|
|
|
题名
|
作者
|
年代
|
出处
|
被引量
|
| 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 | Characterization of Pore Systems in Seal Rocks Using Nitrogen Gas Adsorption Combined with Mercury Injection Capillary Pressure Techniques 显示文摘 | Schmitt M Fernandes C P da Cunha Neto J A B | 2013 | Marine and Petroleum Geology2013，39，1： | 1 |
| 4 | Obliquity-correction imaging condition for reverse time migration显示文摘 | Costa J C Silva Neto F A Alcantara M R M | 2009 | Geophysics2009，74，3： | 1 |
| 5 | Preferential ammonium uptake during growth cycle and identification of ammonium transporter genes in young pear trees 显示文摘 | Mota M Neto C B Monteiro A A | 2011 | Journal of Plant Nutrition2011，34，6： | 1 |
| 6 | Shear-dependent boundary slip in an aqueous Newtonian liquid显示文摘 | Craig V S J Neto C Williams D R M | 2001 | Physical Review Letters2001，87，05： | 1 |
| 7 | Epidemiology of ocular allergy and co-morbidities inadolescents显示文摘 | GERALDINI M CHONG NETO H J RIEDI C A | 2013 | J Pediatr2013，89，： | 1 |
| 8 | Shear - dependent boundary slip in an aqueous Newtonian liquid 显示文摘 | Craig V S J Neto C Williams D R M | 2001 | Phys Rev l:tt2001，87，05： | 1 |
| 9 | Modeling disorder in graphene显示文摘 | PEREIRA V M DOSSANTOS J M B L NETO A C | 2008 | Physical Review:B2008，77，11： | 1 |
| 10 | Responses of the photosynthetic pigments and carbon metabolism in Vigna unguiculata cultivars submitted to water deficit显示文摘 | Lobato A K S Costa R C L Neto M A M | 2009 | Research Journal of Biological Sciences2009，4，1： | 1 |
| 11 | Percutaneous nephrolithotripsy with the patient in a modified supine position显示文摘 | Neto E A Mitre A I Gomes C M | 2007 | J Endourol2007，178，1： | 1 |
| 12 | The electronic properties of graphene显示文摘 | Neto A H C Guinea F Peres N M R | 2009 | Reviews of Modern Physics2009，81，1： | 1 |
| 13 | 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 |
| 14 | Surgical removal of small petroclival meningiomas显示文摘 | Ramina R Neto M C Fernandes Y B | 2008 | Acta Neurochir (Wien)2008，150，4： | 1 |
| 15 | Electronic properties of graphene multilayers显示文摘 | Nilsson J Neto A H C Guinea F Peres N M R | 2006 | Phys Rev Lett2006，97，26： | 1 |
| 16 | Liquid - liquid extraction of proteases from fermented broth by PEG/citrate aqueous two-phase system 显示文摘 | Porto T S Silva G M M Porto C S Cavalcanti M T H Neto B B Lima F J L Converti A Porto A L F Pessoa J A | 2008 | Chemical Engineering and Processing2008，47，4： | 1 |
| 17 | Chemical at-tributes and carbon stocks in an Oxisol under no - tillage in sa-vannah of Piaui state 显示文摘 | Leite L F C Galvao S R S Neto M R H | 2010 | Revista Brasileira de EngenhariaAgricola e Ambiental2010，14，12： | 1 |
| 18 | Anticancer activities ofcranberry phytochemicals:an update显示文摘 | Neto C C Amoroso J W Liberty A M | 2008 | Molecular Nutrition andFood Research2008，52，1： | 1 |
| 19 | The electronic properties of graphene显示文摘 | Neto A H C Guinea F Peres N M R | | 0，，01： | 1 |
| 20 | Heat stress impairs performance and induces intestinal inflammation in broiler chickens infected with Salmonella enteritidis显示文摘 | Quinteiro Filho W M Gomes A V Pinheiro M L Ribeiro A Ferraz-de Paula V AstoIfi Ferreira C S Ferreira A J Palermo- Neto J | 2012 | Avian Pathology2012，41，5： | 1 |
您所在的机构暂未开通此部分的功能，请联系管理员