Endoscopic Sphincterotomy with Large Balloon Dilation versus Endoscopic Sphincterotomy for Bile Duct Stones: A Systematic Review and Meta-Analysis
المؤلفون المشاركون
Xu, Lei
Kyaw, Moe Htet
Tse, Yee Kit
Lau, James Yun Wong
المصدر
العدد
المجلد 2015، العدد 2015 (31 ديسمبر/كانون الأول 2015)، ص ص. 1-11، 11ص.
الناشر
Hindawi Publishing Corporation
تاريخ النشر
2015-02-10
دولة النشر
مصر
عدد الصفحات
11
التخصصات الرئيسية
الملخص EN
The safety and efficacy of endoscopic sphincterotomy with large balloon dilation (EPLBD) are unclear.
This study compares the safety and efficacy between EPLBD and endoscopic sphincterotomy (EST).
Patients and Methods.
Literatures were searched for randomized controlled trials in PUBMED, EMBASE, and Cochrane Library.
Outcome measurements included adverse events; stone removal rate; requirement of mechanical lithotripsy.
Results.
Four RCTs with a total of 596 patients were included.
Three RCTs compared EPLBD versus EST alone for stone removal; one RCT compared EPLBD versus EST plus mechanical lithotripsy for stone removal.
Pooled data from three RCTs showed that there was no significant difference in the adverse event of ERCP.
A significantly higher cholangitis rate was seen in patients who received EST plus mechanical lithotripsy, compared to those treated with EPLBD (13.3% versus 0.0, P = 0.026 ).
No statistical difference was found between EPLBD and EST for stone removal rate.
Significant differences in requirement of mechanical lithotripsy were seen with removal of large stones (>15 mm), with EPLBD reducing the use of mechanical lithotripsy (RR: 0.73; 95% CI: 0.54–0.99).
Conclusions.
EPLBD and EST have similar efficacy and safety for bile duct stones clearance.
With larger stones, EPLBD can reduce requirement of mechanical lithotripsy.
نمط استشهاد جمعية علماء النفس الأمريكية (APA)
Xu, Lei& Kyaw, Moe Htet& Tse, Yee Kit& Lau, James Yun Wong. 2015. Endoscopic Sphincterotomy with Large Balloon Dilation versus Endoscopic Sphincterotomy for Bile Duct Stones: A Systematic Review and Meta-Analysis. BioMed Research International،Vol. 2015, no. 2015, pp.1-11.
https://search.emarefa.net/detail/BIM-1056340
نمط استشهاد الجمعية الأمريكية للغات الحديثة (MLA)
Xu, Lei…[et al.]. Endoscopic Sphincterotomy with Large Balloon Dilation versus Endoscopic Sphincterotomy for Bile Duct Stones: A Systematic Review and Meta-Analysis. BioMed Research International No. 2015 (2015), pp.1-11.
https://search.emarefa.net/detail/BIM-1056340
نمط استشهاد الجمعية الطبية الأمريكية (AMA)
Xu, Lei& Kyaw, Moe Htet& Tse, Yee Kit& Lau, James Yun Wong. Endoscopic Sphincterotomy with Large Balloon Dilation versus Endoscopic Sphincterotomy for Bile Duct Stones: A Systematic Review and Meta-Analysis. BioMed Research International. 2015. Vol. 2015, no. 2015, pp.1-11.
https://search.emarefa.net/detail/BIM-1056340
نوع البيانات
مقالات
لغة النص
الإنجليزية
الملاحظات
Includes bibliographical references
رقم السجل
BIM-1056340
قاعدة معامل التأثير والاستشهادات المرجعية العربي "ارسيف Arcif"
أضخم قاعدة بيانات عربية للاستشهادات المرجعية للمجلات العلمية المحكمة الصادرة في العالم العربي
تقوم هذه الخدمة بالتحقق من التشابه أو الانتحال في الأبحاث والمقالات العلمية والأطروحات الجامعية والكتب والأبحاث باللغة العربية، وتحديد درجة التشابه أو أصالة الأعمال البحثية وحماية ملكيتها الفكرية. تعرف اكثر