Endoscopic Ultrasound-guided Pancreatic Duct Drainage: A Systematic Review and Meta-analysis.

IF 1.1 4区医学 Q3 SURGERY

Surgical Laparoscopy, Endoscopy & Percutaneous Techniques Pub Date : 2025-04-01 DOI:10.1097/SLE.0000000000001359

Ruixia Wang, Tong Su, Changqin Xu, Tong Xiao, Hongwei Xu, Xiuju Shi, Shulei Zhao

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引用次数: 0

Abstract

Background and objectives: Endoscopic ultrasound-guided pancreatic duct drainage (EUS-PD) has emerged as a minimally invasive therapeutic option for patients who cannot undergo traditional retrograde access to the pancreatic duct due to difficulties in cannulation or surgically altered anatomy. This meta-analysis aimed to evaluate the overall outcomes and safety of EUS-PD.

Methods: We conducted a comprehensive search of major databases, including PubMed, EMBASE, Cochrane Library, and Science Citation Index, up until October 2023. The meta-analysis focused on technical and clinical success rates, as well as the overall adverse event (AE) rate.

Results: A total of 27 trials involving 902 patients were included in the study. The cumulative rate of technical success is 89%, and the clinical success is 88%, whereas the AE rate was 17%. The most common AE observed was post-EUS-PD acute pancreatitis, with a rate of 3%. In addition, the cumulative rates of bleeding, perforation, pancreatic leak, and infection were 2%, 2%, 1%, and 1%, respectively.

Conclusion: EUS-PD demonstrates highly favorable technical and clinical success rates, alongside acceptable AE rates, making it a highly effective procedure.

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超声内镜引导胰管引流：系统回顾和荟萃分析。

背景和目的：超声内镜引导胰管引流术（EUS-PD）已成为由于插管困难或手术改变解剖结构而无法进行传统逆行胰管的患者的一种微创治疗选择。本荟萃分析旨在评估EUS-PD的总体结果和安全性。方法：我们对截至2023年10月的主要数据库进行了全面检索，包括PubMed、EMBASE、Cochrane Library和Science Citation Index。荟萃分析的重点是技术和临床成功率，以及总体不良事件（AE）率。结果：共纳入27项试验，902例患者。累计技术成功率为89%，临床成功率为88%，AE率为17%。最常见的AE是eus - pd后急性胰腺炎，发生率为3%。此外，出血、穿孔、胰腺渗漏和感染的累积率分别为2%、2%、1%和1%。结论：EUS-PD具有很高的技术和临床成功率，以及可接受的AE率，使其成为一种非常有效的手术。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Surgical Laparoscopy, Endoscopy & Percutaneous Techniques 医学-外科

CiteScore

2.00

自引率

10.00%

发文量

103

审稿时长

3-8 weeks

期刊介绍： Surgical Laparoscopy Endoscopy & Percutaneous Techniques is a primary source for peer-reviewed, original articles on the newest techniques and applications in operative laparoscopy and endoscopy. Its Editorial Board includes many of the surgeons who pioneered the use of these revolutionary techniques. The journal provides complete, timely, accurate, practical coverage of laparoscopic and endoscopic techniques and procedures; current clinical and basic science research; preoperative and postoperative patient management; complications in laparoscopic and endoscopic surgery; and new developments in instrumentation and technology.