Please use this identifier to cite or link to this item: https://observatorio.fm.usp.br/handle/OPI/31994
Full metadata record
DC FieldValueLanguage
dc.contributorSistema FMUSP-HC: Faculdade de Medicina da Universidade de São Paulo (FMUSP) e Hospital das Clínicas da FMUSP
dc.contributor.authorPASSOS, Marina Lordello
dc.contributor.authorRIBEIRO, Igor Braga
dc.contributor.authorMOURA, Diogo Turiani Hourneaux de
dc.contributor.authorKORKISCHKO, Nadia
dc.contributor.authorSILVA, Gustavo Luis Rodela
dc.contributor.authorFRANZINI, Tomazo Prince
dc.contributor.authorBERNANDO, Wanderley Marques
dc.contributor.authorMOURA, Eduardo Guimaraes Horneaux de
dc.date.accessioned2019-05-30T13:49:48Z
dc.date.available2019-05-30T13:49:48Z
dc.date.issued2019
dc.identifier.citationENDOSCOPY INTERNATIONAL OPEN, v.7, n.4, p.E487-E497, 2019
dc.identifier.issn2364-3722
dc.identifier.urihttps://observatorio.fm.usp.br/handle/OPI/31994
dc.description.abstractBackground and study aims Ambient air is the most commonly used gas for insufflation in endoscopic procedures worldwide. However, prolonged absorption of air during endoscopic examinations may cause pain and abdominal distension. Carbon dioxide insufflation (CO (2) i) has been increasingly used as an alternative to ambient air insufflation (AAi) in many endoscopic procedures due to its fast diffusion properties and less abdominal distention and pain. For endoscopic retrograde cholangiopancreatography (ERCP), use of CO (2) for insufflation is adequate because this procedure is complex and prolonged. Some randomized controlled trials (RCTs) have evaluated the efficacy and safety of CO (2) as an insufflation method during ERCP but presented conflicting results. This systematic review and meta-analysis with only RCTs evaluated the efficacy and safety of CO (2) i versus AAi during ERCP. Methods A literature search was performed using online databases with no restriction regarding idiom or year of publication. Data were extracted by two authors according to a predefined data extraction form. Outcomes evaluated were abdominal pain and distension, complications, procedure duration, and CO (2) levels. Results Eight studies (919 patients) were included. Significant results favoring CO (2) i were less abdominal distension after 1h (MD: -1.41 [-1.81; -1.0], 95% CI, I-2=15%, P <0.00001) and less abdominal pain after 1h (MD: -23.80 [-27.50; -20.10], 95%CI, I-2=9%, P <0.00001) and after 6h (MD: -7.00 [-8.66; -5.33]; 95% CI, I-2=0%, P <0.00001). Conclusion Use of CO (2) i instead of AAi during ERCP is safe and associated with less abdominal distension and pain after the procedure.eng
dc.language.isoeng
dc.publisherGEORG THIEME VERLAG KGeng
dc.relation.ispartofEndoscopy International Open
dc.rightsopenAccesseng
dc.subject.otherdouble-blindeng
dc.titleEfficacy and safety of carbon dioxide insufflation versus air insufflation during endoscopic retrograde cholangiopancreatography in randomized controlled trials: a systematic review and meta-analysiseng
dc.typearticleeng
dc.rights.holderCopyright GEORG THIEME VERLAG KGeng
dc.identifier.doi10.1055/a-0854-3739
dc.identifier.pmid31041365
dc.subject.wosGastroenterology & Hepatologyeng
dc.type.categoryrevieweng
dc.type.versionpublishedVersioneng
hcfmusp.description.beginpageE487
hcfmusp.description.endpageE497
