Clinical outcome of endoscopic covered metal stenting for resolution of benign biliary stricture: Systematic review and meta‐analysis

Digestive Endoscopy - Tập 29 Số 2 - Trang 198-210 - 2017
Xiao Zheng1, Jun Wu1, Bo Sun1, Yechen Wu1, Zhiyuan Bo1, Wei Keat Wan1, Dao‐jian Gao1, Bing Hu1
1Department of Endoscopy, Eastern Hepatobiliary Hospital, Second Military Medical University, Shanghai, China

Tóm tắt

Background and AimManagement of benign biliary stricture is challenging. Endoscopic therapy has evolved as the first‐line treatment for various benign biliary strictures. However, covered self‐expandable metal stents (CSEMS) have not been approved by the United States Food and Drug Administration for the treatment of benign biliary stricture. With this goal, we conducted the present systemic review and meta‐analysis to evaluate the efficacy and safety of endoscopic stenting with CSEMS in the treatment of benign biliary stricture.MethodsSystematic review and meta‐analysis by searching PubMed, MEDLINE and Embase databases.ResultsIn total, 37 studies (1677 patients) fulfilled the inclusion criteria. Pooled stricture resolutions were achieved in 83% of cases. Median stent dwelling time was 4.4 months, with median endoscopic retrograde cholangiopancreatography sessions of 2.0. Stricture recurrence at 4‐year follow up was 11% (95% CI, 8–14%). Pooled complication rate was 23% (95% CI, 20–26%).ConclusionsPlacement of CSEMS is effective in the treatment of benign biliary stricture with relatively short stenting duration and low long‐term stricture recurrence rate. However, more prospectively randomized studies are required to confirm the results.

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Tài liệu tham khảo

10.4253/wjge.v7.i11.1003

10.1067/mge.2001.116876

10.1067/mge.2002.122955

10.1055/s-0031-1291633

10.1097/00004836-200307000-00019

10.1007/s10620-006-9142-0

10.1016/j.gie.2007.08.046

10.1002/lt.20644

10.1016/j.gie.2010.04.052

10.1016/j.gie.2008.09.057

10.1016/j.gie.2009.10.023

10.1016/S0016-5107(05)00547-X

10.1016/j.gie.2013.07.022

10.1136/gut.2007.123596

10.1016/j.gie.2007.02.017

10.1097/00004836-200402000-00007

10.1016/j.gie.2008.11.029

10.1055/s-0029-1214708

10.1055/s-2008-1077353

10.1055/s-2005-870130

10.4166/kjg.2013.62.1.49

10.1016/j.gie.2014.10.026

Cahena DL, 2005, Long‐term results of endoscopic drainage of common bile duct strictures in chronic pancreatitis, Gastroenterol. Hepatol., 17, 103

10.1016/j.gie.2010.09.039

10.1016/j.transproceed.2010.07.084

10.3109/00365521.2011.639082

10.1007/s00534-011-0408-3

10.1111/1751-2980.12117

10.1053/j.gastro.2014.04.043

10.1016/j.gie.2011.10.022

10.1016/j.gie.2012.01.016

10.1007/s10620-013-2703-0

10.1016/j.gie.2007.06.057

10.1097/MCG.0b013e31827fd311

10.1155/2013/183513

10.1038/ajg.2011.212

10.1007/s10620-015-3653-5

10.1055/s-0031-1291714

10.1007/s10620-013-2859-7

10.1055/s-0031-1291465

10.1055/s‐0032‐1310011

10.1002/lt.21886

10.1016/j.gie.2010.08.016

10.1016/j.gie.2012.02.002

10.1111/j.1443-1661.2012.01273.x

10.1177/1756283X13503614

10.4253/wjge.v7.i7.747

10.1055/s-0034-1391331

10.1097/MCG.0000000000000020

Artifon ELA, 2012, A prospective randomized study comparing partially covered metal stent versus plastic multistent in the endoscopic management of patients with postoperative benign bile duct strictures: a follow‐up above 5 years, Rev. Gastroenterol., 32, 26

10.4321/S1130-01082010000900003

10.1016/j.transproceed.2010.08.023

10.4253/wjge.v5.i7.332

10.1016/j.dld.2015.03.001

10.1007/s10620-015-3656-2

10.1055/s‐0042‐101406

10.1111/j.1751-2980.2012.00615.x

10.1016/S0016-5107(97)70301-8

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Digestive Endoscopy

Tập 29 Số 2

198-210

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