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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 | Potassium permanganate oxidation of phenanthrene and pyrene in contaminated soils显示文摘 | Silva P T de souza e Silva V L Neto B B | 2009 | Journal of Hazardous Materials2009，168，： | 1 |
| 3 | Surgical resection for intractable epilepsy in 'double cortex'syndrome yields inadequate results 显示文摘 | Bernasconi A Martinez V Rosa Neto P | 2001 | Epilepsia2001，42，9： | 1 |
| 4 | Surgical site infection: rates, etiology and resistance patterns to antimicrobials among strains isolated at Rio de Janeiro University Hospital显示文摘 | Santos K R Fonseca L S Bravo Neto G P | 1997 | Infection1997，25，4： | 1 |
| 5 | 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 |
| 6 | Scanning electron microsco- py evaluation of the bonding mechanism of a self - etching primer on enamel显示文摘 | Cal -Neto J P Mendes -Miguel J A | 2006 | Angle Orthod2006，76，1： | 1 |
| 7 | 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 |
| 8 | New formula to objectively evaluate skeletal maturation using lateral cephalometric radiographs显示文摘 | Caldas Mde P Ambrosano GM Haiter Neto F | 2007 | Braz Oral Res2007，21，4： | 1 |
| 9 | 3D reconstitution of porous media from image processing data using a mulfiscale percolation system 显示文摘 | DAIAN J F FERNANDES C P PHILIPPI P C BELLINI DA CUNHA NETO J A | 2004 | Journal of Petroleum Science and Engineering2004，42，1： | 1 |
| 10 | Making gra- phene visible 显示文摘 | Blake P Hill E W Neto A H C | 2007 | Applied Physics Letters2007，91，06： | 1 |
| 11 | Spatial modeling : a comprehensive framework for principal coordinate analysis of neighbor matrices ( PC- NM) 显示文摘 | Dray S Legendre P Peres - Neto P R | 2006 | Ecological Modelling2006，196，： | 1 |
| 12 | Document-level sentiment classification:an empirical comparison between SVM and ANN显示文摘 | Moraes R Valiati J F Gaviao Neto W P | 2013 | Expert Systems with Applications2013，40，2： | 1 |
| 13 | Synthesis of NiAl2O4 with high surface area as precursor of Ni nanopartieles for hydrogen production显示文摘 | NIELSON F P RIBEIRO RAIMUNDO C R NETO SILVIA F MOYA | 2010 | International Journal of Hydrogen Energy2010，35，11： | 1 |
| 14 | Antibacterial activity of nanocomposites of silver and bacterial or vegetable cellulosic fibers显示文摘 | Pinto R J B Marques P. A A P Neto C P | | 0，，05： | 1 |
| 15 | 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 |
| 16 | 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 |
| 17 | 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 |
| 18 | Document-level sentiment classification:an empirical comparison between svm and ann显示文摘 | MORAES R VALIATI J F NETO W P | 2013 | Expert Systems with Applications2013，40，2： | 1 |
| 19 | Orthostatic tolerance and spontaneous baroreflex sensitivity in men versus women after 7 days of head-down bed rest显示文摘 | Custaud MA de Souza Neto EP Abry P | | 0，，： | 1 |
| 20 | Chelate of chromium in mineral supplements for beef cattle显示文摘 | Moreira P S A Lourenco F J Polizel Neto A | 2012 | Comuni- cata Scientiae2012，3，3： | 1 |
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