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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 | Prognostic significance of the combined expression of matrix metalloproteinase-9, urokinase type plasminogen activator and its receptor in breast cancer as measured by Northern blot analysis 显示文摘 | Pacheco MM Nishimoto IN Mour? o Neto M | 2001 | Int J Biol Markers2001，16，1： | 1 |
| 3 | Multiobjective optimization of MPLS-IP networks with a variable neighborhood genetic algorithm显示文摘 | ONETY R E TADEI R NETO O M | 2013 | Applied Soft Computing2013，13，11： | 1 |
| 4 | Macrosegregation of Impurities in Directionally Solidified Silicon显示文摘 | Martorano M A Ferreira Neto J B Oliveira T S Tsubaki T O | 2011 | EN2011，，： | 1 |
| 5 | Electro-oxidation of ethanol on PtRu/C electrocatalysts prepared from (η-C2H4) (Cl)Pt(μCl)2Ru(Cl)(η3,η3-C10H16)显示文摘 | Spinace E V Neto A O Linardi M | 2003 | J Power Sources2003，124，2： | 1 |
| 6 | Electro-oxidation of methanol and ethanol using PtRu/C, PtSn/C and PtSnRu/C electrocatalysts prepared by an alcohol-reduction process 显示文摘 | NETO A O DIAS R R TUSI M M | 2007 | J Power Sources2007，166，： | 1 |
| 7 | Electro-oxidation of methanol and ethanol using PtRu/C electrocatalysts prepared by spontaneous deposition of platinum on carbonsupported ruthenium nanoparticles显示文摘 | Spinace' E V Neto A O Linardi M | 2004 | J Power Sources2004，129，： | 1 |
| 8 | 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 |
| 9 | Electro-oxidation of Methanol and Ethanol Using PtRu/C Electrocatalysts Prepared by Spontaneous Deposition of Platinum on Carbon-supported Ruthenium Nanoparticles 显示文摘 | SPINACE E V NETO A O LINARDI M | 2004 | J Power Sources2004，129，： | 1 |
| 10 | Co-catalytic effect of nickel in the electro-oxidation of ethanol on binary Pt-Sn electrocatalysts 显示文摘 | Spinace E V Linardi M Neto A O | 2005 | Commun2005，7，4： | 1 |
| 11 | 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 |
| 12 | 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 |
| 13 | A mercury-free electrochemical sensor for the determination of thallium(Ⅰ) based on the rotating-disc bismuth film eleetrode显示文摘 | JORGE E O NETO M M M ROCHA M M | 2007 | Talanta2007，72，4： | 1 |
| 14 | Preparation of PdAu/C-Sb205 SnO2 electrocatalysts by borohydride reduction process for direct formic acid fuel cell Ionics 显示文摘 | NANDENHA J DE SOUZA R F B ASSUMP O M H M T SPINACI E V NETO A O | 2013 | Irloics2013，19，9： | 1 |
| 15 | Refining of metallurgical silicon by directional solidification 显示文摘 | MARTORANO M A FERREIRA NETO J B OLIVEIRA T S TSUBAKI T O | 2011 | Mater Sci Eng B2011，176，3： | 1 |
| 16 | Electro-oxidation of formic acid on Pdlr/C-Sb2 O5 SnOz electrocatalysts prepared by borohydride reduction显示文摘 | NANDENHA J DE SOUZA R F B ASSUMP O M H M T SPINACI E V NETO A O | 2013 | Int J Electrochem Sci2013，8，： | 1 |
| 17 | Glutamate activates GFAP gene promoter from cultured astrocytes through TGF-beta1 pathways显示文摘 | Romo L F Sousa Vde O Neto V M | 2008 | J Neurochem2008，106，2： | 1 |
| 18 | Electro-oxidation of methanol and ethanol using PtRu/C, PtSn/C and PtSnRu/C electrocatalysts prepared by an alcohol- reduction process显示文摘 | Neto A O Dias R R Tusi M M | 2007 | J Power Sources2007，166，： | 1 |
| 19 | 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 |
| 20 | Feedback Control of Two Beams, Two Joints Systems with Distributed Flexibility 显示文摘 | Book W J Neto O M Whitney D E | 1978 | Jour of Dynamic Systems Measuremant and Control (S0022-0434)1978，97，4： | 1 |
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