hcfmusp.description.issue4
hcfmusp.description.volume7
hcfmusp.origemWOS
hcfmusp.origem.idWOS:000464532200001
hcfmusp.publisher.citySTUTTGARTeng
hcfmusp.publisher.countryGERMANYeng
hcfmusp.relation.reference[Anonymous], 2013, GASTROINTEST ENDOSC, V77, P519, DOI 10.1016/j.gie.2012.09.025eng
hcfmusp.relation.referenceArjunan S, 2011, J GASTROEN HEPATOL, V26, P2eng
hcfmusp.relation.referenceBretthauer M, 2007, ENDOSCOPY, V39, P58, DOI 10.1055/s-2006-945036eng
hcfmusp.relation.referenceCheng Y, 2012, WORLD J GASTROENTERO, V18, P5622, DOI 10.3748/wjg.v18.i39.5622eng
hcfmusp.relation.referenceCoronel M, 2017, J GASTROENTEROL PANC, P1, DOI 10.15226/2374-815X/4/4/00194eng
hcfmusp.relation.referenceDellon ES, 2010, GASTROINTEST ENDOSC, V72, P68, DOI 10.1016/j.gie.2010.01.041eng
hcfmusp.relation.referenceEnns R, 2002, ENDOSCOPY, V34, P293, DOI 10.1055/s-2002-23650eng
hcfmusp.relation.referenceHuang Y, 2011, CHIN J DIG ENDOSC, V28, P664eng
hcfmusp.relation.referenceIsaacs P, 2011, WORLD J GASTRO ENDOS, V3, P30, DOI 10.4253/wjge.v3.i2.30eng
hcfmusp.relation.referenceJanssens F, 2009, WORLD J GASTROENTERO, V15, P1475, DOI 10.3748/wjg.15.1475eng
hcfmusp.relation.referenceKim BS, 2011, J KOREAN SURG SOC, V81, P195, DOI 10.4174/jkss.2011.81.3.195eng
hcfmusp.relation.referenceKuwatani M, 2011, SURG ENDOSC, V25, P3784, DOI 10.1007/s00464-011-1789-8eng
hcfmusp.relation.referenceLee SJ, 2015, DIGEST ENDOSC, V27, P512, DOI 10.1111/den.12448eng
hcfmusp.relation.referenceLord AC, 2014, WORLD J GASTROENTERO, V20, P2193, DOI 10.3748/wjg.v20.i9.2193eng
hcfmusp.relation.referenceLuigiano C, 2011, MINERVA MED, V102, P261eng
hcfmusp.relation.referenceMaple JT, 2009, GASTROINTEST ENDOSC, V70, P278, DOI 10.1016/j.gie.2008.12.050eng
hcfmusp.relation.referenceMenes T, 2000, SURG ENDOSC, V14, P1050, DOI 10.1007/s004640000216eng
hcfmusp.relation.referenceMuraki T, 2013, DIGEST ENDOSC, V25, P189, DOI 10.1111/j.1443-1661.2012.01344.xeng
hcfmusp.relation.referenceNakamura K, 2014, HEPATO-GASTROENTEROL, V61, P2191, DOI 10.5754/hge14753eng
hcfmusp.relation.referenceRibeiro IB, 2018, ENDOSC INT OPEN, V6, pE558, DOI 10.1055/a-0591-2883eng
hcfmusp.relation.referenceSethi A, 2011, GASTROINTEST ENDOSC, V73, P251, DOI 10.1016/j.gie.2010.08.058eng
hcfmusp.relation.referenceShi H, 2013, PANCREAS, V42, P1093, DOI 10.1097/MPA.0b013e3182909da5eng
hcfmusp.relation.referenceWu J, 2012, ENDOSCOPY, V44, P128, DOI 10.1055/s-0031-1291487eng
hcfmusp.relation.referenceWu J, 2013, J INTERV GASTROENTER, V3, p[37, 146], DOI 10.7178/JIG.107L]eng
dc.description.indexPubMedeng
dc.identifier.eissn2196-9736
Appears in Collections:

Artigos e Materiais de Revistas Científicas - HC/ICHC
Instituto Central - HC/ICHC

Artigos e Materiais de Revistas Científicas - HC/InCor
Instituto do Coração - HC/InCor

Artigos e Materiais de Revistas Científicas - HC/Outros
Outros institutos - HC/Outros

Artigos e Materiais de Revistas Científicas - LIM/35
LIM/35 - Laboratório de Nutrição e Cirurgia Metabólica do Aparelho Digestivo


Files in This Item:
File Description SizeFormat 
art_PASSOS_Efficacy_and_safety_of_carbon_dioxide_insufflation_versus_2019.PDFpublishedVersion (English)806.93 kBAdobe PDFThumbnail
View/Open

Items in DSpace are protected by copyright, with all rights reserved, unless otherwise indicated.