Influence of biliary stents on the diagnostic outcome of endoscopic ultrasound–guided tissue acquisition from solid pancreatic lesions: a systematic review and meta-analysis
Background/Aims This meta-analysis analyzed the effect of an indwelling biliary stent on endoscopic ultrasound (EUS)–guided tissue acquisition from pancreatic lesions. Methods A literature search was performed to identify studies published between 2000 and July 2022 comparing the diagnostic outcomes...
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| Format: | Article |
| Language: | English |
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Korean Society of Gastrointestinal Endoscopy
2023-03-01
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| Series: | Clinical Endoscopy |
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| Online Access: | http://www.e-ce.org/upload/pdf/ce-2022-282.pdf |
| _version_ | 1827607999153176576 |
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| author | Suprabhat Giri Shivaraj Afzalpurkar Sumaswi Angadi Jijo Varghese Sridhar Sundaram |
| author_facet | Suprabhat Giri Shivaraj Afzalpurkar Sumaswi Angadi Jijo Varghese Sridhar Sundaram |
| author_sort | Suprabhat Giri |
| collection | DOAJ |
| description | Background/Aims This meta-analysis analyzed the effect of an indwelling biliary stent on endoscopic ultrasound (EUS)–guided tissue acquisition from pancreatic lesions. Methods A literature search was performed to identify studies published between 2000 and July 2022 comparing the diagnostic outcomes of EUS-tissue acquisition (TA) in patients with or without biliary stents. For non-strict criteria, samples reported as malignant or suspicious for malignancy were included, whereas for strict criteria, only samples reported as malignant were included in the analysis. Results Nine studies were included in this analysis. The odds of an accurate diagnosis were significantly lower in patients with indwelling stents using both non-strict (odds ratio [OR], 0.68; 95% confidence interval [CI], 0.52–0.90) and strict criteria (OR, 0.58; 95% CI, 0.46–0.74). The pooled sensitivity with and without stents were similar (87% vs. 91%) using non-strict criteria. However, patients with stents had a lower pooled sensitivity (79% vs. 88%) when using strict criteria. The sample inadequacy rate was comparable between groups (OR, 1.12; 95% CI, 0.76–1.65). The diagnostic accuracy and sample inadequacy were comparable between plastic and metal biliary stents. Conclusions The presence of a biliary stent may negatively affect the diagnostic outcome of EUS-TA for pancreatic lesions. |
| first_indexed | 2024-03-09T07:04:52Z |
| format | Article |
| id | doaj.art-21144291a4a14f47952ab6bee9a11013 |
| institution | Directory Open Access Journal |
| issn | 2234-2400 2234-2443 |
| language | English |
| last_indexed | 2024-03-09T07:04:52Z |
| publishDate | 2023-03-01 |
| publisher | Korean Society of Gastrointestinal Endoscopy |
| record_format | Article |
| series | Clinical Endoscopy |
| spelling | doaj.art-21144291a4a14f47952ab6bee9a110132023-12-03T09:43:58ZengKorean Society of Gastrointestinal EndoscopyClinical Endoscopy2234-24002234-24432023-03-0156216917910.5946/ce.2022.2827752Influence of biliary stents on the diagnostic outcome of endoscopic ultrasound–guided tissue acquisition from solid pancreatic lesions: a systematic review and meta-analysisSuprabhat Giri0Shivaraj Afzalpurkar1Sumaswi Angadi2Jijo Varghese3Sridhar Sundaram4 Department of Gastroenterology, Nizam’s Institute of Medical Sciences, Hyderabad, India Institute of Gastrosciences and Liver, Apollo Multispecialty Hospital, Kolkata, India Department of Gastroenterology, Nizam’s Institute of Medical Sciences, Hyderabad, India Department of Gastroenterology, KM Cherian Institute of Medical Sciences, Kallissery, India Department of Digestive Disease and Clinical Nutrition, Tata Memorial Hospital, Mumbai, IndiaBackground/Aims This meta-analysis analyzed the effect of an indwelling biliary stent on endoscopic ultrasound (EUS)–guided tissue acquisition from pancreatic lesions. Methods A literature search was performed to identify studies published between 2000 and July 2022 comparing the diagnostic outcomes of EUS-tissue acquisition (TA) in patients with or without biliary stents. For non-strict criteria, samples reported as malignant or suspicious for malignancy were included, whereas for strict criteria, only samples reported as malignant were included in the analysis. Results Nine studies were included in this analysis. The odds of an accurate diagnosis were significantly lower in patients with indwelling stents using both non-strict (odds ratio [OR], 0.68; 95% confidence interval [CI], 0.52–0.90) and strict criteria (OR, 0.58; 95% CI, 0.46–0.74). The pooled sensitivity with and without stents were similar (87% vs. 91%) using non-strict criteria. However, patients with stents had a lower pooled sensitivity (79% vs. 88%) when using strict criteria. The sample inadequacy rate was comparable between groups (OR, 1.12; 95% CI, 0.76–1.65). The diagnostic accuracy and sample inadequacy were comparable between plastic and metal biliary stents. Conclusions The presence of a biliary stent may negatively affect the diagnostic outcome of EUS-TA for pancreatic lesions.http://www.e-ce.org/upload/pdf/ce-2022-282.pdfendoscopic ultrasoundfine needle aspirationpancreatic cancerstent |
| spellingShingle | Suprabhat Giri Shivaraj Afzalpurkar Sumaswi Angadi Jijo Varghese Sridhar Sundaram Influence of biliary stents on the diagnostic outcome of endoscopic ultrasound–guided tissue acquisition from solid pancreatic lesions: a systematic review and meta-analysis Clinical Endoscopy endoscopic ultrasound fine needle aspiration pancreatic cancer stent |
| title | Influence of biliary stents on the diagnostic outcome of endoscopic ultrasound–guided tissue acquisition from solid pancreatic lesions: a systematic review and meta-analysis |
| title_full | Influence of biliary stents on the diagnostic outcome of endoscopic ultrasound–guided tissue acquisition from solid pancreatic lesions: a systematic review and meta-analysis |
| title_fullStr | Influence of biliary stents on the diagnostic outcome of endoscopic ultrasound–guided tissue acquisition from solid pancreatic lesions: a systematic review and meta-analysis |
| title_full_unstemmed | Influence of biliary stents on the diagnostic outcome of endoscopic ultrasound–guided tissue acquisition from solid pancreatic lesions: a systematic review and meta-analysis |
| title_short | Influence of biliary stents on the diagnostic outcome of endoscopic ultrasound–guided tissue acquisition from solid pancreatic lesions: a systematic review and meta-analysis |
| title_sort | influence of biliary stents on the diagnostic outcome of endoscopic ultrasound guided tissue acquisition from solid pancreatic lesions a systematic review and meta analysis |
| topic | endoscopic ultrasound fine needle aspiration pancreatic cancer stent |
| url | http://www.e-ce.org/upload/pdf/ce-2022-282.pdf |
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