Publication Name	World Journal of Gastrointestinal Endoscopy
Manuscript ID	112348
Country	China

Received	2025-07-24 07:21
Peer-Review Started	2025-07-24 07:22
To Make the First Decision
Return for Revision	2025-09-03 09:39
Revised	2025-09-08 15:06
Second Decision	2025-10-21 03:05
Accepted by Journal Editor-in-Chief
Accepted by Executive Editor-in-Chief	2025-10-21 08:34
Articles in Press	2025-10-21 08:34
Publication Fee Transferred	2025-09-10 08:12
Edit the Manuscript by Language Editor
Typeset the Manuscript	2025-11-04 09:59
Publish the Manuscript Online	2025-11-14 06:27

ISSN	1948-5190 (online)
Open Access	This article is an open-access article that was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution NonCommercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: https://creativecommons.org/Licenses/by-nc/4.0/
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Category	Gastroenterology & Hepatology
Manuscript Type	Meta-Analysis
Article Title	Efficacy and safety of double-balloon enteroscopy-assisted endoscopic retrograde cholangiopancreatography in surgically altered anatomy: A systematic review and meta-analysis
Manuscript Source	Unsolicited Manuscript
All Author List	Guo-Yao Sun, Zhi-Xin Liu, Yong Sun and Zhuo Yang
Funding Agency and Grant Number	Funding Agency Grant Number Department of Science and Technology of Liaoning Province 2024JH2/102600288 and 2022JH2/101500013
Corresponding Author	Zhuo Yang, Chief Physician, Professor, Department of Endoscopy, General Hospital of Northern Theater Command, No. 83 Wenhua Road, Shenhe District, Shenyang 110000, Liaoning Province, China. yangzhuocy@163.com
Key Words	Double-balloon enteroscopy; Single-balloon enteroscopy; Surgically altered anatomy; Double-balloon enteroscopy-assisted endoscopic retrograde cholangiopancreatography; Roux-en-Y; Billroth II
Core Tip	Double-balloon enteroscopy-assisted endoscopic retrograde cholangiopancreatography (DBE-ERCP) is a safe and effective approach for the management of pancreatobiliary diseases in patients with surgically altered anatomy. This updated systematic review and meta-analysis of 40 studies including 2689 patients demonstrates high enteroscopic (89%), diagnostic (90%), and procedural (92%) success rates, with a low overall adverse event rate (5.7%). Subgroup analysis indicates that short-type double-balloon enteroscopy (DBE) outperforms long-type DBE in procedural success and papilla access. These findings highlight the clinical utility of DBE-ERCP and suggest that short-type DBE may offer greater advantages, though further randomized controlled trials are warranted.
Publish Date	2025-11-14 06:27
Citation	<p>Sun GY, Liu ZX, Sun Y, Yang Z. Efficacy and safety of double-balloon enteroscopy-assisted endoscopic retrograde cholangiopancreatography in surgically altered anatomy: A systematic review and meta-analysis. <i>World J Gastrointest Endosc</i> 2025; 17(11): 112348</p>
URL	https://www.wjgnet.com/1948-5190/full/v17/i11/112348.htm
DOI	https://dx.doi.org/10.4253/wjge.v17.i11.112348

Full Article (PDF)	WJGE-17-112348-with-cover.pdf
PRISMA 2009 Checklist	112348-PRISMA-2009-Checklist.pdf
Manuscript File	112348_Auto_Edited_024405.docx
Answering Reviewers	112348-answering-reviewers.pdf
Audio Core Tip	112348-audio.m4a
Biostatistics Review Certificate	112348-biostatistics-statement.pdf
Conflict-of-Interest Disclosure Form	112348-conflict-of-interest-statement.pdf
Copyright License Agreement	112348-copyright-assignment.pdf
Non-Native Speakers of English Editing Certificate	112348-non-native-speakers.pdf
Supplementary Material	112348-supplementary-material.pdf
Peer-review Report	112348-peer-reviews.pdf
Scientific Misconduct Check	112348-scientific-misconduct-check.png
Scientific Editor Work List	112348-scientific-editor-work-list.pdf
CrossCheck Report	112348-crosscheck-report.pdf