Are Lumen-Apposing Metal Stents More Effective Than Plastic Stents for the Management of Pancreatic Fluid Collections: An Updated Systematic Review and Meta-analysis
Joint Authors
Fu, Xiangsheng
Tang, Xiaowei
Tan, Shali
Zhong, Chunyu
Ren, Yutang
Luo, Xujuan
Xu, Jin
Peng, Yan
Source
Gastroenterology Research and Practice
Issue
Vol. 2020, Issue 2020 (31 Dec. 2020), pp.1-13, 13 p.
Publisher
Hindawi Publishing Corporation
Publication Date
2020-04-20
Country of Publication
Egypt
No. of Pages
13
Main Subjects
Abstract EN
Background and Aims.
Recently, a new type of metal stent, named lumen-apposing metal stents (LAMS), has been designed to manage pancreatic fluid collections (PFC), and a few studies have reported its efficacy and safety.
Therefore, we conducted this meta-analysis to investigate the role of LAMS for PFC.
Methods.
We searched the studies from PubMed, MEDLINE, Embase, and Cochrane databases from inception to May 2019.
We extracted the data and analyzed the technical success, clinical success, and adverse events of LAMS to evaluate its efficacy and safety.
Results.
Twenty studies with 1534 patients were included.
The pooled technical success, clinical success, and adverse event rates of LAMS for PFC were 96.2% (95% confidence interval (CI): 94.6%-97.4%), 86.8% (95% CI: 83.1%-89.8%), and 20.7% (95% CI: 16.1%-26.1%), respectively.
Eight studies including 875 patients compared the clinical outcomes of LAMS with plastic stents.
The pooled risk ratio (RR) of technical success and clinical success for LAMS and plastic stent was 1.01 (95% CI: 0.98-1.04, P=0.62) and 1.06 (95% CI: 1.01-1.12, P=0.03), respectively.
As for the overall adverse events, the pooled RR was 1.51 (95% CI: 0.67-3.44, P=0.32).
Conclusions.
Our current study revealed that LAMS has advantages over plastic stents for PFC, with higher clinical success rate and lower complication rate of infection and occlusion.
American Psychological Association (APA)
Tan, Shali& Zhong, Chunyu& Ren, Yutang& Luo, Xujuan& Xu, Jin& Peng, Yan…[et al.]. 2020. Are Lumen-Apposing Metal Stents More Effective Than Plastic Stents for the Management of Pancreatic Fluid Collections: An Updated Systematic Review and Meta-analysis. Gastroenterology Research and Practice،Vol. 2020, no. 2020, pp.1-13.
https://search.emarefa.net/detail/BIM-1166868
Modern Language Association (MLA)
Tan, Shali…[et al.]. Are Lumen-Apposing Metal Stents More Effective Than Plastic Stents for the Management of Pancreatic Fluid Collections: An Updated Systematic Review and Meta-analysis. Gastroenterology Research and Practice No. 2020 (2020), pp.1-13.
https://search.emarefa.net/detail/BIM-1166868
American Medical Association (AMA)
Tan, Shali& Zhong, Chunyu& Ren, Yutang& Luo, Xujuan& Xu, Jin& Peng, Yan…[et al.]. Are Lumen-Apposing Metal Stents More Effective Than Plastic Stents for the Management of Pancreatic Fluid Collections: An Updated Systematic Review and Meta-analysis. Gastroenterology Research and Practice. 2020. Vol. 2020, no. 2020, pp.1-13.
https://search.emarefa.net/detail/BIM-1166868
Data Type
Journal Articles
Language
English
Notes
Includes bibliographical references
Record ID
BIM-1166868