkan A LoGiudice F SantangeloS | | 0，，： | 1 |
| 13 | Pediatric tissue expansion:indications and complications显示文摘 | LoGiudice J Gosain AK | 2003 | J Craniofac Surg2003，14，6： | 1 |
| 14 | Tissue expansion in pediatric patients显示文摘 | Rivera R LoGiudice J Gosain AK | 2005 | Clin Plast Surg2005，32，1： | 1 |
| 15 | Impaired peripheral endothelial microvascular responsiveness in Alzheimer's disease显示文摘 | Khalil Z LoGiudice D Khodr B | 2007 | J Alzheimers Dis2007，11，1： | 1 |
| 16 | Pediatric tissne expansion:indications and comphcationsp显示文摘 | GOSAIN A K | 2003 | J Craniofac Surg2003，14，6： | 1 |
| 17 | Tissue expansion in pediatric patients显示文摘 | RIVERA R LOGIUDICE J GOSAIN A K | 2005 | Clin Plast Surg2005，32，1： | 1 |
| 18 | Pediatric tissue expansion:indications and complications显示文摘 | GOSAIN A K | 2003 | J Craniofac Surg2003，14，6： | 1 |
| 19 | Lipolytic Activity of Antarctic Cold-adapted Marine Bacteria ( Terra Nova Bay, Ross Sea) 显示文摘 | LOGIUDICE A MICHAUD L DEPASCALE D | 2006 | Applied Microbiology Biotechnology2006，101，5： | 1 |
| 20 | The ecology of infectious disease: Effects of host diversity and community composition on Lyme disease risk 显示文摘 | Logiudice K Ostfeld RS Schrnidt KA | 2003 | Proc Natl Acad Sci USA2003，100，： | 1 |
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