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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 | Clinical response of large cell neuroendocrine carcinoma of the lung to perioperative ad- juvant chemotherapy 显示文摘 | Saji H Tsuboi M Matsubayashi J | 2010 | Anticancer Drugs2010，21，1： | 1 |
| 3 | Impaet of ovarian endometrioma on ooeytes and pregnancy outcome in in vitro fertilization 显示文摘 | Suzuki T lzumi S Matsubayashi H | 2005 | Fevtil Steril2005，83，4： | 1 |
| 4 | Molecular cloningand characterization of OsPSK, a gene encoding a precursor 显示文摘 | Yang H Matsubayashi Y Hanai H | 2000 | Plant Mol Bio 12000，44，63： | 1 |
| 5 | Treatment of methimazole-induced agranulocytosis using recombinant human granulocyte colony-stimulating factor(rhG-CSF)显示文摘 | Tamai H Mukuta T Matsubayashi | 1993 | J Clin Endocrinol Metab1993，77，： | 1 |
| 6 | A case of transfusion-transmitted hepatitis E caused by blood from a donor infected with hepatitis E virus via zoonotic food-borne route显示文摘 | Matsubayashi K Kang JH Sakata H | 2008 | Transfusion2008，48，7： | 1 |
| 7 | Methylation of cydin D2 is observed frequently in pancreatic cancer but is also an age-related phenomenon in gastrointestinal tissues 显示文摘 | Matsubayashi H Sato N Fukushima N | 2003 | Clin Cancer Res2003，9，4： | 1 |
| 8 | Postsynaptic alpha 4 beta 2 and alpha 7 type nicotinic acetylcholine receptors contribute to the local and endogenous acetylcholine-mediated synaptic transmissions in nigral dopaminergic neurons显示文摘 | Matsubayashi H Amano T Seki T | 2004 | Brain Res2004，1005，12： | 1 |
| 9 | Antiphosphatidylethano-lamine antibodies in recurrent early pregnancy loss and mid-to-latepregnancy loss显示文摘 | Sugi T Matsubayashi H Inomo A | 2004 | J Obstet Gynaecol Res2004，30，4： | 1 |
| 10 | Intercalation/polymerization of the Anilinium Cation in the VoPO4 Interlayer Space 显示文摘 | Nakajima H Matsubayashi G | 1993 | Chem Lett1993，，： | 1 |
| 11 | Clinical response of large cell neuroendocrine carcinoma of the lung to perioperative adjuvant chemotherapy 显示文摘 | Saji H Tsuboi M Matsubayashi J | 2010 | Anticancer Drugs2010，21，1： | 1 |
| 12 | Divergent host plant preference causes assortative mating between sympatric host races of the ladybird beetle, Henosepilachna diekei 显示文摘 | Matsubayashi KW Kahono S Katakura H | 2013 | Biological Journal of the Linncan Society2013，110，3： | 1 |
| 13 | Antiphosphatidylethanolamine antibodies in recurrent early pregnancy loss and mid-to-late pregnancy loss显示文摘 | Sugi T Matsubayashi H Inomo A | 2004 | J Obstet Gynaecol Res2004，30，： | 1 |
| 14 | Adenoviral gene transfer of aspartoacylase into the trenor rat, a genetic model of epilepsy, as a trial ofgene therapy for inherited opilepticdisorder 显示文摘 | Seki T Matsubayashi H Amano T | 2002 | Neurosci Lett2002，328，3： | 1 |
| 15 | Increased depression and anxiety in infertile Japanese woman resulting from lack of husband sup- port and feeling of stress 显示文摘 | Matsubayashi H Hosaka T Izumi S | 2004 | General Hospital Psychiatry2004，26，5： | 1 |
| 16 | Phosphorylation of PKC activation loop plays an important role in receptor-mediated transloeation of PKC显示文摘 | Seki T Matsubayashi H Amano T | 2005 | Genes Cells2005，10，3： | 1 |
| 17 | PeritumoraI fibrohlast SPARC expression and patient outcome with resectahle pancreatic adenocareinoma 显示文摘 | InfanteJR Matsubayashi H Sato N | 2007 | J Clin Oneol2007，25，3： | 1 |
| 18 | Interaction between desialylated hepatitis B virus and asialoglycoprotein receptor on hepatocytes may be indispensable for viral binding and entry显示文摘 | Owada T Matsubayashi K Sakata H | 2006 | J Viral Hepat2006，13，1： | 1 |
| 19 | Adenoviral gene transfer of aspartoacylase ameliorates tonic convulsions of spontaneously epileptic rats 显示文摘 | SeKi T Matsubayashi H Amano T | 2004 | Neurochem Int2004，45，1： | 1 |
| 20 | Adenoviral gene transfer of aspartoacylase into the tremor rat, a genetic model of epilepsy, as a trial of gene therapy for inherited epileptic disorder显示文摘 | SeKi T Matsubayashi H AmanoT | 2002 | Neurosic Lett2002，328，3： | 1 |
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