EUS-guided gallbladder drainage as a rescue in distal malignant biliary obstruction: A systematic review with meta-analysis.

• Tác giả: Andrea Anderloni, Todd H Baron, Fausto Catena, Stefano Francesco Crinò, Carlo Fabbri, Antonio Facciorusso, Lorenzo Fuccio, Pietro Fusaroli, Giacomo Emanuele Maria Rizzo, Ilaria Tarantino, Judy A Trieu, Giuseppe Vanella
• Ngôn ngữ: eng
• Ký hiệu phân loại: 023.2 Professional positions
• Thông tin xuất bản: China : Endoscopic ultrasound , 2025
• Bộ sưu tập: NCBI
• ID: 748198

Tóm tắt

Patients with distal malignant biliary obstruction (dMBO) needing biliary drainage (BD) undergo ERCP as a first approach. EUS-guided gallbladder drainage (EUS-GBD) is now accepted as a rescue alternative for the palliation of jaundice in those patients with dMBO who fail ERCP and cannot undergo EUS-BD. This is a systematic review with meta-analysis for evaluating the efficacy and safety of EUS-GBD in this scenario. A comprehensive search through the main database platforms was conducted to May 2024. Pooled estimates were obtained using a fixed-effects model with the generic inverse variance method. Study quality was evaluated using the Newcastle-Ottawa quality assessment scale (NOS). Heterogeneity was evaluated with