Endoscopic versus Percutaneous Biliary Drainage in Palliation of Advanced Malignant Hilar Obstruction: A Meta-Analysis and Systematic Review
Joint Authors
Moole, Harsha
Dharmapuri, Sirish
Duvvuri, Abhiram
Dharmapuri, Sowmya
Boddireddy, Raghuveer
Moole, Vishnu
Yedama, Prathyusha
Bondalapati, Naveen
Uppu, Achuta
Yerasi, Charan
Source
Canadian Journal of Gastroenterology and Hepatology
Issue
Vol. 2016, Issue 2016 (31 Dec. 2016), pp.1-8, 8 p.
Publisher
Hindawi Publishing Corporation
Publication Date
2016-08-25
Country of Publication
Egypt
No. of Pages
8
Main Subjects
Abstract EN
Background.
Palliation in advanced unresectable hilar malignancies can be achieved by endoscopic (EBD) or percutaneous transhepatic biliary drainage (PTBD).
It is unclear if one approach is superior to the other in this group of patients.
Aims.
Compare clinical outcomes of EBD versus PTBD.
Methods.
(i) Study Selection Criterion.
Studies using PTBD and EBD for palliation of advanced unresectable hilar malignancies.
(ii) Data Collection and Extraction.
Articles were searched in Medline, PubMed, and Ovid journals.
(iii) Statistical Method.
Fixed and random effects models were used to calculate the pooled proportions.
Results.
Initial search identified 786 reference articles, in which 62 articles were selected and reviewed.
Data was extracted from nine studies ( N = 546 ) that met the inclusion criterion.
The pooled odds ratio for successful biliary drainage in PTBD versus EBD was 2.53 (95% CI = 1.57 to 4.08).
Odds ratio for overall adverse effects in PTBD versus EBD groups was 0.81 (95% CI = 0.52 to 1.26).
Odds ratio for 30-day mortality rate in PTBD group versus EBD group was 0.84 (95% CI = 0.37 to 1.91).
Conclusions.
In patients with advanced unresectable hilar malignancies, palliation with PTBD seems to be superior to EBD.
PTBD is comparable to EBD in regard to overall adverse effects and 30-day mortality.
American Psychological Association (APA)
Moole, Harsha& Dharmapuri, Sirish& Duvvuri, Abhiram& Dharmapuri, Sowmya& Boddireddy, Raghuveer& Moole, Vishnu…[et al.]. 2016. Endoscopic versus Percutaneous Biliary Drainage in Palliation of Advanced Malignant Hilar Obstruction: A Meta-Analysis and Systematic Review. Canadian Journal of Gastroenterology and Hepatology،Vol. 2016, no. 2016, pp.1-8.
https://search.emarefa.net/detail/BIM-1099876
Modern Language Association (MLA)
Moole, Harsha…[et al.]. Endoscopic versus Percutaneous Biliary Drainage in Palliation of Advanced Malignant Hilar Obstruction: A Meta-Analysis and Systematic Review. Canadian Journal of Gastroenterology and Hepatology No. 2016 (2016), pp.1-8.
https://search.emarefa.net/detail/BIM-1099876
American Medical Association (AMA)
Moole, Harsha& Dharmapuri, Sirish& Duvvuri, Abhiram& Dharmapuri, Sowmya& Boddireddy, Raghuveer& Moole, Vishnu…[et al.]. Endoscopic versus Percutaneous Biliary Drainage in Palliation of Advanced Malignant Hilar Obstruction: A Meta-Analysis and Systematic Review. Canadian Journal of Gastroenterology and Hepatology. 2016. Vol. 2016, no. 2016, pp.1-8.
https://search.emarefa.net/detail/BIM-1099876
Data Type
Journal Articles
Language
English
Notes
Includes bibliographical references
Record ID
BIM-1099876