Understanding the Role of Different ERCP Techniques in Post-Roux-en-Y Gastric Bypass Patients: a Systematic Review and Meta-analysis

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2024年12月13日

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Bálint Gellért,
Anett Rancz,
Jakub Hoferica,
Brigitta Teutsch,
Zoltán Sipos,
Dániel S. Veres,
Péter Jenő Hegyi,
Szabolcs Ábrahám,
Péter Hegyi,
István Hritz

摘要

We aimed to compare enteroscopy-assisted ERCP (EA-ERCP), laparoscopy-assisted ERCP (LA-ERCP), and endoscopic ultrasound-directed ERCP (EDGE) in terms of safety and efficacy in post-Roux-en-Y gastric bypass patients. We conducted a rigorous analysis based on a predefined protocol (PROSPERO, CRD42022368788). Sixty-seven studies were included. The technical success rates were 77% (CI 69–83%) for EA-ERCP, 93% (CI 91–96%) for LA-ERCP, and 96% (CI 92–98%) for EDGE. Subgroup differences were significant between the EA-ERCP and other groups (p < 0.05). The overall adverse event rates were 13% (CI 8–22%), 19% (CI 14–24%), and 20% (CI 12–31%), respectively (p = 0.49). Our findings suggest that EDGE and LA-ERCP may be more effective and as safe as EA-ERCP.

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