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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 | Genetic transformation of wheat mediated by Agrobacterium tumefaciens显示文摘 | Cheng M Fry J E Pang S Zhou H Hironaka C M Duncan D R Conner T W Wan Y | 1997 | Plant Physiol1997，，： | 2 |
| 3 | The cutting stock problem-A survey 显示文摘 | Cheng C H Feiring B R Cheng T C E | 1994 | International Journal of Production economics1994，，36： | 2 |
| 4 | Increased power generation in a continuous flow MFC with advective flow through the porous anode and reduced electrode spacing显示文摘 | Cheng S Liu H Logan B E | 2006 | Environ Sci Technol2006，40，7： | 1 |
| 5 | Increased power generation in a continuous flow MFC with advective flow through the porous anode and reduced electrode spacing显示文摘 | Cheng S Liu H Logan B E | 2006 | Environ Sci Technol2006，40，7： | 1 |
| 6 | Optimal trajectory syn-thesis for terrain-following flight显示文摘 | Menon P K A Kim E Cheng V H L | 1991 | Journal of Guidance Control and Dynamics1991，14，4： | 1 |
| 7 | Gibberellin regulates Arabidopsis seed germination via RGL2,a GAI/RGA-like gene whose expression is up-regulated following imbibition 显示文摘 | Lee S Cheng H King K E | 2002 | Genes Dev2002，16，： | 1 |
| 8 | Measures for evaluating supply chain performance in transport logistics显示文摘 | LAI K H NGAI E W CHENG T C | 2000 | European Management Journal2000，18，4： | 1 |
| 9 | Angiotensin Ⅱ and vascular inflammation显示文摘 | Cheng ZJ Vapaatalo H Mervaala E | 2005 | Med Sci Monit2005，11，6： | 1 |
| 10 | Optimal trajectory synthesis for terrain-following flight 显示文摘 | Menon P K A Kim E Cheng V H L | 1991 | J Guidance1991，14，4： | 1 |
| 11 | An e-business model to support supply chain activities in construction显示文摘 | Cheng E W L Li H Love P E D L Irani Z | 2001 | Logistics Inforamtion Management2001，14，1： | 1 |
| 12 | Chromosomal mapping and candidate gene discovery of chicken developmental mutants and genome-wide variation analysis of MHC congenics显示文摘 | Robb E A Gitter C L Cheng H H | 2011 | J Hered2011，102，2： | 1 |
| 13 | Network Communication in the Construction Industry显示文摘 | CHENG E W L LI H LOVE P E D IRANI Z | | 0，，： | 1 |
| 14 | Production of electricity from acetate or butyrate in a single chamber microbial fuel cell显示文摘 | Liu H Cheng S Logan B E | 2005 | Environ Sci Technol2005，39，2： | 1 |
| 15 | Capacitive pressure sensor with very large dynamic range 显示文摘 | Bakhoum E G Cheng M H M | 2010 | IEEE Transactions on Components and Packaging Technology2010，33，1： | 1 |
| 16 | Adaptive Directive Neural Network Control for Three-phase AC/DC PWM Con- verter 显示文摘 | Cheng K W E Wang H Y Sutanto D | 2001 | IEE Proceedings- electric Power Applications2001，148，5： | 1 |
| 17 | The effect of deposi- tion temperature on the properties of TiN diffusion barriers prepared by atomic layer chemical vapor deposition 显示文摘 | CHENG H E LEE W J HSU C M | 2005 | Thin Solid Films2005，485，： | 1 |
| 18 | Establishment of critical success factors for construction partering显示文摘 | CHENG E W L LI H LOVE P E D | 2000 | Journal of Construction in Engineering2000，，2： | 1 |
| 19 | Bcl-2, Bcl-x(L) sequester BH3 domain-only mole cules preventing Bax-and Bak-mediated mitochondrial apoptosis 显示文摘 | CHENG E H WEI M C WEILER S | 2001 | Mol Cell2001，8，： | 1 |
| 20 | Strategies for enantioseparations of catecholamines and structurally related compounds by capillary zone electrophoresis using sulfated β - cyclodextrins as chiral selectors 显示文摘 | LIN C E CHENG H T FANG I J | 2006 | Electrophoresis2006，27，： | 1 |
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