Endoscopic retrograde pancreatography-guided versus endoscopic ultrasound-guided technique for pancreatic duct cannulation in patients with pancreaticojejunostomy stenosis: a systematic literature review

Autor: Christian Gerges, Johannes Maubach, Uwe Will, Reinier Akkermans, B. Joseph Elmunzer, Peter D. Siersema, Erwin-Jan M. van Geenen, Kirill Basiliya, Martijn W J Stommel, Govert Veldhuijzen
Rok vydání: 2020
Předmět:
Endoscopic ultrasound
medicine.medical_specialty
medicine.medical_treatment
MEDLINE
Other Research Radboud Institute for Molecular Life Sciences [Radboudumc 0]
Constriction
Pathologic
Healthcare improvement science Radboud Institute for Health Sciences [Radboudumc 18]
Catheterization
Endosonography
Tumours of the digestive tract Radboud Institute for Health Sciences [Radboudumc 14]
Pancreaticojejunostomy
medicine
Humans
Adverse effect
Ultrasonography
Interventional
Cholangiopancreatography
Endoscopic Retrograde
Pancreatic duct
medicine.diagnostic_test
business.industry
Pancreatic Ducts
Gastroenterology
Pancreaticoduodenectomy
medicine.disease
Stenosis
Renal disorders Radboud Institute for Molecular Life Sciences [Radboudumc 11]
Treatment Outcome
medicine.anatomical_structure
Systematic review
Drainage
Radiology
Complication
business
Zdroj: Endoscopy, 53, 266-276
Endoscopy, 53, 3, pp. 266-276
ISSN: 1438-8812
0013-726X
Popis: Background Stenosis of the pancreaticojejunostomy is a well-known long-term complication of pancreaticoduodenectomy. Traditionally, the endoscopic approach consisted of endoscopic retrograde pancreatography (ERP). Endoscopic ultrasound (EUS)-guided intervention has emerged as an alternative, but the success rate and adverse event rate of both treatment modalities are poorly known. We aimed to compare the outcome data of both interventions. Methods We performed a systematic literature search using the Pubmed/Medline and Embase databases in order to summarize the available data regarding efficacy and complications of ERP- and EUS-guided pancreatic duct (PD) drainage and compare these outcome data using uniform outcome measures in a multilevel logistic model. Results 13 studies were included, involving 77 patients who underwent ERP-guided drainage, 145 who underwent EUS-guided drainage, and 12 patients who underwent both modalities. An EUS-guided approach was significantly superior to an ERP-guided approach with regard to pancreatic duct opacification (87 % vs. 30 %; P Conclusion Based on limited available data, EUS-guided PD intervention appears superior to ERP-guided PD intervention.
Databáze: OpenAIRE
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