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Systematic Review and Meta-analysis
- No difference in outcomes with 15 mm vs. 20 mm lumen-apposing metal stents for endoscopic ultrasound-guided gastroenterostomy for gastric outlet obstruction: a meta-analysis
- Shyam Vedantam, Rahil Shah, Sean Bhalla, Shria Kumar, Sunil Amin
- Clin Endosc 2023;56(3):298-307. Published online May 22, 2023
- DOI: https://doi.org/10.5946/ce.2022.299
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Abstract
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Supplementary Material
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ePub - Background
/Aims: We compared outcomes between use of 15 vs. 20 mm lumen-apposing metal stents (LAMSs) in endoscopic ultrasound-guided gastroenterostomy (EUS-GE) for gastric outlet obstruction.
Methods
Databases were queried for studies that used LAMS for EUS-GE to relieve gastric outlet obstruction, and a proportional meta-analysis was performed.
Results
Thirteen studies were included. The 15 mm and 20 mm LAMS had pooled technical success rates of 93.2% (95% confidence interval [CI], 90.5%–95.2%) and 92.1% (95% CI, 68.4%–98.4%), clinical success rates of 88.6% (95% CI, 85.4%–91.1%) and 89.6% (95% CI, 79.0%–95.1%), adverse event rates of 11.4% (95% CI, 8.1%–15.9%) and 14.7% (95% CI, 4.4%–39.1%), and reintervention rates of 10.3% (95% CI, 6.7%–15.4%) and 3.5% (95% CI, 1.6%–7.6%), respectively. Subgroup analysis revealed no significant differences in technical success, clinical success, or adverse event rates. An increased need for reintervention was noted in the 15 mm stent group (pooled odds ratio, 3.59; 95% CI, 1.40–9.18; p=0.008).
Conclusions
No differences were observed in the technical, clinical, or adverse event rates between 15 and 20 mm LAMS use in EUS-GE. An increased need for reintervention is possible when using a 15 mm stent compared to when using a 20 mm stent. -
Citations
Citations to this article as recorded by
- Endoscopic gastrointestinal bypass anastomosis using deformable self-assembled magnetic anastomosis rings (DSAMARs) in a pig model
Miaomiao Zhang, Jianqi Mao, Jia Ma, Shuqin Xu, Yi Lyu, Xiaopeng Yan
BMC Gastroenterology.2024;[Epub] CrossRef - Revealing Insights: A Comprehensive Overview of Gastric Outlet Obstruction Management, with Special Emphasis on EUS-Guided Gastroenterostomy
Dimitrios Ziogas, Thomas Vasilakis, Christina Kapizioni, Eleni Koukoulioti, Georgios Tziatzios, Paraskevas Gkolfakis, Antonio Facciorusso, Ioannis S. Papanikolaou
Medical Sciences.2024; 12(1): 9. CrossRef - Lumen-apposing metal stents: A primer on indications and technical tips
Sridhar Sundaram, Suprabhat Giri, Kenneth Binmoeller
Indian Journal of Gastroenterology.2024; 43(5): 886. CrossRef - Advances in self-expandable metal stents for endoscopic ultrasound-guided interventions
Dong Kee Jang, Dong Wook Lee, Seong-Hun Kim, Kwang Bum Cho, Sundeep Lakhtakia
Clinical Endoscopy.2024; 57(5): 588. CrossRef - Endoscopic stenting for malignant gastric outlet obstruction: focusing on comparison of endoscopic stenting and surgical gastrojejunostomy
Sun Gyo Lim, Chan Gyoo Kim
Clinical Endoscopy.2024; 57(5): 571. CrossRef - The Role of Luminal Apposing Metal Stents on the Treatment of Malignant and Benign Gastric Outlet Obstruction
Mihai Rimbaș, Kar Wai Lau, Giulia Tripodi, Gianenrico Rizzatti, Alberto Larghi
Diagnostics.2023; 13(21): 3308. CrossRef
- Endoscopic gastrointestinal bypass anastomosis using deformable self-assembled magnetic anastomosis rings (DSAMARs) in a pig model
- 2,941 View
- 122 Download
- 5 Web of Science
- 6 Crossref
Original Articles
- Increased ERCP volume improves cholangiogram interpretation: a new performance measure for ERCP training?
- Shyam Vedantam, Sunil Amin, Ben Maher, Saqib Ahmad, Shanil Kadir, Saad Khalid Niaz, Mark Wright, Nadeem Tehami
- Clin Endosc 2022;55(3):426-433. Published online February 4, 2022
- DOI: https://doi.org/10.5946/ce.2021.239
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Abstract
PDFSupplementary MaterialPubReaderePub
- Background
/Aims: Cholangiogram interpretation is not used as a key performance indicator (KPI) of endoscopic retrograde cholangiopancreatography (ERCP) training, and national societies recommend different minimum numbers per annum to maintain competence. This study aimed to determine the relationship between correct ERCP cholangiogram interpretation and experience.
