| Online-Ressource |
Verfasst von: | Saunders, Rebecca J. [VerfasserIn]  |
| Neoptolemos, John P. [VerfasserIn]  |
Titel: | A systematic review and meta-analysis of metal versus plastic stents for drainage of pancreatic fluid collections |
Titelzusatz: | metal stents are advantageous |
Verf.angabe: | Rebecca Saunders, Jayapal Ramesh, Silvia Cicconi, Jonathan Evans, Vincent S. Yip, Michael Raraty, Paula Ghaneh, Robert Sutton, John P. Neoptolemos, Christopher Halloran |
Jahr: | 2019 |
Jahr des Originals: | 2018 |
Umfang: | 14 S. |
Fussnoten: | First online: 06 September 2018 ; Gesehen am 15.07.2019 |
Titel Quelle: | Enthalten in: Surgical endoscopy and other interventional techniques |
Ort Quelle: | New York, NY : Springer, 1987 |
Jahr Quelle: | 2019 |
Band/Heft Quelle: | 33(2019), 5, Seite 1412-1425 |
ISSN Quelle: | 1432-2218 |
Abstract: | BackgroundThe use of fully covered metal stents (FCSEMS) and specifically designed lumen apposing metal stents for transmural drainage of pancreatic fluid collections has become widespread. A systematic review published in 2015 did not support the routine use of metal stents for drainage of pancreatic fluid collections. However, recent studies have shown conflicting data; therefore a systematic review and meta-analysis was performed.MethodWe conducted a database search for original comparative studies between plastic and metal stents. The random effects model was used to calculate pooled risk ratios (RR) with 95% confidence intervals (CI). Outcomes analysed were clinical success, adverse events and requirement of further intervention.ResultsThe search identified 936 studies, 7 studies with 681 (340 metal, 341 plastic) patients met inclusion criteria and were included in the meta-analysis. Clinical success was achieved in 93.8% versus 86.2% in the metal and plastic groups, respectively, RR 1.08 [95% CI 1.02-1.14]; p = 0.009. Adverse events were reduced for metal stents when compared with plastic (10.2% vs. 25.0%), RR 0.42 [95% CI 0.22-0.81]; p = 0.010. Metal stent usage reduced bleeding (2.8% vs. 7.9%), RR 0.37; [95% CI 0.18-0.75]; p = 0.006. Further intervention was required in 12.4% of patients in the metal stent group versus 26.7% for plastic stents, RR 0.54; [95% CI 0.22-1.29]; p = 0.165.ConclusionsThe use of metal stents for drainage of pancreatic fluid collections is associated with improved clinical success, fewer adverse events and reduced bleeding compared to plastic stents. |
DOI: | doi:10.1007/s00464-018-6416-5 |
URL: | Bitte beachten Sie: Dies ist ein Bibliographieeintrag. Ein Volltextzugriff für Mitglieder der Universität besteht hier nur, falls für die entsprechende Zeitschrift/den entsprechenden Sammelband ein Abonnement besteht oder es sich um einen OpenAccess-Titel handelt.
Volltext: https://doi.org/10.1007/s00464-018-6416-5 |
| DOI: https://doi.org/10.1007/s00464-018-6416-5 |
Datenträger: | Online-Ressource |
Sprache: | eng |
Sach-SW: | Drainage |
| Endoscopic ultrasound intervention |
| Metal stents |
| Pancreatic fluid collection |
| Pancreatic pseudocyst |
| Plastic stents |
K10plus-PPN: | 1669129497 |
Verknüpfungen: | → Zeitschrift |
¬A¬ systematic review and meta-analysis of metal versus plastic stents for drainage of pancreatic fluid collections / Saunders, Rebecca J. [VerfasserIn]; 2019 (Online-Ressource)