Nov 1, 2015

Endoscopic Ultrasound-Guided Biliary Drainage: A Systematic Review and Meta-Analysis

Digestive Diseases and Sciences
Muhammad Ali KhanMohammad Kashif Ismail

Abstract

Variable success and adverse event rates have been reported for endoscopic ultrasound-guided biliary drainage (EUS-BD) utilizing either extrahepatic or intrahepatic approach. We aimed to conduct a proportion meta-analysis to evaluate the cumulative efficacy and safety of EUS-BD and to compare the two approaches and transluminal methods of EUS-BD. We searched MEDLINE, Embase, Cochrane Central Register of Controlled Trials, ISI Web of Science, and Scopus from January 2001 through January 5, 2015, to identify studies reporting technical success and adverse events of EUS-BD. A sample size of more than 20 patients was a further criterion. Weighted pooled rate (WPR) for technical success and post-procedure complications was calculated for overall studies and predefined subgroups. Pooled odds ratios were calculated for technical success and adverse events for two approaches and transluminal methods of EUS-BD for distal common bile duct (CBD) strictures. The WPR with 95% confidence interval (CI) for technical success and post-procedure adverse events was 90% (86, 93%) and 17% (13, 22%), respectively, with considerable heterogeneity (I(2) = 77%). For high-quality studies, the WPR for technical success was 94% (91, 96 %), I(2) = 0% and W...Continue Reading

  • References39
  • Citations25

References

  • References39
  • Citations25

Citations

Mentioned in this Paper

Study
Diagnostic Radiology Modality
Meta-Analysis (Publications)
Meta Analysis (Statistical Procedure)
Intrahepatic
Choledochoduodenostomy
ERC1 protein, human
Choledochostomy
Transluminal Route of Drug Administration
Bipolar Disorder

Related Feeds

Bipolar Disorder

Bipolar disorder is characterized by manic and/or depressive episodes and associated with uncommon shifts in mood, activity levels, and energy. Discover the latest research this illness here.

Related Papers

Clinical Gastroenterology and Hepatology : the Official Clinical Practice Journal of the American Gastroenterological Association
Prakalathan SundaralingamMichael J Bourke
Gastrointestinal Endoscopy Clinics of North America
Savreet SarkariaMichel Kahaleh
Current Treatment Options in Gastroenterology
Shannon Melissa Chan, Anthony Y B Teoh
© 2020 Meta ULC. All rights reserved