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Covered and uncovered self-expandable metallic stents in the treatment of malignant biliary obstruction
المؤلفون المشاركون
Qin, Wen Yan
Li, Jing Zhen
Peng, Wen Ping
Zhang, Ming Ming
Lao, Bo
Hong, Jie Ming
Li, Lian Biao
المصدر
Iranian Red Crescent Medical Journal
العدد
المجلد 22، العدد 7 (31 يوليو/تموز 2020)، ص ص. 1-9، 9ص.
الناشر
تاريخ النشر
2020-07-31
دولة النشر
الإمارات العربية المتحدة
عدد الصفحات
9
التخصصات الرئيسية
الملخص EN
Context: Self-expandable metal stents (SEMSs) are commonly used in the treatment of malignant biliary obstruction.
We performed a meta-analysis to compare the efficacy of covered self-expandable metallic stents (CSEMSs) and uncovered self-expandable metallic stents (UCSEMSs) for patients with malignant distal biliary obstruction.
Methods: A comprehensive search was conducted using PubMed, Embase, Cochrane, and CNKI databases from 2010 to 2019.
All randomized controlled trials, which compared the use of the CSEMSs and UCSEMSs for the treatment of malignant distal biliary obstruction were included in this study.
Results: This meta-analysis included 1,539 patients enrolled in 13 trials.
There was no difference between the two groups in terms of patients’ survival (hazard ratio (HR) 0.96, 95% confidence interval (CI): 0.87 - 1.07; I2 = 32.6%), stent patency (HR 0.92, 95% CI: 0.69 - 1.22; I2 = 56.3%), and the overall complication rate (relative risks (RR) 1.35, 95% CI: 0.82 - 2.23; I2 = 0%).
In particular, the CSEMSs group presented a lower rate of tumor ingrowth (RR 0.30, 95% CI: 0.15 - 0.57; I2 = 58.5%) than the UCSEMSs group.
However, the CSEMSs group exhibited a higher rate of tumor overgrowth (RR 1.63, 95% CI: 1.00 - 2.66; I2 = 0%), sludge formation (RR 2.28, 95% CI: 1.36 - 3.82; I2 = 0%), and migration (RR 5.14, 95% CI: 1.90 - 13.88; I2 = 0%).
Conclusions: Our meta-analysis indicated that there was no significant difference between the two stents, and each one had its advantages and disadvantages.
نمط استشهاد جمعية علماء النفس الأمريكية (APA)
Qin, Wen Yan& Li, Jing Zhen& Peng, Wen Ping& Zhang, Ming Ming& Lao, Bo& Hong, Jie Ming…[et al.]. 2020. Covered and uncovered self-expandable metallic stents in the treatment of malignant biliary obstruction. Iranian Red Crescent Medical Journal،Vol. 22, no. 7, pp.1-9.
https://search.emarefa.net/detail/BIM-1430493
نمط استشهاد الجمعية الأمريكية للغات الحديثة (MLA)
Qin, Wen Yan…[et al.]. Covered and uncovered self-expandable metallic stents in the treatment of malignant biliary obstruction. Iranian Red Crescent Medical Journal Vol. 22, no. 7 (Jul. 2020), pp.1-9.
https://search.emarefa.net/detail/BIM-1430493
نمط استشهاد الجمعية الطبية الأمريكية (AMA)
Qin, Wen Yan& Li, Jing Zhen& Peng, Wen Ping& Zhang, Ming Ming& Lao, Bo& Hong, Jie Ming…[et al.]. Covered and uncovered self-expandable metallic stents in the treatment of malignant biliary obstruction. Iranian Red Crescent Medical Journal. 2020. Vol. 22, no. 7, pp.1-9.
https://search.emarefa.net/detail/BIM-1430493
نوع البيانات
مقالات
لغة النص
الإنجليزية
الملاحظات
Includes bibliographical references : p. 8-9
رقم السجل
BIM-1430493
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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