Endoscopic versus surgical treatment for pancreatic pseudocysts Systematic review and meta-analysis
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Citações na Scopus
36
Tipo de produção
article
Data de publicação
2019
Título da Revista
ISSN da Revista
Título do Volume
Editora
LIPPINCOTT WILLIAMS & WILKINS
Citação
MEDICINE, v.98, n.8, article ID e14255, 9p, 2019
Resumo
Objective: This systematic review and meta-analysis aims to compare surgical and endoscopic treatment for pancreatic pseudocyst (PP). Methods: The researchers did a search in Medline, EMBASE, Scielo/Lilacs, and Cochrane electronic databases for studies comparing surgical and endoscopic drainage of PP s in adult patients. Then, the extracted data were used to perform a meta-analysis. The outcomes were therapeutic success, drainage-related adverse events, general adverse events, recurrence rate, cost, and time of hospitalization. Results: There was no significant difference between treatment success rate (risk difference [RD] -0.09; 95% confidence interval [CI] [0.20,0.01]; P = .07), drainage-related adverse events (RD -0.02; 95% CI [-0.04,0.08]; P = .48), general adverse events (RD -0.05; 95% CI [-0.12, 0.02]; P = .13) and recurrence (RD: 0.02; 95% CI [-0.04,0.07]; P = .58) between surgical and endoscopic treatment. Regarding time of hospitalization, the endoscopic group had better results (RD: -4.23; 95% CI [-5.18, -3.29]; P < .00001). When it comes to treatment cost, the endoscopic arm also had better outcomes (RD: -4.68; 95% CI [-5.43,-3.94]; P < .00001). Conclusion: There is no significant difference between surgical and endoscopic treatment success rates, adverse events and recurrence for PP. However, time of hospitalization and treatment costs were lower in the endoscopic group.
Palavras-chave
digestive system, drainage, endoscopy, pancreas, pancreatic pseudocysts
Referências
- ADAMS DB, 1992, ANN SURG, V215, P571, DOI 10.1097/00000658-199206000-00003
- Alali A, 2017, CLIN ENDOSC, V50, P117, DOI 10.5946/ce.2017.045
- Amin S, 2017, CLIN ENDOSC, V50, P388, DOI 10.5946/ce.2016.091
- Banks PA, 2013, GUT, P62
- Baron TH, 2002, GASTROINTEST ENDOSC, V56, P7, DOI 10.1067/mge.2002.125106
- Baron Todd H, 2015, CPRE DRENAGEM ENDOSC
- Behrns KE, 2008, J GASTROINTEST SURG, V12, P2231, DOI 10.1007/s11605-008-0525-8
- Bhasin DK, 2011, J GASTROINTEST SURG, V15, P772, DOI 10.1007/s11605-011-1466-1
- BINMOELLER KF, 1995, GASTROINTEST ENDOSC, V42, P219, DOI 10.1016/S0016-5107(95)70095-1
- Bradley EL, 2014, DIGEST DIS SCI, V59, P908, DOI 10.1007/s10620-013-3012-3
- BRADLEY EL, 1993, ARCH SURG-CHICAGO, V128, P586
- BRADLEY EL, 1979, AM J SURG, V137, P135, DOI 10.1016/0002-9610(79)90024-2
- Brugge WR, 2004, GASTROENTEROLOGY, V126, P1330, DOI 10.1053/j.gastro.2004.02.013
- Johnson MD, 2009, J CLIN GASTROENTEROL, V43, P586, DOI 10.1097/MCG.0b013e31817440be
- Khaled YS, 2014, J HEPATO-BIL-PAN SCI, V21, P818, DOI 10.1002/jhbp.138
- Law Ryan, 2017, Gastrointest Endosc Clin N Am, V27, P715, DOI 10.1016/j.giec.2017.06.007
- Lehman GA, 1999, GASTROINTEST ENDOSC, V49, pS81, DOI 10.1016/S0016-5107(99)70533-X
- Lenhart DK, 2008, AM J ROENTGENOL, V190, P643, DOI 10.2214/AJR.07.2761
- Macdonald G, 2012, COCHRANE DB SYST REV, DOI 10.1002/14651858.CD001930.pub3
- Melman L, 2009, SURG ENDOSC, V23, P267, DOI 10.1007/s00464-008-0196-2
- Moher D, 2009, J CLIN EPIDEMIOL, V62, P1006, DOI 10.1016/j.jclinepi.2009.06.005
- Morton JM, 2005, J GASTROINTEST SURG, V9, P15, DOI 10.1016/j.gassur.2004.10.005
- Park AE, 2002, ANN SURG, V236, P149, DOI 10.1097/01.SLA.0000021581.74178.F6
- Redwan AA, 2017, J LAPAROENDOSC ADV S, V27, P1022, DOI 10.1089/lap.2017.0006
- Sandberg AA, 2004, J PANCREAS, V5, P64
- Saul A, 2016, SURG ENDOSC, V30, P1459, DOI 10.1007/s00464-015-4351-2
- Tenner S, 2013, AM J GASTROENTEROL, V108, P1400, DOI 10.1038/ajg.2013.218
- Teoh AYB, 2016, WORLD J GASTRO ENDOS, V8, P310, DOI 10.4253/wjge.v8.i6.310
- Varadarajulu S, 2008, GASTROINTEST ENDOSC, V68, P649, DOI 10.1016/j.gie.2008.02.057
- Varadarajulu S, 2013, GASTROENTEROLOGY, V145, P583, DOI 10.1053/j.gastro.2013.05.046
- Vargas RD, 2010, REV COLOMB GASTROENT, V2, P203
- VITAS GJ, 1992, SURGERY, V111, P123
- Wells GA, NEWCASTLE OTTAWA SCA
- Yang CC, 1999, J FORMOS MED ASSOC, V98, P283
- YEO CJ, 1990, SURG GYNECOL OBSTET, V170, P411
- Zhao X, 2016, DIGEST ENDOSC, V28, P83, DOI 10.1111/den.12542