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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 | Making gra- phene visible 显示文摘 | Blake P Hill E W Neto A H C | 2007 | Applied Physics Letters2007，91，06： | 1 |
| 4 | Welding of AA1050 Aluminum with AISI 304 stainless steel byro- tary friction welding process 显示文摘 | ALVES E P NETO F P CHEN Y A | 2010 | Journal of Aerospace Technology & Management2010，2，3： | 1 |
| 5 | Exploratory a- nalysis and inductively coupled plasma optical emission spec- trometry (ICP--OES)aPplied in the determination of metals in soft drinks显示文摘 | Froes R E S Neto W B Naveira R L P | 2009 | Mierochemi2009，92，1： | 1 |
| 6 | Dietary methionine effects on IGF-I and GHR m RNA expression in broilers显示文摘 | Del Vesco A P Gasparino E Oliveira Neto A R | 2013 | Genetics and Molecular Research2013，12，4： | 1 |
| 7 | Molecular behavior of ionic and nonionic surfactants in saline medium 显示文摘 | SANTOS F K G NETO E L B MOURA M C P A | 2009 | Colloids and Surfaces A:Physico-chemical and Engineering Aspects2009，333，13： | 1 |
| 8 | 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 |
| 9 | Association between human papillomavirus infection and cytological abnormalities during early follow-up of invasive cervical cancer显示文摘 | DE AZEVEDO A E CARNEIRO F P NETO F F | 2012 | J Med Virol2012，84，7： | 1 |
| 10 | A comparative study of pulsed current formation for positive plate of automotive lead acid batteries显示文摘 | Dion F B Borges L E P Neto B B | | 0，，： | 1 |
| 11 | Market volatility modeling for short time window显示文摘 | de Mattos Neto P S G Silva D A Ferreira T A E | 2011 | Physica A2011，390，20： | 1 |
| 12 | 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 |
| 13 | Effect of PUFA-rich supplements from marine sources inthe feed of laying hens on lipid composition and the per-centage of incorporation of n-6 PUFAs in egg yolk 显示文摘 | CARVALHO P R PITA M C G PIBER NETO E | 2009 | Ar-quivos do Instituto Biol6gico2009，76，2： | 1 |
| 14 | 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 |
| 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 | The random amplification of polymorphic DNA allows the identification of strains and species of schistosome显示文摘 | Neto E D Souza C P Rollinson D | 1993 | Molecular and Biochemical Parasitology1993，57，： | 1 |
| 17 | Making graphene visible显示文摘 | Blake P Hill E W Neto A H C | 2007 | Appl Phys Left2007，91，06： | 1 |
| 18 | Modulation of plasma levels and percentages of incorpora-tion of o)-3 PUFAs in egg yolk under the influence of sup-plementation sources rich in omega 3 to diet of laying hens显示文摘 | PITA M C G DE CARVALHO P R NETO E P | 2011 | Pak J Nutr2011，10，8： | 1 |
| 19 | Association between human papillomavirus infection and cytological abnormalities during early follow-up of invasive cervical cancer显示文摘 | DE AZEVEDO A E CARNEIRO F P NETO F F | 2012 | J Med Virol2012，84，7： | 1 |
| 20 | Dietary methionine effects on IGF-I and GHR mRNA expression in broilers显示文摘 | Del Vesco A P Gasparino E Oliveira Neto A R | 2013 | Genetics and Molec ular Research2013，12，4： | 1 |
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