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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 | Tip grafts in closed rhiiloplasty:insertion and fixation made easy显示文摘 | FERNANDEZ D E da SIL VA CARVALHO G | 2008 | Plast Reconstr Surg2008，121，3： | 1 |
| 3 | Antioxidant Effect of a Novel Class of Telluroacetilene Compounds:studies in Vitro and in Vivo显示文摘 | A C G Souza C Luchese J S Santos Neto | 2009 | Life Science2009，84，1112： | 1 |
| 4 | Steady-state modeling of slurry and bulk propylene polymerizations显示文摘 | Mattos Neto A G Pinto J C | 2001 | Chemical Engineering Science2001，56，13： | 1 |
| 5 | Verification of color vegetation indices for atttomated crop imaging applications显示文摘 | Meyer G E Neto J C | 2008 | Computers and Electronics in Agriculture2008，63，2： | 1 |
| 6 | Intensified fuzzy clusters for classifying plant, soil, and residue regions of interest from color images显示文摘 | Meyer G E Neto J C Jones D D | 2004 | Computers and Electronics in Agriculture2004，42，3： | 1 |
| 7 | Rapid silver stainingand recovery of PCR products separated on polyacrylamide gels显示文摘 | SANGUINETTI C J NETO E D SIMPSON A J G | 1994 | Bio-techniques1994，17，5： | 1 |
| 8 | Nitriding of titanium disks and industrial dental implants using hollow cathode discharge显示文摘 | Jr ALVES C GUERRA NETO C L B MORAIS G H S | 2006 | Surface and Coatings Technology2006，200，： | 1 |
| 9 | Plant species identifica- tion using elliptic fourier leaf shape analysis显示文摘 | Neto J C Meyer G E Jones D D | 2006 | Computers and E- lectronics in Agriculture2006，50，2： | 1 |
| 10 | 显示文摘 | Pinto J C | 2001 | Chem Eng Sci2001，56，13： | 1 |
| 11 | On the Use of the Open Photoacoustic Ceil Technique for Studying Photosynthetic 02 EvoLution of Undetached Leaves: Comparison with Clark-type 02 Electrode显示文摘 | PEREIRA A C NETO G VARGAS H | 1994 | Rev Sci Instrum1994，65，： | 1 |
| 12 | 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 |
| 13 | Thermal analysis of chitosan based networks 显示文摘 | Neto C G T Giacometti J A Job A E | 2005 | Carbohydrate Polymers2005，62，： | 1 |
| 14 | Verification of color vegetation indices for automated crop imaging applications显示文摘 | Meyer G E Neto J C | 2008 | Computer and Electronics in Agriculture2008，63，2： | 1 |
| 15 | Rapid silver staining and recover of PCR products separated on polyacrylamide gels显示文摘 | SANGUINETTI C J DIAS NETO E SIMPSON A J G | 1994 | Biotechniques1994，17，： | 1 |
| 16 | Verification of color vegetation indices for automated crop imaging applications显示文摘 | MEYERA G E NETO J C | 2008 | Computers and Electronics in Agriculture2008，63，2： | 1 |
| 17 | Gamma radiation effects on mechanical properties and morphology of a polyurethane derivate from castor oil显示文摘 | Azevedo E C Chierice G O Neto S C | 2011 | Radiation Effects & Defects in Solids2011，166，3： | 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 A | 2009 | Colloids and Surfaces A:Physico-chemical and Engineering Aspects2009，333，13： | 1 |
| 19 | Reagentless biosensor for isocitrate using one step modified Pt - Ir microelectrode显示文摘 | PEREIRA A C FERNANDO L F NETO G DE O | 2001 | Talanta2001，53，： | 1 |
| 20 | Analgesic and antiinflammatory activity of a crude root extract of Pfaffia glomerata (Spreng) Pedersen显示文摘 | A G Neto J M L C Costa C C Belati | 2005 | J Ethnopharmaco2005，96，： | 1 |
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