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Comparison of the Effects of TIPS versus BRTO on Bleeding Gastric Varices: A Meta-Analysis
المؤلفون المشاركون
Zhang, Wenguang
Wang, Zi Wen
Liu, Jin Chao
Zhao, Fang
Duan, Xu Hua
Chen, Peng Fei
Yang, Si Fu
Li, Hong Wei
Chen, Fu Wen
Shi, Hong Sheng
Ren, Jian Zhuang
المصدر
Canadian Journal of Gastroenterology and Hepatology
العدد
المجلد 2020، العدد 2020 (31 ديسمبر/كانون الأول 2020)، ص ص. 1-9، 9ص.
الناشر
Hindawi Publishing Corporation
تاريخ النشر
2020-02-11
دولة النشر
مصر
عدد الصفحات
9
التخصصات الرئيسية
الملخص EN
Background and Aim.
Upper gastrointestinal bleeding is a threat to patients with gastric varices (GVs).
Previous studies have concluded that both transjugular intrahepatic portosystemic shunt (TIPS) and balloon-occluded retrograde transvenous obliteration (BRTO) are effective treatments for patients with GV.
We aimed to compare the efficiency and outcomes of these two procedures in GV patients through meta-analysis.
Methods.
The PubMed, Cochrane Library, EMBASE, and Web of Science databases were searched using the keywords: GV, bleeding, TIPS, and BRTO to identify relevant randomized controlled trials and cohort studies.
The overall survival (OS) rate, imminent haemostasis rate, rebleeding rate, technical success rate, procedure complication rate (hepatic encephalopathy and aggravated ascites), and Child-Pugh score were evaluated.
Randomized clinical trials and cohort studies comparing TIPS and BRTO for GV due to portal hypertension were included in our meta-analysis.
Two independent reviewers performed data extraction and assessed the study quality.
A meta-analysis was performed to calculate risk ratios (RRs), mean differences (MDs), and 95% CIs using random effects models.
Results.
A total of nine studies fulfilled the inclusion criteria.
There was a significant difference between TIPS and BRTO in the OS rate (RR, 0.81 (95% CI, 0.66 to 0.98); P=0.03) and rebleeding rate (RR, 2.61 (95% CI, 1.75 to 3.90); P<0.00001).
TIPS had a higher incidence rate of hepatic encephalopathy (RR, 16.11 (95% CI, 7.13 to 36.37); P<0.00001).
There was no significant difference between TIPS and BRTO in the immediate haemostasis rate (RR, 0.99 (95% CI, 0.89 to 1.10); P=0.84), technical success rate (RR, 1.06 (95% CI, 0.98 to 1.16); P=0.16), aggravated ascites rate (RR, 0.60 (95% CI, 0.33 to 1.09); P=0.10), or Child-Pugh change (MD, 0.22 (95% CI, −0.21 to 0.65); P=0.31).
Conclusions.
In this meta-analysis, BRTO brought more benefits to patients, with a higher OS rate and lower rebleeding rate.
BRTO is a feasible method for GVB.
نمط استشهاد جمعية علماء النفس الأمريكية (APA)
Wang, Zi Wen& Liu, Jin Chao& Zhao, Fang& Zhang, Wenguang& Duan, Xu Hua& Chen, Peng Fei…[et al.]. 2020. Comparison of the Effects of TIPS versus BRTO on Bleeding Gastric Varices: A Meta-Analysis. Canadian Journal of Gastroenterology and Hepatology،Vol. 2020, no. 2020, pp.1-9.
https://search.emarefa.net/detail/BIM-1139017
نمط استشهاد الجمعية الأمريكية للغات الحديثة (MLA)
Wang, Zi Wen…[et al.]. Comparison of the Effects of TIPS versus BRTO on Bleeding Gastric Varices: A Meta-Analysis. Canadian Journal of Gastroenterology and Hepatology No. 2020 (2020), pp.1-9.
https://search.emarefa.net/detail/BIM-1139017
نمط استشهاد الجمعية الطبية الأمريكية (AMA)
Wang, Zi Wen& Liu, Jin Chao& Zhao, Fang& Zhang, Wenguang& Duan, Xu Hua& Chen, Peng Fei…[et al.]. Comparison of the Effects of TIPS versus BRTO on Bleeding Gastric Varices: A Meta-Analysis. Canadian Journal of Gastroenterology and Hepatology. 2020. Vol. 2020, no. 2020, pp.1-9.
https://search.emarefa.net/detail/BIM-1139017
نوع البيانات
مقالات
لغة النص
الإنجليزية
الملاحظات
Includes bibliographical references
رقم السجل
BIM-1139017
قاعدة معامل التأثير والاستشهادات المرجعية العربي "ارسيف Arcif"
أضخم قاعدة بيانات عربية للاستشهادات المرجعية للمجلات العلمية المحكمة الصادرة في العالم العربي
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