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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 | Removal of chromium fi-om aqueous solutions by diatomite treated with microemulsion 显示文摘 | Dantas T N Neto A A Moura M C | 2001 | Water Research2001，35，9： | 1 |
| 3 | 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 |
| 4 | Molecular and immunological characterization of Mycobacterium tuberculosis CFP-10, an immunodiagnostic antigen missing in Mycobacterium boris BCG显示文摘 | Dillon DC Alderson MR Day CH Bement T Campos Neto A Skeiky YA Vedvick T Badaro R Reed SG Houghton R | 2000 | J Clin Microbiol2000，38，9： | 1 |
| 5 | Pineal yolk sac tumor:correlation between neuroimaging and pathological findings显示文摘 | Davaus T Gasparetto E L Carvalho Neto A | 2007 | Arq Neuropsiquiatr2007，65，2： | 1 |
| 6 | Effect of salt stress on antioxidative enzymes and lipid peroxidation in leaves and roots of salt-tolerant and salt-sensitive maize genotypes 显示文摘 | DE AZEVEDO NETO A D PRISCO J T ENEAS-FILHO J | 2006 | Environmental and Experimental Botany2006，56，1： | 1 |
| 7 | Hydrogen peroxide pre - treatment induces salt - stress acclimation in maize plants 显示文摘 | Neto A D de A Prisco J T Eneas - Filho J Medeiros J V R Gomes -Filho E | 2005 | Journal of Plant Physiology2005，162，10： | 1 |
| 8 | An experimental analysis of adiabatic capillary tubes 显示文摘 | Melo C Ferreira R T S Neto C B | 1999 | Applied Thermal Engineering1999，19，6： | 1 |
| 9 | On the determination of the path direction for arc-length methods in the presence of bifurcations and snap-backs显示文摘 | DESOUZA E A NETO FENG Y T | 1999 | Computer Methods in Aplied Mechanics and Engineering1999，179，12： | 1 |
| 10 | Association between Chronic Apical Periodontitis and Coronary Artery Disease显示文摘 | Costa T H Neto J A de Oliveira A E | 2014 | J Endod2014，40，2： | 1 |
| 11 | Artificial neural networks used for ZnO arresters diagnosis显示文摘 | Wanderley Neto E T da Costa E G Mala M J A | 2009 | IEEE Transactions on Power Delivery2009，24，3： | 1 |
| 12 | 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 |
| 13 | Effects of epidural administration of dexmedetomidine on the minimum alveolar concentration of isoflurane in dogs 显示文摘 | CAMPAGNOL D TEIXEIRA NETO F J GIORDANO T | 2007 | Am J VetRes2007，68，12： | 1 |
| 14 | 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 |
| 15 | Efficacy of sodium hypochlorite and coconut soap used as disinfecting agents in the reduction of denture stomatitis, Streptococcus mutans and Candida albicans显示文摘 | de Mendonca Neto T | 2004 | J Oral Rehabil2004，31，5： | 1 |
| 16 | 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 |
| 17 | Geotechnical influence on the acoustic properties of marinesediments of the Santos Basin, Brazil显示文摘 | NETO A A MENDES J D T DE SOUZA J M G 2013 | 2013 | Marine Georesources& Geotechnology2013，31，2： | 1 |
| 18 | Polycrystalline diamond coatings on steel substrates显示文摘 | NETO V F SHOKUHFAR T OLIVEIRA M S A GR CIO J ALI N | 2008 | Int J Nanomanufacturing2008，2，12： | 1 |
| 19 | Novel series of tricyclic aromatic terpanes characterized in Tasmanian tasmanite显示文摘 | Azevedo D A Aquino Neto F R Simoneit B R T | 1992 | Organic geochemistry1992，18，1： | 1 |
| 20 | 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 |
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