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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 | Removal of chromium fi-om aqueous solutions by diatomite treated with microemulsion 显示文摘 | Dantas T N Neto A A Moura M C | 2001 | Water Research2001，35，9： | 1 |
| 3 | The use of primary stenting or balloon percutaneous tranluminal coronary angioplasty for the treatment of acutely occluded saphenous vein grafts, results from the brazilian national registry- CENIC 显示文摘 | Mattos L A Sousa AGMR Moura Campos Neto C | 2002 | Arq Bras Cardiol2002，76，： | 1 |
| 4 | Acute effects of maneuvers in critically ill patients with craniocerebral trauma 显示文摘 | Cerqueira Neto ML Moura c V Cerqueira TC | 2013 | Clinics (Sao Paulo)2013，68，9： | 1 |
| 5 | Chromium adsorption by chitosan impregnated with mieroemulsion显示文摘 | Castro Dantas T N Dantas Neto A A A Moura M C P | | 0，，： | 1 |
| 6 | Glial fibrillary acidie protein (GFAP):modulation by growth factors and its implication in astrocyte differentiation]显示文摘 | Gomes F C Paulin D Moura Neto V | 1999 | Braz J Med Biol Res1999，32，5： | 1 |
| 7 | The effects of vacuum induction melting and electron beam melting techniques on the purity of NiTi shape memory alloys显示文摘 | Otubo J Rigo O D Moura Neto C | 2006 | Materials Science and Engineering A2006，438，： | 1 |
| 8 | Applications of micelle and microemulsion systems containing aminated surfactants synthesized from ricinoleic acid as carbon - steel corrosion inhibitors 显示文摘 | MOURA E F NETO A O W DANTAS T N C | 2009 | Colloids and Surfaces A: Physicochemical and Engineering Aspects2009，340，13： | 1 |
| 9 | Molecular behavior of ionic and nonionic surfactants in saline medium 显示文摘 | SANTOS F K G NETO E L B MOURA M C P A | 2009 | Colloids and Surfaces A:Physico-chemical and Engineering Aspects2009，333，13： | 1 |
| 10 | Effect of Coating on the Creep Behavior of the Ti-6A1-4V Alloy显示文摘 | Reis D A P Moura Neto C Silva C R M | 2008 | Materials Science and Engineering A2008，486，： | 1 |
| 11 | Molecular behavior of ionic and nonionic surfactants in saline medium显示文摘 | SantosFKG NetoE L B Moura M C PA | 2009 | Colloids Surf A2009，333，： | 1 |
| 12 | Glial fibrillaryacidic protein(GFAP):modulation by growth factors and its im-plication in astrocyte differentiation显示文摘 | GOMES F C PAULIN D MOURA NETO V | 1999 | Braz J Med Biol Res1999，32，5： | 1 |
| 13 | Heavy metals extraction by microemulsions 显示文摘 | Castro Dantas T N Dantas Neto A A Moura M C P A | 2003 | Water Res2003，37，： | 1 |
| 14 | Design of mechanical properties of a Zn27Al alloy based on microstructure dendritic array spacing 显示文摘 | Santos G A de Moura Neto C Osorio W R | 2007 | Materials and Design2007，28，9： | 1 |
| 15 | Creep mechanisms and physical modeling for Ti-6A1-4V显示文摘 | BARBOZA M J R MOURA NETO C SILVA C R M | 2004 | Materials Science and Engineering: A2004，369，12： | 1 |
| 16 | Glial fibrillary acidic protein (GFAP):modulation by growth factors and its implication in astrocyte differentiation显示文摘 | Gomes F C A Paulin D Moura Neto V | 1999 | Brazilian Journal of Medical and Biological Research1999，32，5： | 1 |
| 17 | Gallbladder perforation due to endoscopic sleeve gastroplasty: A case report and review of literature显示文摘BACKGROUND The healthcare impact of obesity is enormous,and there have been calls for new approaches to containing the epidemic worldwide.Minimally invasive procedures have become more popular,with one of the most widely used being endoscopic sleeve gastroplasty(ESG).Although major adverse events after ESG are rare,some can cause considerable mortality.To our knowledge,there has been no previous report of biliary ascites after ESG.CASE SUMMARY A 48-year-old female with obesity refractory to lifestyle changes and prior gastric balloon placement underwent uncomplicated ESG and was discharged on the following day.On postoperative day 3,she developed abdominal pain,which led to an emergency department visit the following day.She was readmitted to the hospital,with poor general health status and signs of peritoneal irritation.Computed tomography imaging showed fluid in the abdominal cavity.Laparoscopy revealed biliary ascites and showed that the gallbladder was sutured to the gastric wall.The patient underwent cholecystectomy and lavage of the abdominal cavity and was admitted to the intensive care unit postoperatively.After 7 d of antibiotic therapy and 20 d of hospitalization,she was discharged.Fortunately,6 mo later,she presented in excellent general condition and with a 20.2%weight loss.CONCLUSION ESG is a safe procedure.However,adverse events can still occur,and precautions should be taken by the endoscopist.In general,patient position,depth of tissue acquisition,location of stitch placement,and endoscopist experience are all important factors to consider to mitigate procedural risk. | João de Siqueira Neto Diogo Turiani Hourneaux de Moura Igor Braga Ribeiro Sérgio Alexandre Barrichello Kelly E Harthorn Christopher C Thompson | 2020 | World Journal of Gastrointestinal Endoscopy2020，12，3： | 1 |
| 18 | Molecular Behavior of Ionic and Nonionic Surfactants in Saline Medium 显示文摘 | Santos F K G Neto E L B Moura M C P | 2009 | Colloids SurfA :Physicochem Eng Asp2009，333，1： | 1 |
| 19 | Removal of chromium from aqueous solutions by diatomite treated with microemulsion显示文摘 | DE CASTRO DANTAS T N DANTAS NETO A A MOURA M C P D A | 2001 | Water Research2001，35，9： | 1 |
| 20 | Study of nontoxic aluminum and vanadium-free titanium alloys for biomedical applications显示文摘 | Silva H M Schneider S G Moura Neto C | 2004 | Mater Sci Eng C2004，，24： | 1 |
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