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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 | Direct determination of paracetamol in powdered pharmaceutical samples by fluorescence spectroscopy显示文摘 | Moreira Altair B Tescarollo I L Neto G O | 2005 | Analytica Chimica Acta2005，539，1： | 1 |
| 3 | 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 |
| 4 | 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 |
| 5 | Immune system memetic algorithm for power distribution network design with load evolution uncertainty 显示文摘 | Souza B B Carrano E G Neto O M | 2011 | Electric Power Systems Research2011，81，2： | 1 |
| 6 | Determination of Salicylate in Blood Serum Using an Amperometric Biosensor Based on Salicy]ate Hydroxylase Immobilized in a Polypyrrole-Glutaraldehyde Matrix显示文摘 | Junior L R Neto G O Fernandes J R | 2000 | Talataa2000，51，： | 1 |
| 7 | On the Use of a Similarity Function for Test Case Selection in the Context of Model-based testing 显示文摘 | Cartaxo E G Maebado P L Neto F O | 2011 | Software Testing Verification & Reliability2011，21，2： | 1 |
| 8 | PdBi/C electrocatalysts for ethanol electro-oxidation in alkaline medium显示文摘 | NETO A O TUSI M M DE OLIVEIRA POLANCO N S DA SILVAA S G SANTOSB M C D SPINACé E V | 2011 | Int J Hydrogen Energy2011，36，10： | 1 |
| 9 | Influence of lip repair on craniofacial morphology of patients with complete bilateral cleft lip and palate显示文摘 | Da Silva Filho O G Valladares Neto J Capelloza Filho L | 2003 | Cleft Palate Craniofac2003，40，2： | 1 |
| 10 | Gaseous emissions from a heavy-duty engine equipped with SCR aftertreatment system and fuelled with diesel and biodiesel: assessment of pollutant dispersion and health risk 显示文摘 | Tadano Y S Borillo G C Godoi A F L Cichon A Silva T O B Valebona F B Errera M R Penteado Neto R A Rempel D Martin L Yamamoto C I Godoi R H M | 2014 | Science of the Total Environment2014，，： | 1 |
| 11 | Evaluation of non-linear normal modes for finite-element models 显示文摘 | Mazzilli C E N Barach0 Neto O G P | 2002 | Computers and Structures2002，80，11： | 1 |
| 12 | Characterization of polyurethane resins by FTIR, TGA, and XRD显示文摘 | Trovati G Sanches E A Claro Neto S Masearenhas Y P Chierice G O | 2010 | Journal of Applied Polymer Science2010，115，1： | 1 |
| 13 | Electrooxidation of methanol and ethanol on Pt-Ru/C and Pt-Ru-Mo/C elec- trocatalysts prepared by Bonncmann' s method显示文摘 | Neto A O Franco E G Arico E | 2003 | J Eu- ropean Ceramic Soc2003，23，： | 1 |
| 14 | Use of column with modified silica for interfering retention in a FIA spectrophotometric method for direct determination of vitamin C in medicine显示文摘 | FEMANDES J C B NETO G de O KUBOTA L T | 1998 | Analytica Chimica Acta1998，，366： | 1 |
| 15 | Determination of salicylate in blood serum using an amperometric biosensor based on salicylate hydroxylase immobilized in a polypyrrole-glutaraldehyde matrix显示文摘 | Junior L R Neto G O Fernandes J R | 2000 | Talanta2000，51，： | 1 |
| 16 | Update on viral community-acquired pneumonia 显示文摘 | da Rocha Neto O G Leite R F Baldi B G | 2013 | Rev Assoc Med Bras2013，59，1： | 1 |
| 17 | Bi-enzymatic amperometric biosensor for oxalate显示文摘 | Perez E F Neto G O Kubota L T | 2001 | Sensor and Actuator B2001，72，： | 1 |
| 18 | Electrooxidation of methanol and ethanol on Pt-Ru/C and Pt-Ru-Mo/C electrocatalysts prepared by Bonnemann' s method 显示文摘 | NETO A O FRANCO E G ARICO E | 2003 | J European Ceramic Soc2003，23，： | 1 |
| 19 | Evaluation of non-linear normal modes for finite-element models 显示文摘 | Mazzilli C E N Baracho Neto O G P | 2002 | Computers and Structures2002，80，11： | 1 |
| 20 | Evaluation of a low-cost adsorbent for removal of toxic metal ions from wastewater of anelectroplating factory 显示文摘 | SOUSA F W SOUSA M J OLIVE1RA I R N OLIVEIRA A G CAVALCANTE R M FECH1NE P B A NETO V O S KEUKELEIRE D D NASCIMENTO R F | 2009 | Journal of Environmental Management2009，90，11： | 1 |
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