Gastrointestinal endoscopy · 2025
Efficacy of fully covered self-expandable metal stents and comparison with conventional management for ERCP-related type II perforations: a systematic review and meta-analysis.
СтатьяСистематический обзорМетаанализСравнительное исследованиеНазвание и аннотация: Перевод пока не подготовлен
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История · было → стало
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Saeed Aamir, Yousuf Saira, Zain Ahmad, Imran Habiba, Tariq Maham, Fazal Muhammad Imtanan, Shah Janak, Radlinski Mark, Gamboa Anthony, Xiao Yasi, Kumar Anand, Schlachterman Alexander, Kowalski Thomas, Adler Douglas G, Kamal Faisal
Аннотация
BACKGROUND AND AIMS: Conservative management is often used in the management of ERCP-related type II perforations. In this meta-analysis, we have evaluated the efficacy of fully covered self-expandable metal stents (FCSEMSs) in the management of type II perforations and also compared these with conventional management.
METHODS: We reviewed several databases from inception to December 12, 2024. Outcomes of interest were clinical success, need for percutaneous catheter drainage (PCD) or surgery, pancreatitis, length of hospital stay, and mortality. Data were analyzed using a random effects model.
RESULTS: The rate of clinical success was significantly higher (OR, 9.96; 95% CI, 1.83-54.12), rate of surgery and need for PCD significantly lower (OR, 0.09; 95% CI, 0.01-0.63), and length of hospital stay significantly shorter (mean difference, -9.90; 95% CI, -17.61 to -2.20) in the FCSEMS group.
CONCLUSIONS: This meta-analysis demonstrates the superiority of FCSEMSs in achieving better outcomes compared with conventional management of type II perforations.
METHODS: We reviewed several databases from inception to December 12, 2024. Outcomes of interest were clinical success, need for percutaneous catheter drainage (PCD) or surgery, pancreatitis, length of hospital stay, and mortality. Data were analyzed using a random effects model.
RESULTS: The rate of clinical success was significantly higher (OR, 9.96; 95% CI, 1.83-54.12), rate of surgery and need for PCD significantly lower (OR, 0.09; 95% CI, 0.01-0.63), and length of hospital stay significantly shorter (mean difference, -9.90; 95% CI, -17.61 to -2.20) in the FCSEMS group.
CONCLUSIONS: This meta-analysis demonstrates the superiority of FCSEMSs in achieving better outcomes compared with conventional management of type II perforations.