Comparison between endoscopic sphincterotomy vs endoscopic sphincterotomy associated with balloon dilation for removal of bile duct stones: A systematic review and meta-analysis based on randomized controlled trials

World Journal of Gastrointestinal Endoscopy
Cesar Capel de Clemente JuniorEduardo G H de Moura

Abstract

To compare gallstones removal rate and incidence of bleeding, pancreatitis, use of mechanical lithotripsy, cholangitis and perforation between isolated sphincterotomy vs sphincterotomy associated with balloon dilation of papilla in choledocholithiasis through the meta-analysis of randomized clinical trials. We conducted a systematic review according to the PRISMA guidelines. Literature search was restricted to randomized controlled trials (RCTs) on MedLine, Cochrane Library, LILACS, and EMBASE database platforms in July 2017. The manual search included references of retrieved articles. We extracted data focusing on outcomes: The primary endpoint was the stones removal rate; Secondary endpoints were rates of pancreatitis, bleeding, use of mechanical lithotripsy (ML), perforation and cholangitis. Eleven RCTs with 1824 patients were included. EST was associated with more post-endoscopic retrograde cholangiopancreatography (ERCP) bleeding [FE RD-0.02, CI (-0.03, -0.00), I2 = 33%, P = 0.05] and more need of mechanical lithotripsy in general [RE RD-0.16, CI (-0.25, -0.06), I2 = 90%, P = 0.002] and in subgroup analysis of stones greater than 15 mm [RE RD-0.20, CI (-0.38, -0.02), I2 = 82%, P = 0.003]. Incidence of pancreatitis [FE RD-0...Continue Reading

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Citations

Feb 13, 2020·Pancreas·Carolina Ogawa MatsubayashiEduardo Guimarães Hourneaux de Moura
Sep 10, 2020·AJR. American Journal of Roentgenology·Hans MichellChristopher S Morris
Mar 29, 2019·World Journal of Gastrointestinal Endoscopy·Raffaele SalernoSandro Ardizzone
Jul 2, 2020·Arquivos Brasileiros De Cirurgia Digestiva : ABCD = Brazilian Archives of Digestive Surgery·Facundo GalettiEduardo Guimarães Hourneaux de Moura
Feb 25, 2021·World Journal of Gastrointestinal Endoscopy·Giuseppe GrandeRita Conigliaro
Jun 25, 2021·World Journal of Gastrointestinal Endoscopy·Simcha WeissmanJames H Tabibian
Jul 21, 2021·Endoscopy·Guilherme Henrique Peixoto de OliveiraEduardo Guimarães Hourneaux de Moura

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