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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 | Parametric Study of Adhesive Joints with Composites 显示文摘 | NETO J A B P CAMPILHO R D S G DA SILVA L F M | 2012 | International Journal of Adhesion and Adhesives2012，，： | 1 |
| 3 | In- fluence of dietary protein level on the broiler chicken' s response to methionine and betaine supple- ments 显示文摘 | GARCIA NETO M PESTI G M BAKALLI R I | 2000 | Poultry Science2000，79，10： | 1 |
| 4 | Sorption ki- netics and equilibrium for the removal of nickel ions from aqueous phase on calcined Bofe bentonite clay 显示文摘 | Vieira M G A Almeida Neto A F Gimenes M L | 2010 | Joumal of Hazardous Ma- terials2010，177，123： | 1 |
| 5 | An outline of inherited disorders of the thyroid hormone generating system显示文摘 | Knobel M Medeiros - Neto G | 2003 | Thyroid2003，13，： | 1 |
| 6 | 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 |
| 7 | Quantitative analysis of somatostatin receptor subtypes(1-5)gene expression levels in somatotropinomas and correlation to in vivo hormonal and tumor responses to treatment with octreotide LAR显示文摘 | TABOADA G F LUQUE R M NETO L V | 2008 | Eur J Endocrinol2008，158，3： | 1 |
| 8 | 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 |
| 9 | 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 |
| 10 | Filter Coated with Colloidal Silver for SER Spectroscopy显示文摘 | Neto N Muniz- Miranda M Sbrana G | 1995 | J Mol Struct1995，348，： | 1 |
| 11 | Artif:cial neural networks used for ZnO an'esters diagnosis显示文摘 | WANDERLEY NETO E T DA COSTA E G MAIA M J A | 2009 | 24(3):1390-13952009，24，3： | 1 |
| 12 | Electoral Surveys’Influence on the Voting Processes:A Cellular Automata Model显示文摘 | Alves S G Oliveira Neto N M Martins M L | 2002 | Physica A:Statistical Mechanics and Its Applications2002，316，14： | 1 |
| 13 | Dual-band and en- hanced band FSS characterization using WCIP method 显示文摘 | TITAOUINE M RAVEU N NETO A G | 2010 | Microwave and Optical Technology Letters2010，52，4： | 1 |
| 14 | Influence of dietary protein level on the broiler chicken's response to methionine and betaine supplements显示文摘 | GARCIA NETO M PESTI G M BAKALLI R I | 2000 | Poultry Sci2000，79，： | 1 |
| 15 | Relevance of iodine intake as a re puted predisposing factor for thyroid cancer显示文摘 | Knobel M Medeiros S Neto G | 2007 | Arq Bras Endocri nol Metabol2007，51，5： | 1 |
| 16 | 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 |
| 17 | Analysis of frequency selective surface on isotropic/anisotropic layers using WCIP method显示文摘 | TITAOUINE M NETO A G BAUDRAND H | 2007 | ETRI Journal2007，29，1： | 1 |
| 18 | WCIP method applied to active frequency selective surfaces 显示文摘 | TITAOUINE M NETO A G BAUDRAND H | 2007 | Journal of Microwave and Optoeleetronics2007，6，1： | 1 |
| 19 | Relevance of iodine intake as a reputed predisposing factor for thyroid cancer显示文摘 | KNOBEL M MEDEIROS NETO G | 2007 | Arq Bras En- docrinol Metabol2007，51，5： | 1 |
| 20 | Analgesic and antiinflammatory activity of a crude root extract of Pfaffia glomerata (Spreng) Pedersen显示文摘 | A G Neto J M L C Costa C C Belati | 2005 | J Ethnopharmaco2005，96，： | 1 |
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