Endoscopic retrograde cholangiopancreatography with double balloon enteroscope in patients with altered gastrointestinal anatomy: A meta-analysis
Background/Aims: The aim of this study was to evaluate the effectiveness and safety of endoscopic retrograde cholangiopancreatography with double balloon enteroscope (DBE-ERCP) in patients with altered gastrointestinal anatomy in a meta-analysis. Materials and Methods: A comprehensive literature sea...
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| Format: | Article |
| Language: | English |
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Wolters Kluwer Medknow Publications
2017-01-01
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| Series: | The Saudi Journal of Gastroenterology |
| Subjects: | |
| Online Access: | http://www.saudijgastro.com/article.asp?issn=1319-3767;year=2017;volume=23;issue=3;spage=150;epage=160;aulast=Shao |
| _version_ | 1818356099700490240 |
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| author | Xiao-Dong Shao Xing-Shun Qi Xiao-Zhong Guo |
| author_facet | Xiao-Dong Shao Xing-Shun Qi Xiao-Zhong Guo |
| author_sort | Xiao-Dong Shao |
| collection | DOAJ |
| description | Background/Aims: The aim of this study was to evaluate the effectiveness and safety of endoscopic retrograde cholangiopancreatography with double balloon enteroscope (DBE-ERCP) in patients with altered gastrointestinal anatomy in a meta-analysis.
Materials and Methods: A comprehensive literature search was conducted on PubMed, EMBASE, and Cochrane library covering the period from January 2001 to December 2015. Data were selected and abstracted from eligible studies and were pooled using a random-effects model. Heterogeneity was assessed using the I2 test.
Results: Ten studies involving a total of 301 patients were included in the analysis. The pooled enteroscopy, diagnostic, and therapeutic success rates were 89.75% [95% confidence interval (CI): 79.65–94.30%], 79.92% (95% CI: 68.06–89.59%), and 63.55% (95% CI: 53.70–72.86%), respectively. DBE-ERCP-related complications occurred in 18 patients including perforation (5), pancreatitis (3), cholangitis (9), and bleeding (1). The incidence of DBE-ERCP-related complication was 6.27% (95% CI: 2.61–11.38%).
Conclusion: Diagnostic and therapeutic DBE-ERCPs are feasible in patients with altered gastrointestinal anatomy. DBE-ERCP may be considered when pancreaticobiliary diseases occur in patients undergoing Roux-en-Y reconstruction or pancreaticoduodenectomy. |
| first_indexed | 2024-12-13T19:51:50Z |
| format | Article |
| id | doaj.art-892be640d57d4c4ca168847912ce1bde |
| institution | Directory Open Access Journal |
| issn | 1319-3767 1998-4049 |
| language | English |
| last_indexed | 2024-12-13T19:51:50Z |
| publishDate | 2017-01-01 |
| publisher | Wolters Kluwer Medknow Publications |
| record_format | Article |
| series | The Saudi Journal of Gastroenterology |
| spelling | doaj.art-892be640d57d4c4ca168847912ce1bde2022-12-21T23:33:24ZengWolters Kluwer Medknow PublicationsThe Saudi Journal of Gastroenterology1319-37671998-40492017-01-0123315016010.4103/1319-3767.207713Endoscopic retrograde cholangiopancreatography with double balloon enteroscope in patients with altered gastrointestinal anatomy: A meta-analysisXiao-Dong ShaoXing-Shun QiXiao-Zhong GuoBackground/Aims: The aim of this study was to evaluate the effectiveness and safety of endoscopic retrograde cholangiopancreatography with double balloon enteroscope (DBE-ERCP) in patients with altered gastrointestinal anatomy in a meta-analysis. Materials and Methods: A comprehensive literature search was conducted on PubMed, EMBASE, and Cochrane library covering the period from January 2001 to December 2015. Data were selected and abstracted from eligible studies and were pooled using a random-effects model. Heterogeneity was assessed using the I2 test. Results: Ten studies involving a total of 301 patients were included in the analysis. The pooled enteroscopy, diagnostic, and therapeutic success rates were 89.75% [95% confidence interval (CI): 79.65–94.30%], 79.92% (95% CI: 68.06–89.59%), and 63.55% (95% CI: 53.70–72.86%), respectively. DBE-ERCP-related complications occurred in 18 patients including perforation (5), pancreatitis (3), cholangitis (9), and bleeding (1). The incidence of DBE-ERCP-related complication was 6.27% (95% CI: 2.61–11.38%). Conclusion: Diagnostic and therapeutic DBE-ERCPs are feasible in patients with altered gastrointestinal anatomy. DBE-ERCP may be considered when pancreaticobiliary diseases occur in patients undergoing Roux-en-Y reconstruction or pancreaticoduodenectomy.http://www.saudijgastro.com/article.asp?issn=1319-3767;year=2017;volume=23;issue=3;spage=150;epage=160;aulast=ShaoDouble balloon enteroscopeendoscopic retrograde cholangiopancreatographygastrointestinal reconstructionpancreaticobiliary disease |
| spellingShingle | Xiao-Dong Shao Xing-Shun Qi Xiao-Zhong Guo Endoscopic retrograde cholangiopancreatography with double balloon enteroscope in patients with altered gastrointestinal anatomy: A meta-analysis The Saudi Journal of Gastroenterology Double balloon enteroscope endoscopic retrograde cholangiopancreatography gastrointestinal reconstruction pancreaticobiliary disease |
| title | Endoscopic retrograde cholangiopancreatography with double balloon enteroscope in patients with altered gastrointestinal anatomy: A meta-analysis |
| title_full | Endoscopic retrograde cholangiopancreatography with double balloon enteroscope in patients with altered gastrointestinal anatomy: A meta-analysis |
| title_fullStr | Endoscopic retrograde cholangiopancreatography with double balloon enteroscope in patients with altered gastrointestinal anatomy: A meta-analysis |
| title_full_unstemmed | Endoscopic retrograde cholangiopancreatography with double balloon enteroscope in patients with altered gastrointestinal anatomy: A meta-analysis |
| title_short | Endoscopic retrograde cholangiopancreatography with double balloon enteroscope in patients with altered gastrointestinal anatomy: A meta-analysis |
| title_sort | endoscopic retrograde cholangiopancreatography with double balloon enteroscope in patients with altered gastrointestinal anatomy a meta analysis |
| topic | Double balloon enteroscope endoscopic retrograde cholangiopancreatography gastrointestinal reconstruction pancreaticobiliary disease |
| url | http://www.saudijgastro.com/article.asp?issn=1319-3767;year=2017;volume=23;issue=3;spage=150;epage=160;aulast=Shao |
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