Do Biliary Stents Affect EUS-Guided Tissue Acquisition (EUS-TA) in Solid Pancreatic Lesions Determining Biliary Obstruction? A Literature Review with Meta-Analysis.

ERCP EUS FNA FNB cancer

Journal

Cancers
ISSN: 2072-6694
Titre abrégé: Cancers (Basel)
Pays: Switzerland
ID NLM: 101526829

Informations de publication

Date de publication:
15 Mar 2023
Historique:
received: 23 02 2023
revised: 06 03 2023
accepted: 14 03 2023
medline: 30 3 2023
entrez: 29 3 2023
pubmed: 30 3 2023
Statut: epublish

Résumé

There is a paucity of evidence regarding whether biliary stents influence endoscopic ultrasound-guided tissue acquisition using either fine-needle biopsy (EUS-FNB) or fine-needle aspiration (EUS-FNA), among patients with head of pancreas (HOP) lesions. We aimed at assessing the diagnostic accuracy of endoscopic ultrasound-guided tissue sampling in patients with or without bile duct stents. A total of seven studies with 2458 patients were included. The main aim was to assess overall pooled diagnostic accuracy. A pairwise meta-analysis was performed using a random effects model. Outcomes were expressed as odds ratios (ORs) with 95% confidence intervals (CIs). We found that pooled accuracy was 85.4% (CI 78.8-91.9) and 88.1% (CI 83.3-92.9) in patients with and without stents, respectively. There was no statistically significant difference between the two (OR 0.74;

Identifiants

pubmed: 36980675
pii: cancers15061789
doi: 10.3390/cancers15061789
pmc: PMC10046620
pii:
doi:

Types de publication

Journal Article

Langues

eng

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Auteurs

Antonio Facciorusso (A)

Gastroenterology Unit, Department of Surgical and Medical Sciences, University of Foggia, 71122 Foggia, Italy.

Saurabh Chandan (S)

Gastroenterology Unit, CHI Health Creighton University Medical Center, Omaha, NE 68007, USA.

Paraskevas Gkolfakis (P)

Department of Gastroenterology, Hepatopancreatology, and Digestive Oncology, CUB Erasme Hospital, Université Libre de Bruxelles (ULB), 1050 Brussels, Belgium.

Daryl Ramai (D)

Gastroenterology and Hepatology, University of Utah Health, Salt Lake City, UT 801385, USA.

Babu P Mohan (BP)

Gastroenterology and Hepatology, University of Utah Health, Salt Lake City, UT 801385, USA.

Andrea Lisotti (A)

Gastroenterology Unit, Hospital of Imola, 40026 Imola, Italy.

Maria Cristina Conti Bellocchi (MC)

Gastroenterology and Digestive Endoscopy Unit, Department of Medicine, The Pancreas Institute, University Hospital of Verona, 37100 Verona, Italy.

Ioannis S Papanikolaou (IS)

Hepatogastroenterology Unit, Second Department of Internal Medicine-Propaedeutic, Medical School, "Attikon" University General Hospital, National and Kapodistrian University of Athens, 10431 Athens, Greece.

Benedetto Mangiavillano (B)

Gastrointestinal Endoscopy Unit, Humanitas Mater Domini, Via Gerenzano 2, 21053 Castellanza, Italy.

Konstantinos Triantafyllou (K)

Hepatogastroenterology Unit, Second Department of Internal Medicine-Propaedeutic, Medical School, "Attikon" University General Hospital, National and Kapodistrian University of Athens, 10431 Athens, Greece.

Eleni Manthopoulou (E)

Department of Gastroenterology, St. Savvas Oncology Hospital of Athens, 10431 Athens, Greece.

Ruxandra Mare (R)

Gastroenterology Unit, Department of Internal Medicine II, "Victor Babes" University of Medicine and Pharmacy, 300226 Timisoara, Romania.

Pietro Fusaroli (P)

Gastroenterology Unit, Hospital of Imola, 40026 Imola, Italy.

Stefano Francesco Crinò (SF)

Gastroenterology and Digestive Endoscopy Unit, Department of Medicine, The Pancreas Institute, University Hospital of Verona, 37100 Verona, Italy.

Classifications MeSH