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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 | Parametric Study of Adhesive Joints with Composites 显示文摘 | NETO J A B P CAMPILHO R D S G DA SILVA L F M | 2012 | International Journal of Adhesion and Adhesives2012，，： | 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 | 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 |
| 5 | Chemical characterisation of bark and of alkaline bark extracts from maritime pine grown in Portugal 显示文摘 | Fradinho D M Neto P Evtuguin D | 2002 | lnd Crops Prod2002，16，： | 1 |
| 6 | 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 |
| 7 | Removal of chromium from aqueous solutions by diatomite treated with microemulion显示文摘 | De Castro Dantas T N Dantas Neto A A Dea M C P | 2001 | Water Reseaeh2001，35，9： | 1 |
| 8 | Laparoscopic duodenal-jejunal exclusion in the treatment of type 2 diabetes mellitus in patients with BMI <30 kg/m2显示文摘 | RAMOS A C GALYAO NETO M P de SOUZA Y M | 2009 | Obes Surg2009，19，3： | 1 |
| 9 | Adenosinerich elements present in the 5'-untranslated region of PABP mRNA can selectively reduce the abundance and translation of CAT mRNAs in vivo显示文摘 | Eduardo O M Osvaldo P de Melo Neto | 2003 | FEBS Letters2003，，546： | 1 |
| 10 | Parameters estimation of a hori- zontal multilayer soil using genetic algorithm显示文摘 | Calixto W P Neto L M Wu M | 2010 | IEEE Transactions on Power Delivery2010，25，3： | 1 |
| 11 | 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 |
| 12 | Parameters estimation of a hori- zontal multilayer soil using genetic algorithm显示文摘 | Calixto W P Neto L M Wu M | 2010 | IEEE Transactions on Power Delivery2010，25，3： | 1 |
| 13 | Casimir effect with rough metallic mirrors 显示文摘 | NETO P A M LAMBRECHT A REYNAUD S | 2005 | Physical Review A2005，72，01： | 1 |
| 14 | Synthesis of 3-Methylisoxazole-5-carboxamides and 5--3-methylisoxazoles显示文摘 | Martins M A P Neto M Sinhorin A P | 2002 | Synth Commun2002，32，3： | 1 |
| 15 | 查看详情显示文摘 | Gandini A Silvester A J D Neto C P Sousa A F Gomes M | | 0，，： | 1 |
| 16 | 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 |
| 17 | International multicenter trial on clinical natural orifice surgery-NOTES IMTN study:preliminary results of 362 patients显示文摘 | Zorron R Palanivelu C Galvao Neto M P | 2010 | Surg Innov2010，17，2： | 1 |
| 18 | The rhomboid flap for immediate breast reconstruction after quadrantectomy and axillary dissection显示文摘 | ADaO O SCANDIUZZI D | 2007 | Plast Reconstr Surg2007，119，3： | 1 |
| 19 | Cellulosenanocrystals from pineapple leaf, a new approach for thereuse of this agro-waste 显示文摘 | Santos R M Flauzino Neto W P Silverio H A | 2013 | Industrial Crops and Products2013，50，： | 1 |
| 20 | A technical modification for percutaneous tra-cheostomy: prospective case series study on one hun-dred patients 显示文摘 | REZENDE-NETO J B OLIVEIRA A J NETO M P | 2011 | World J Emerg Surg2011，6，： | 1 |
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