ISSN |
1948-9366 (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: http://creativecommons.org/licenses/by-nc/4.0/ |
Copyright |
© The Author(s) 2021. Published by Baishideng Publishing Group Inc. All rights reserved. |
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Publisher |
Baishideng Publishing Group Inc, 7041 Koll Center Parkway, Suite 160, Pleasanton, CA 94566, USA |
Website |
http://www.wjgnet.com |
Category |
Gastroenterology & Hepatology |
Manuscript Type |
Meta-Analysis |
Article Title |
Biliary drainage in inoperable malignant biliary distal obstruction: A systematic review and meta-analysis
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Manuscript Source |
Invited Manuscript |
All Author List |
Maria Vitória Cury Vieira Scatimburgo, Igor Braga Ribeiro, Diogo Turiani Hourneaux de Moura, Vitor Massaro Takamatsu Sagae, Bruno Salomão Hirsch, Mateus Bond Boghossian, Thomas R McCarty, Marcos Eduardo Lera dos Santos, Tomazo Antonio Prince Franzini, Wanderley Marques Bernardo and Eduardo Guimarães Hourneaux de Moura |
ORCID |
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Funding Agency and Grant Number |
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Corresponding Author |
Igor Braga Ribeiro, MD, Doctor, Doctor, Research Fellow, Surgeon, Gastrointestinal Endoscopy Unit, Hospital das Clínicas da Faculdade de Medicina da Universidade de São Paulo, Av. Dr Enéas de Carvalho Aguiar, 225, 6o andar, bloco 3, Cerqueira Cesar, São Paulo 05403-010, Brazil. igorbraga1@gmail.com |
Key Words |
Biliary tract neoplasms; Stents; Protheses; Malignancy; Biliary system; Cancer |
Core Tip |
Bile duct or pancreatic malignancies that result in malignant distal biliary obstruction (MDBO) often as associated with a poor prognosis. Currently, palliative treatment via endoscopic biliary drainage is considered the treatment of choice for unresectable or inoperable MDBO. In this systematic review and meta-analysis of randomized controlled trials, we compared the efficacy and safety of plastic stent (PS) vs self-expanding metal stent (SEMS) placement. We concluded that SEMS placement possessed a longer duration of patency, lower rate of reintervention, and lower rate of stent dysfunction compared to PS in patients with MDBO. There was no difference in outcomes of clinical success, mean patient survival, and overall adverse events. |
Publish Date |
2021-05-21 01:58 |
Citation |
Scatimburgo MVC, Ribeiro IB, de Moura DT, Sagae VM, Hirsch BS, Boghossian MB, McCarty TR, dos Santos MEL, Franzini TA, Bernardo WM, de Moura EGH. Biliary drainage in inoperable malignant biliary distal obstruction: A systematic review and meta-analysis. World J Gastrointest Surg 2021; 13(5): 493-506 |
URL |
https://www.wjgnet.com/1948-9366/full/v13/i5/493.htm |
DOI |
https://dx.doi.org/10.4240/wjgs.v13.i5.493 |