Impact of guidewire caliber on ERCP outcomes: Systematic review and meta-analysis comparing 0.025- and 0.035-inch guidewires

Autor: Muhammad Aziz, Amna Iqbal, Zohaib Ahmed, Saad Saleem, Wade Lee-Smith, Hemant Goyal, Faisal Kamal, Yaseen Alastal, Ali Nawras, Douglas G. Adler
Jazyk: angličtina
Rok vydání: 2022
Předmět:
Zdroj: Endoscopy International Open, Vol 10, Iss 07, Pp E990-E997 (2022)
Druh dokumentu: article
ISSN: 2364-3722
2196-9736
DOI: 10.1055/a-1834-7101
Popis: Background and study aims The impact of guidewire caliber on endoscopic retrograde pancreatography (ERCP) outcomes are not clear. Recent studies have compared two guidewires, 0.035- and 0.025-inch, in randomized controlled trials (RCTs). We performed a systematic review and meta-analysis of available RCTs to assess if different caliber would change the outcomes in ERCP. Patients and methods A systematic search of PubMed/Medline, Embase, Cochrane, SciELO, Global Index Medicus and Web of Science was undertaken through November 23, 2021 to identify relevant RCTs comparing the two guidewires. Binary variables were compared using random effects model and DerSimonian-Laird approach. For each outcome, risk-ratio (RR), 95 % confidence interval (CI), and P values were generated. P
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