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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 | Blood serum components and serum protein test of Hybro-PG broilers of different ages 显示文摘 | Silva P R L Freitas Neto O C Laurentiz A C | 2007 | Brazilian Journal of Poultry Sci- ence2007，9，4： | 1 |
| 3 | 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 |
| 4 | Identification and characterization of regions of differ ence between the Salmonella Gallinarum biovar Gall inarum and the Salmonella Gallinarum biovar Pul lorum genomes 显示文摘 | Batista D F Freitas Neto O C Barrow P A | 2015 | Infect Genet Evol2015，30，： | 1 |
| 5 | 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 |
| 6 | 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 |
| 7 | 查看详情显示文摘 | Miranda Marzullo A C Neto O P Bitar R A Silva Martinho H Martin A A | | 0，，05： | 1 |
| 8 | The relationship between thunderstorm and solar activity for Brazil from 1951to 2009显示文摘 | Neto O P Pinto I R C A Pinto O J | 2013 | Journal of Atmospheric and Solar-Terrestrial Physics2013，98，： | 1 |
| 9 | Evalua- tion of graft compatibility between quince rootstocks and pear sci- ons显示文摘 | FRANCESCATI'O P PAZZIN D UAZOLLA NETO A | 2010 | Acta Horticuhurae2010，872，： | 1 |
| 10 | Document-level Sentiment Classification:An Empirical Comparison Between SVM and ANN显示文摘 | Moraes R Valiati J F GaviO Neto W P | 2013 | Expert Systems with Applications2013，40，2： | 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 | Extraction and characterization of cellulose nanocrystals from agro-industrlal residue-soy hulls 显示文摘 | Neto W P F Silv~rio H A Dantas N O | 2013 | Industrial Crops and Products2013，42，2： | 1 |
| 13 | 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 |
| 14 | Pullorum dis- ease and fowl typhoid--new thoughts on old diseases: a review显示文摘 | BARROW P A FREITAS NETO O C | 2011 | Avian Patho12011，40，1： | 1 |
| 15 | Stathmin 1 isinvolved in the highly proliferative phenotype of high - risk myelodysplastics y n dromes a n d acute leukemia cells 显示文摘 | M a c h a d o - Neto J A de M e l o C a m p o s P Favaro P | | L e u k R e s0，38，2： | 1 |
| 16 | Effect of methionine supplementation on mitoehondrial genes expression in the breast muscle and liver of broilers显示文摘 | VESCO A P D GASPARINO E NETO A R O | 2013 | Livestock Science2013，，151： | 1 |
| 17 | Electromiographic and kinematic characteristics of Kung Fu Yau-Man palm strike显示文摘 | Neto O P Magini M | 2008 | Journal of Electromyography and Kinesiology2008，18，6： | 1 |
| 18 | Electromyographic study of a sequence of Yau-Man Kung Fu palm strikes with and without impact显示文摘 | Neto O P Magini M Pacheco M T T | 2007 | Journal of Sports Science and Medicine2007，，6： | 1 |
| 19 | NiTi SMAproduction using ceramic filter during pouting the melt 显示文摘 | RIGO O D OTUBO J MOURA NETO C MEI P R | 2005 | Journal of Materials Processing Technology2005，，： | 1 |
| 20 | Xylo-oligosaccharides from lignocellulosic materials: Chemical structure, health benefits and production by chemical and enzymatic hydrolysis显示文摘 | CARVALHO A F A NETO P D O SILVA D F D | 2013 | Food Research International2013，51，1： | 1 |
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