Pancreatic Stent Placement for Prevention of Post-ERCP Pancreatitis in High-Risk Patients: A Systematic Review and Meta-Analysis
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Citações na Scopus
Tipo de produção
article
Data de publicação
2019
Título da Revista
ISSN da Revista
Título do Volume
Editora
E S BURIONI RICERCHE BIBLIOGRAFICHE
Autores
Autor de Grupo de pesquisa
Citação
JOURNAL OF THE PANCREAS, v.20, n.1, p.16-23, 2019
Resumo
Background and Aims Acute pancreatitis is one common and severe complication after endoscopic retrograde cholangiopancreatography. Randomized controlled trials have reported that pancreatic stenting may efficiently prevent post-ERCP pancreatitis. Methods Systematic review was conducted on MEDLINE/PubMed and other databases randomized controlled trials comparing patients undergoing endoscopic retrograde cholangiopancreatography with pancreatic stent versus endoscopic retrograde cholangiopancreatography without stent. Two independent reviewers assessed the eligibility. Primary outcome is to assess the degree of severity of pancreatitis (mild, moderate, and severe) and secondary hyperamylasemia, cholangitis, abdominal pain, duration of endoscopic retrograde cholangiopancreatography and length of hospital stay. Results Twelve randomized controlled trials selected a total of 3.310 patients. Meta-analysis showed that pancreatic stenting reduced pancreatitis risk to PEP (mild PEP: RD 0.06, 95% CI-0.09 - 0.03; moderate PEP: RD 0.03, 95 % CI-0.06 - 0.01; severe PEP: (RD 0.02, 95% CI-0.05-0.01); Hyperaylasemia (RD-0.62, 95% CI-0.65-0.59) showed statistically significant difference. Cholangitis (RD 0.03, 95% CI-0.03-0.09), abdominal pain (RD 0.10, 95% CI-0.21-0.01), length of hospital stay after ERCP (RD 1.55, 95% CI-4.39 - 1.29), total duration of the procedure (RD 2.97, 95% CI-0.19-6.12), showed no statistical significance. Conclusions Pancreatic stent placement is effective in reducing post-endoscopic retrograde cholangiopancreatography acute pancreatitis incidence in high-risk patients.
Palavras-chave
Cholangiopancreatography, Endoscopic Retrograde, Pancreatitis
Referências
- Andriulli A, 2007, AM J GASTROENTEROL, V102, P1781, DOI 10.1111/j.1572-0241.2007.01279.x
- Aziz AMA, 2007, WORLD J GASTROENTERO, V13, P2655, DOI 10.3748/wjg.v13.i19.2655
- Bourke MJ, 2009, ENDOSCOPY, V41, P612, DOI 10.1055/s-0029-1214859
- Cha SW, 2013, GASTROINTEST ENDOSC, V77, P209, DOI 10.1016/j.gie.2012.08.022
- Chahal P, 2009, CLIN GASTROENTEROL H, V7, P834, DOI 10.1016/j.cgh.2009.05.002
- Chandrasekhara V, 2017, GASTROINTEST ENDOSC, V85, P32, DOI 10.1016/j.gie.2016.06.051
- Cheng CL, 2006, AM J GASTROENTEROL, V101, P139, DOI 10.1111/j.1572-0241.2006.00380.x
- Choudhary A, 2011, GASTROINTEST ENDOSC, V73, P275, DOI 10.1016/j.gie.2010.10.039
- Fan JH, 2015, WORLD J GASTROENTERO, V21, P7577, DOI 10.3748/wjg.v21.i24.7577
- Fazel A, 2003, GASTROINTEST ENDOSC, V57, P291, DOI 10.1067/mge.2003.124
- Freeman ML, 1996, NEW ENGL J MED, V335, P909, DOI 10.1056/NEJM199609263351301
- Freeman ML, 2001, GASTROINTEST ENDOSC, V54, P425, DOI 10.1067/mge.2001.117550
- Harewood GC, 2005, GASTROINTEST ENDOSC, V62, P367, DOI 10.1016/j.gie.2005.04.020
- He LX, 2010, ZHONGHUA XIAOHUA NEI, V27, P94
- Ito K, 2010, J GASTROENTEROL, V45, P1183, DOI 10.1007/s00535-010-0268-7
- Jadad AR, 1996, CONTROL CLIN TRIALS, V17, P1, DOI 10.1016/0197-2456(95)00134-4
- Kawaguchi Y, 2012, WORLD J GASTROENTERO, V18, P1635, DOI 10.3748/wjg.v18.i14.1635
- Lee TH, 2012, GASTROINTEST ENDOSC, V76, P578, DOI 10.1016/j.gie.2012.05.001
- Moher D, 2009, J CLIN EPIDEMIOL, V62, P1006, DOI 10.1016/j.jclinepi.2009.06.005
- Otsuka T, 2012, J GASTROENTEROL
- Pan XP, 2011, CELL BIOCHEM BIOPHYS, V61, P473, DOI 10.1007/s12013-011-9230-4
- Patel R, 1999, GASTROINTEST ENDOSC, V49, pAB80
- Shah TU, 2012, J PANCREAS, V13, P514, DOI 10.6092/1590-8577/855
- Sherman S, 1995, AM J GASTROENTEROL, V90, P241
- Shi QQ, 2014, WORLD J GASTROENTERO, V20, P7040, DOI 10.3748/wjg.v20.i22.7040
- SMITHLINE A, 1993, GASTROINTEST ENDOSC, V39, P652, DOI 10.1016/S0016-5107(93)70217-5
- Sofuni A, 2007, CLIN GASTROENTEROL H, V5, P1339, DOI 10.1016/j.cgh.2007.07.008
- Sofuni A, 2011, CLIN GASTROENTEROL H, V9, P851, DOI 10.1016/j.cgh.2011.06.033
- Tarnasky PR, 1998, GASTROENTEROLOGY, V115, P1518, DOI 10.1016/S0016-5085(98)70031-9
- Tsuchiya T, 2007, J HEPATO-BILIARY-PAN, V14, P302, DOI 10.1007/s00534-006-1147-8
- Yin HK, 2016, GASTROENT RES PRACT, V13, P2655