Methods
One hundred fifty ERCPists were surveyed to appropriately interpret ERCP cholangiographic findings. There were three groups of 50 participants each: “Trainees,” “Consultants group 1” (performed >75 ERCPs per year), and “Consultants group 2” (performed >100 ERCPs per year).
Results
Trainees was inferior to Consultants groups 1 and 2 in identifying all findings except choledocholithiasis outside the intrahepatic duct on the initial or completion/occlusion cholangiogram. Consultants group 1 was inferior to Consultants group 2 in identifying Strasberg type A bile leaks (odds ratio [OR], 0.86; 95% confidence interval [CI], 0.77–0.96), Strasberg type B (OR, 0.84; 95% CI, 0.74–0.95), and Bismuth type 2 hilar strictures (OR, 0.81; 95% CI, 0.69–0.95).
Conclusions
This investigation supports the notion that cholangiogram interpretation improves with increased annual ERCP case volumes. Thus, a higher annual volume of procedures performed may improve the ability to correctly interpret particularly difficult findings. Cholangiogram interpretation, in addition to bile duct cannulation, could be considered as another KPI of ERCP training. -
Citations
Citations to this article as recorded by- UK ERCP sedation practices, patient comfort and endoscopist characteristics: National Endoscopy Database (NED) analysis on behalf of the JAG and BSG
David Beaton, Matt Rutter, Linda Sharp, Kofi W Oppong, Bidour Awadelkarim, Simon M Everett, Vikramjit Mitra
Frontline Gastroenterology.2023; 14(5): 384. CrossRef
- UK ERCP sedation practices, patient comfort and endoscopist characteristics: National Endoscopy Database (NED) analysis on behalf of the JAG and BSG
- 4,083 View
- 251 Download
- 1 Web of Science
- 1 Crossref
- There Is No Advantage to Transpapillary Pancreatic Duct Stenting for the Transmural Endoscopic Drainage of Pancreatic Fluid Collections: A Meta-Analysis
- Sunil Amin, Dennis J. Yang, Aimee L. Lucas, Susana Gonzalez, Christopher J. DiMaio
- Clin Endosc 2017;50(4):388-394. Published online April 17, 2017
- DOI: https://doi.org/10.5946/ce.2016.091
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Abstract
PDFPubReaderePub
- Background
/Aims: Options for the endoscopic management of symptomatic pancreatic fluid collections (PFCs) include transmural drainage (TM) alone, transpapillary drainage (TP) alone, or a combination of both drainage method (CD). There have been conflicting reports about the best method. This study performed a meta-analysis to determine whether CD presents an added clinical benefit over TM.
Methods
The included studies compared TM with CD and reported clinical success for both methods. A random-effects model was used to determine the pooled odds ratios (ORs) and the 95% confidence intervals (CIs) for the following outcomes: technical success, clinical success, complications, and recurrence.
Results
Nine studies involving a combined total of 604 drainage procedures—373 TMs (62%) and 231 CDs (38%)—were included. CD showed no additional benefit over TM in terms of technical success (OR, 1.12; 95% CI, 0.37–3.37; p=0.85), clinical success (OR, 1.11; 95% CI, 0.65–1.89; p=0.70), recurrence (OR, 1.49; 95% CI, 0.53–4.21; p=0.45), or complications (OR, 1.15; 95% CI, 0.61–2.18; p=0.67).
Conclusions
Pancreatic duct (PD) stenting provides no additional clinical benefit for the TM of PFCs (particularly pseudocysts). Patients undergoing the TM of symptomatic pseudocysts may not require endoscopic retrograde pancreatography (ERP). -
Citations
Citations to this article as recorded by- Endoscopic management of pancreatic collections. Endoscopic Ultrasound Group from the Spanish Society of Digestive Endoscopy (GSEED-USE) Clinical Guidelines
Mariano González-Haba Ruiz, María Teresa Betés Ibáñez, Belén Martínez Moreno , Alejandro Repiso Ortega, Carlos de la Serna Higuera, Julio Iglesias García, Oriol Sendino García, María Moris Felgueroso, Belén Agudo Castillo, José Miguel Esteban Lóp
Revista Española de Enfermedades Digestivas.2024;[Epub] CrossRef - Pancreatic pseudocyst: The past, the present, and the future
Jonathan GA Koo, Matthias Yi Quan Liau, Igor A Kryvoruchko, Tamer AAM Habeeb, Christopher Chia, Vishal G Shelat
World Journal of Gastrointestinal Surgery.2024; 16(7): 1986. CrossRef - A release from WONderland: endoscopic ultrasonography-guided reconnection of disconnected pancreatic ducts across a walled-off necrosis cavity
