Endoscopic Bilateral Stent-in-Stent Versus Stent-by-Stent Deployment in Advanced Malignant Hilar Obstruction: A Meta-Analysis and Systematic Review
DC Field | Value | Language |
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dc.contributor.author | Shim, Sung Ryul | - |
dc.contributor.author | Lee, Tae Hoon | - |
dc.contributor.author | Yang, Jae Kook | - |
dc.contributor.author | Kim, Jae Heon | - |
dc.contributor.author | Lee, Yun Nah | - |
dc.contributor.author | Cha, Sang-Woo | - |
dc.contributor.author | Moon, Jong Ho | - |
dc.contributor.author | Cho, Young Deok | - |
dc.contributor.author | Park, Sang-Heum | - |
dc.date.accessioned | 2021-09-10T06:45:51Z | - |
dc.date.available | 2021-09-10T06:45:51Z | - |
dc.date.issued | 2022-02 | - |
dc.identifier.issn | 0163-2116 | - |
dc.identifier.issn | 1573-2568 | - |
dc.identifier.uri | https://scholarworks.bwise.kr/sch/handle/2021.sw.sch/19356 | - |
dc.description.abstract | Background and Aim There is no clear data to compare the effectiveness and safety of bilateral stent-in-stent (SIS) or stent-by-stent (SBS) deployment for advanced malignant hilar obstruction (MHO). This meta-analysis was done to investigate clinical outcomes of these deployment methods. Methods We did a literature search to identify studies that reported the clinical outcomes of bilateral metal stents in patients with advanced MHO. Weighed pooled rates (WPR) along with 95% confidence interval (95% CI) were calculated in order to compare outcomes including technical and clinical success, adverse events, and stent occlusion between the two groups. We conducted a meta-analysis using a random-effects model. Results Five comparative studies with 250 patients, and 20 single-arm studies for the SIS or SBS method were eligible for the meta-analysis and systematic review. The bilateral SIS deployment had a significantly higher technical success rate than did SBS deployment (OR 6.43; 95% CI 1.08-38.09). There was no difference in the clinical success (OR 1.23; 95% CI 0.45-3.38), overall adverse events rates (OR 0.42; 95% CI 0.15-1.18), or overall occlusion rate (OR 1.55; 95% CI 0.89-2.70). As a single-armed group, WPR of technical success of the SIS and SBS groups was 96.4% and 89.6%, respectively. Clinical success was 97.5% and 98.3%. Overall, adverse events were 35.9% and 22.6%. Occlusion rates were 27.7% and 37.7%. Conclusions Although there was a lack of quality data and heterogeneity, bilateral SIS deployment had a higher technical feasibility than did the SBS method in patients with advanced MHO, without differences in terms of clinical success, adverse events, or occlusion rates. | - |
dc.format.extent | 13 | - |
dc.language | 영어 | - |
dc.language.iso | ENG | - |
dc.publisher | Kluwer Academic/Plenum Publishers | - |
dc.title | Endoscopic Bilateral Stent-in-Stent Versus Stent-by-Stent Deployment in Advanced Malignant Hilar Obstruction: A Meta-Analysis and Systematic Review | - |
dc.type | Article | - |
dc.publisher.location | 네델란드 | - |
dc.identifier.doi | 10.1007/s10620-021-06885-8 | - |
dc.identifier.scopusid | 2-s2.0-85101583545 | - |
dc.identifier.wosid | 000621292800004 | - |
dc.identifier.bibliographicCitation | Digestive Diseases and Sciences, v.67, no.2, pp 716 - 728 | - |
dc.citation.title | Digestive Diseases and Sciences | - |
dc.citation.volume | 67 | - |
dc.citation.number | 2 | - |
dc.citation.startPage | 716 | - |
dc.citation.endPage | 728 | - |
dc.type.docType | Review | - |
dc.description.isOpenAccess | N | - |
dc.description.journalRegisteredClass | scie | - |
dc.description.journalRegisteredClass | scopus | - |
dc.relation.journalResearchArea | Gastroenterology & Hepatology | - |
dc.relation.journalWebOfScienceCategory | Gastroenterology & Hepatology | - |
dc.subject.keywordPlus | BILIARY OBSTRUCTION | - |
dc.subject.keywordPlus | METAL STENTS | - |
dc.subject.keywordPlus | REVISION EFFICACY | - |
dc.subject.keywordPlus | DELIVERY-SYSTEM | - |
dc.subject.keywordPlus | PLACEMENT | - |
dc.subject.keywordPlus | SIDE | - |
dc.subject.keywordPlus | CHOLANGIOCARCINOMA | - |
dc.subject.keywordPlus | FEASIBILITY | - |
dc.subject.keywordPlus | STRICTURES | - |
dc.subject.keywordAuthor | Bilateral | - |
dc.subject.keywordAuthor | Metal | - |
dc.subject.keywordAuthor | Stent-in-stent | - |
dc.subject.keywordAuthor | Stent-by-stent | - |
dc.subject.keywordAuthor | Hilar | - |
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