Understanding the Role of Different ERCP Techniques in Post-Roux-en-Y Gastric Bypass Patients a Systematic Review and Meta-analysis /
We aimed to compare enteroscopy-assisted ERCP (EA-ERCP), laparoscopy-assisted ERCP (LA-ERCP), and endoscopic ultrasound-directed ERCP (EDGE) in terms of safety and efficacy in post-Roux-en-Y gastric bypass patients. We conducted a rigorous analysis based on a predefined protocol (PROSPERO, CRD420223...
Elmentve itt :
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Dokumentumtípus: | Cikk |
Megjelent: |
2025
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Sorozat: | OBESITY SURGERY
35 No. 1 |
Tárgyszavak: | |
doi: | 10.1007/s11695-024-07459-z |
mtmt: | 35647823 |
Online Access: | http://publicatio.bibl.u-szeged.hu/36493 |
Tartalmi kivonat: | We aimed to compare enteroscopy-assisted ERCP (EA-ERCP), laparoscopy-assisted ERCP (LA-ERCP), and endoscopic ultrasound-directed ERCP (EDGE) in terms of safety and efficacy in post-Roux-en-Y gastric bypass patients. We conducted a rigorous analysis based on a predefined protocol (PROSPERO, CRD42022368788). Sixty-seven studies were included. The technical success rates were 77% (CI 69-83%) for EA-ERCP, 93% (CI 91-96%) for LA-ERCP, and 96% (CI 92-98%) for EDGE. Subgroup differences were significant between the EA-ERCP and other groups (p < 0.05). The overall adverse event rates were 13% (CI 8-22%), 19% (CI 14-24%), and 20% (CI 12-31%), respectively (p = 0.49). Our findings suggest that EDGE and LA-ERCP may be more effective and as safe as EA-ERCP. |
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Terjedelem/Fizikai jellemzők: | 285-304 |
ISSN: | 0960-8923 |