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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 | Control of photophysical properties and photoreactions of aromatic imides by use of intermolecular hydrogen bonding 显示文摘 | Matsubayashi M Kubo Y | 2005 | J Org Chem2005，73，： | 1 |
| 3 | 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 |
| 4 | The detection of a novel type of Cryptosporidium andersoni oocyst in cattle in Japan显示文摘 | MATSUBAYASHI M KIMATA I ABE N | 2004 | Para sitol Res2004，93，6： | 1 |
| 5 | Abnormalities in event-related potentials,N100,P200,P300 and slow wave in schizophrenia显示文摘 | Nageishi Y Matsubayashi M | 1991 | Jpn J Psychiatry Neurol1991，45，： | 1 |
| 6 | Infectivity of a novel type of Cryptosporidium andersoni to laboratory mice显示文摘 | MATSUBAYASHI M KIMATA I ISEKI M | 2005 | Vet Parasitol2005，129，12： | 1 |
| 7 | An LRR receptor kinase involved in perception of a peptide plant hormone, phytosulfokine 显示文摘 | Matsubayashi Y Ogawa M Morita A | 2002 | Science2002，296，5572： | 1 |
| 8 | First record of Cryptosporidium infection in a raccoon dog (Nyctereutes procyonoides viverrinus) 显示文摘 | Matsubayashi M Abe N Takami K | 2004 | Vet Parasitol2004，120，3： | 1 |
| 9 | 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 |
| 10 | A case of hypophyseal prolactinoma with treatable delusions of detmatozoiasis显示文摘 | Takeda M Tanino S Nishinuma K Matsubayashi T | 1985 | Acta Psychiatr Stand1985，72，5： | 1 |
| 11 | Geothermal constraints on the hydrological regime of the TAG active hydmthermal mound,inferred from long-term monitoring 显示文摘 | Goto S Kinoshita M Matsubayashi O | 2002 | Earth and Planetary Science Letters2002，203，1： | 1 |
| 12 | Post-stroke hyper- tension correlates with neurologic recovery in patients with acute ischemic stroke显示文摘 | Osaki Y Matsubayashi K Yamasaki M | 1998 | Hypertens Res1998，21，3： | 1 |
| 13 | An LRR receptor kinase involved in perception of a peptide plant hormone phytosulfokine显示文摘 | Matsubayashi Y Ogawa M Morita A | 2002 | Science2002，296，： | 1 |
| 14 | Factors associated with carotid atherosclerosis in community-dwelling oldest elderly aged over 80 years显示文摘 | Fujisawa M Okumiya K Matsubayashi K | 2008 | Geriatr Gerontol Int2008，8，： | 1 |
| 15 | Immunohistochemical analyses of beta-catenin and cyclin D1 expression in giant cell tumor of bone (GCTB): a possible role of Wnt pathway in GCTB tumorigenesis 显示文摘 | Matsubayashi S Nakashima M Kumagai K | 2009 | Pathol Res Pract2009，205，9： | 1 |
| 16 | Nanoparticle filtration by eleetrospun polymer fibers 显示文摘 | Yun K M Hogan Jr C J Matsubayashi Y | 2007 | Chem Eng Sci2007，，： | 1 |
| 17 | Successful treatment of pancreaticopleural fistula by nasopancreatic drainage and endoscopic removal of pancreatic duct calculi:a case report显示文摘 | Miyachi A Kikuyama M Matsubayashi Y | 2004 | Gastrointest Endosc2004，59，3： | 1 |
| 18 | A compact neutron detector using scintillators with wavelength shifting fibers by backside readout method 显示文摘 | Katagiri M Matsubayashi M Sakasai K | 2004 | Nuclear Instruments and Methods in Physics Research Section A: Accel-erators Spectrometers Detectors and Associated Equipment2004，529，13： | 1 |
| 19 | Expression of G protein-coupled receptor kinase 4 is associated with breast cancer tumourigenesis显示文摘 | Matsubayashi J Takanashl M Oikawa K | 2008 | J Pathol2008，216，3： | 1 |
| 20 | DNA methylation alterations in the pancreatic juice of patients with suspected pancreatic disease 显示文摘 | Matsubayashi H Canto M Sato N | 2006 | Cancer Res2006，66，2： | 1 |
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