Tatsuya Sato, Tomotaka Saito, Tsuyoshi Hamada, Yousuke Nakai, Mitsuhiro Fujishiro
Endoscopy.2023; 55(S 01): E82. CrossRef - Stenting of the main pancreatic duct as a prevention of the acute post-manipulation pancreatitis development during endoscopic surgery in patients with benign diseases of the bilio-pancreatoduodenal area. Literature review
E. Y. Sadovnikova, A. E. Klimov, V. A. Ivanov, M. Y. Persov, D. T. Nazarov
Hirurg (Surgeon).2023; (1): 6. CrossRef - Management of Disconnected Pancreatic Duct
Jahangeer Basha, Sundeep Lakhtakia
Gastrointestinal Endoscopy Clinics of North America.2023; 33(4): 753. CrossRef - Disconnected pancreatic duct syndrome and outcomes of endoscopic ultrasound‐guided treatment of pancreatic fluid collections: Systematic review and meta‐analysis
Tsuyoshi Hamada, Takuji Iwashita, Tomotaka Saito, Hideyuki Shiomi, Mamoru Takenaka, Hiroyuki Isayama, Ichiro Yasuda, Yousuke Nakai
Digestive Endoscopy.2022; 34(4): 676. CrossRef - Clinical Practice Guidelines for the Endoscopic Management of Peripancreatic Fluid Collections
Chi Hyuk Oh, Tae Jun Song, Jun Kyu Lee, Jin-Seok Park, Jae Min Lee, Jun Hyuk Son, Dong Kee Jang, Miyoung Choi, Jeong-Sik Byeon, In Seok Lee, Soo Teik Lee, Ho Soon Choi, Ho Gak Kim, Hoon Jai Chun, Chan Guk Park, Joo Young Cho
The Korean Journal of Pancreas and Biliary Tract.2022; 27(2): 61. CrossRef - Endoscopic management of pancreatic fluid collections with disconnected pancreatic duct syndrome
Zhi-Jie Wang, Yi-Hang Song, Shi-Yu Li, Zi-Xuan He, Zhao-Shen Li, Shu-Ling Wang, Yu Bai
Endoscopic Ultrasound.2022;[Epub] CrossRef - Disconnected pancreatic duct syndrome in acute pancreatitis
A.V. Fedorov, V.N. Ektov, M.A. Khodorkovsky
Khirurgiya. Zhurnal im. N.I. Pirogova.2022; (8): 83. CrossRef - Disconnected pancreatic duct syndrome
S. M. Chooklin, S. S. Chuklin, R. V. Barylyak
Klinicheskaia khirurgiia.2022; 88(11-12): 80. CrossRef - Interventional Endoscopic Ultrasound: Current Status and Future Directions
John M. DeWitt, Mustafa Arain, Kenneth J. Chang, Reem Sharaiha, Sri Komanduri, V. Raman Muthusamy, Joo Ha Hwang
Clinical Gastroenterology and Hepatology.2021; 19(1): 24. CrossRef - Endoscopic Management of Pancreatic Fluid Collections: Guidelines of Society of Gastrointestinal Endoscopy of India and Indian EUS Club
Rahul Shah, Jahangeer Basha, Surinder Rana, Soumya Jagannath, Praveer Rai, Sudipta Dhar Chowdhury, Zubin Dev Sharma, Deepak Gunjan, Saurabh Patle, A Chalapathi Rao, Prakash Zacharia, Rajesh Sanjeevi, Manoj Sahu, Matthew Philip, Pramod Garg, Rajesh Puri, D
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Clinical Endoscopy.2021; 54(4): 505. CrossRef - Interventionelle endoskopische Therapie bei akuter Pankreatitis
Marcus Hollenbach, Jürgen Feisthammel, Albrecht Hoffmeister
Der Internist.2021; 62(10): 1055. CrossRef - Clinical Practice Guidelines for the Endoscopic Management of Peripancreatic Fluid Collections
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Harit Kapoor, Mohamed Issa, Michael A. Winkler, Rashmi T. Nair, Frandah Wesam, Halemane Ganesh
Abdominal Radiology.2020; 45(5): 1534. CrossRef - Disconnected pancreatic duct syndrome: Updated review on clinical implications and management
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Pancreatology.2020; 20(6): 1035. CrossRef - Role of pancreatography in the endoscopic management of encapsulated pancreatic collections – review and new proposed classification
Igor Mendonça Proença, Marcos Eduardo Lera dos Santos, Diogo Turiani Hourneaux de Moura, Igor Braga Ribeiro, Sergio Eiji Matuguma, Spencer Cheng, Thomas R McCarty, Epifanio Silvino do Monte Junior, Paulo Sakai, Eduardo Guimarães Hourneaux de Moura
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Medicine.2019; 98(8): e14255. CrossRef - An overview of walled-off pancreatic necrosis for clinicians
Surinder Singh Rana
Expert Review of Gastroenterology & Hepatology.2019; 13(4): 331. CrossRef - Safety and efficacy of lumen-apposing metal stents with and without simultaneous double-pigtail plastic stents for draining pancreatic pseudocyst
Murad Aburajab, Zachary Smith, Abdul Khan, Kulwinder Dua
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- Endoscopic management of pancreatic collections. Endoscopic Ultrasound Group from the Spanish Society of Digestive Endoscopy (GSEED-USE) Clinical Guidelines
- 6,527 View
- 181 Download
- 28 Web of Science
- 29 Crossref
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