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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 | Thrombosis in ST-elevation myocardial infarction:Insights from thrombi retrieved by aspiration thrombectomy显示文摘In patients with ST-elevation myocardial infarction, recurrent cardiovascular events still remain the main cause of morbidity and mortality, despite significant improvements in antithrombotic therapy. We sought to review data regarding coronary thrombus analysis provided by studies using manual aspiration thrombectomy(AT), andto discuss how insights from this line of investigation could further improve management of acute coronary disease. Several studies investigated the fresh specimens retrieved by AT using techniques such as traditional morphological evaluation, optical microscopy, scanning electron microscopy, magnetic resonance imaging, and immunohistochemistry. These approaches have provided a better understanding of the composition and dynamics of the human coronary thrombosis process, as well as its relationship with some clinical outcomes. Recent data signaling to new antithrombotic therapeutic targets are still emerging. | Daniel Rios P Ribeiro Eduardo Cambruzzi Marcia Moura Schmidt Alexandre S Quadros | 2016 | World Journal of Cardiology2016，8，6： | 2 |
| 3 | Discovering search engine related query using association rules显示文摘 | Fonseca B M Golgher P B Moura E S | | 0，，04： | 1 |
| 4 | Adsorption of polycyclic aromatic hydrocarbons from aqueous solutions by modified periodic mesopomus organosilica 显示文摘 | VIDAL C B BARROS A L MOURA C P | 2011 | Journal of Colloid and Interface Science2011，357，2： | 1 |
| 5 | ZnO architec- tures synthesized by a microwave-assisted hydrothermal method and their photoluminescence properties显示文摘 | Moura A P Lima R C Moreira M L | 2010 | Solid State Ionics2010，181，1516： | 1 |
| 6 | Heavy metals extraction by microemulsion显示文摘 | Castro-Dantas T N Dantas-Neto A A Moura M C P A | 2003 | Water Res2003，37，： | 1 |
| 7 | Delayed neu?trophil apoptosis in very early rheumatoid arthritis patients is ab?rogated by methotrexate therapy显示文摘 | Weinmann P Moura RA Caetano-LopesJR | 2007 | Clin Exp Rheumatol2007，25，6： | 1 |
| 8 | Population structure of Cniopsis cruentata(Latreille, 1803) in the Paripe estuary, Brazil显示文摘 | MOURA N F O COELHO-FILHO P A COELHO P A | 2000 | Nauplius2000，8，： | 1 |
| 9 | The glomerular response toIgA deposition in IgA nephropathy显示文摘 | Moura IC Benhamou M Launay P | 2008 | Semin Nephrol2008，28，1： | 1 |
| 10 | 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 |
| 11 | Influence of open holes on composites delamination induced by low velocity im- pact loads显示文摘 | Amaro A M Reis P N B de Moura M F S F | 2013 | Composite Structures2013，97，： | 1 |
| 12 | In vitro fermentation of xylo-oligosaccharides from corn cobs autohydrolysis by Bifidobacterium and Lactobacillus strains显示文摘 | MOURA P BARATA R CARVALHERIO F | 2007 | LWT-Food Science and Technology2007，40，6： | 1 |
| 13 | Histopathological Study of Delayed Regraft After Corneal Graft Failure显示文摘 | Leonardo N Santos Leticia Rielo de Moura Bruno F Fernandes Devinder P Cheema Miguel N Burnier | 2011 | Cornea2011，，2： | 1 |
| 14 | Adsorption of polyeyclic aromatic hydrocarbons from aqueous solutions by modified periodic mesoporous organosiliea 显示文摘 | Vidal C B Barros A L Moura C P | 2011 | Journal of Colloid and Interface Science2011，357，2： | 1 |
| 15 | Numerical simulation of mixed-mode progressive delamination in composite materials显示文摘 | Camanho P P Davila C G De Moura M F | 2003 | Journal of Composite Materials2003，37，16： | 1 |
| 16 | Topology of the conceptual network of language显示文摘 | Motter A E de Moura A P S Lai Y C | 2002 | Physical Review E2002，65，06： | 1 |
| 17 | Heparanase-2 expression in normal ovarian epithelium and in benign and malignant ovarian tumors 显示文摘 | de Moura J P Jr Nicolau S M Stavale J N | 2009 | Int J Gynecol Cancer2009，19，9： | 1 |
| 18 | Discovering Search Engine Related Queries Using Association Rules显示文摘 | Fonseca B M Golghe P B Moura E | 2004 | Journal of Web Engineering2004，2，4： | 1 |
| 19 | The glomerular response to IgA deposition in IgA nephropathy显示文摘 | Moura IC Benhamou M Launay P | 2008 | Semin Nephrol2008，28，1： | 1 |
| 20 | Evaluation of Mechanical Properties of Concrete with Copper Slag as Fine Aggregate 显示文摘 | Moura W A Goncalves J P Leite M B | 2009 | Rem-Revista Escola de Minas2009，62，2： | 1 |
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