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Influence of biliary stents on the diagnostic outcome of endoscopic ultrasound–guided tissue acquisition from solid pancreatic lesions: a systematic review and meta-analysis

BACKGROUND/AIMS: This meta-analysis analyzed the effect of an indwelling biliary stent on endoscopic ultrasound (EUS)–guided tissue acquisition from pancreatic lesions. METHODS: A literature search was performed to identify studies published between 2000 and July 2022 comparing the diagnostic outcom...

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Autores principales: Giri, Suprabhat, Afzalpurkar, Shivaraj, Angadi, Sumaswi, Varghese, Jijo, Sundaram, Sridhar
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Korean Society of Gastrointestinal Endoscopy 2023
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10073854/
https://www.ncbi.nlm.nih.gov/pubmed/37013391
http://dx.doi.org/10.5946/ce.2022.282
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author Giri, Suprabhat
Afzalpurkar, Shivaraj
Angadi, Sumaswi
Varghese, Jijo
Sundaram, Sridhar
author_facet Giri, Suprabhat
Afzalpurkar, Shivaraj
Angadi, Sumaswi
Varghese, Jijo
Sundaram, Sridhar
author_sort Giri, Suprabhat
collection PubMed
description BACKGROUND/AIMS: This meta-analysis analyzed the effect of an indwelling biliary stent on endoscopic ultrasound (EUS)–guided tissue acquisition from pancreatic lesions. METHODS: A literature search was performed to identify studies published between 2000 and July 2022 comparing the diagnostic outcomes of EUS-tissue acquisition (TA) in patients with or without biliary stents. For non-strict criteria, samples reported as malignant or suspicious for malignancy were included, whereas for strict criteria, only samples reported as malignant were included in the analysis. RESULTS: Nine studies were included in this analysis. The odds of an accurate diagnosis were significantly lower in patients with indwelling stents using both non-strict (odds ratio [OR], 0.68; 95% confidence interval [CI], 0.52–0.90) and strict criteria (OR, 0.58; 95% CI, 0.46–0.74). The pooled sensitivity with and without stents were similar (87% vs. 91%) using non-strict criteria. However, patients with stents had a lower pooled sensitivity (79% vs. 88%) when using strict criteria. The sample inadequacy rate was comparable between groups (OR, 1.12; 95% CI, 0.76–1.65). The diagnostic accuracy and sample inadequacy were comparable between plastic and metal biliary stents. CONCLUSIONS: The presence of a biliary stent may negatively affect the diagnostic outcome of EUS-TA for pancreatic lesions.
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spelling pubmed-100738542023-04-06 Influence of biliary stents on the diagnostic outcome of endoscopic ultrasound–guided tissue acquisition from solid pancreatic lesions: a systematic review and meta-analysis Giri, Suprabhat Afzalpurkar, Shivaraj Angadi, Sumaswi Varghese, Jijo Sundaram, Sridhar Clin Endosc Systematic Review and Meta-analysis BACKGROUND/AIMS: This meta-analysis analyzed the effect of an indwelling biliary stent on endoscopic ultrasound (EUS)–guided tissue acquisition from pancreatic lesions. METHODS: A literature search was performed to identify studies published between 2000 and July 2022 comparing the diagnostic outcomes of EUS-tissue acquisition (TA) in patients with or without biliary stents. For non-strict criteria, samples reported as malignant or suspicious for malignancy were included, whereas for strict criteria, only samples reported as malignant were included in the analysis. RESULTS: Nine studies were included in this analysis. The odds of an accurate diagnosis were significantly lower in patients with indwelling stents using both non-strict (odds ratio [OR], 0.68; 95% confidence interval [CI], 0.52–0.90) and strict criteria (OR, 0.58; 95% CI, 0.46–0.74). The pooled sensitivity with and without stents were similar (87% vs. 91%) using non-strict criteria. However, patients with stents had a lower pooled sensitivity (79% vs. 88%) when using strict criteria. The sample inadequacy rate was comparable between groups (OR, 1.12; 95% CI, 0.76–1.65). The diagnostic accuracy and sample inadequacy were comparable between plastic and metal biliary stents. CONCLUSIONS: The presence of a biliary stent may negatively affect the diagnostic outcome of EUS-TA for pancreatic lesions. Korean Society of Gastrointestinal Endoscopy 2023-03 2023-02-15 /pmc/articles/PMC10073854/ /pubmed/37013391 http://dx.doi.org/10.5946/ce.2022.282 Text en Copyright © 2023 Korean Society of Gastrointestinal Endoscopy https://creativecommons.org/licenses/by-nc/4.0/This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/4.0/ (https://creativecommons.org/licenses/by-nc/4.0/) ) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.
spellingShingle Systematic Review and Meta-analysis
Giri, Suprabhat
Afzalpurkar, Shivaraj
Angadi, Sumaswi
Varghese, Jijo
Sundaram, Sridhar
Influence of biliary stents on the diagnostic outcome of endoscopic ultrasound–guided tissue acquisition from solid pancreatic lesions: a systematic review and meta-analysis
title Influence of biliary stents on the diagnostic outcome of endoscopic ultrasound–guided tissue acquisition from solid pancreatic lesions: a systematic review and meta-analysis
title_full Influence of biliary stents on the diagnostic outcome of endoscopic ultrasound–guided tissue acquisition from solid pancreatic lesions: a systematic review and meta-analysis
title_fullStr Influence of biliary stents on the diagnostic outcome of endoscopic ultrasound–guided tissue acquisition from solid pancreatic lesions: a systematic review and meta-analysis
title_full_unstemmed Influence of biliary stents on the diagnostic outcome of endoscopic ultrasound–guided tissue acquisition from solid pancreatic lesions: a systematic review and meta-analysis
title_short Influence of biliary stents on the diagnostic outcome of endoscopic ultrasound–guided tissue acquisition from solid pancreatic lesions: a systematic review and meta-analysis
title_sort influence of biliary stents on the diagnostic outcome of endoscopic ultrasound–guided tissue acquisition from solid pancreatic lesions: a systematic review and meta-analysis
topic Systematic Review and Meta-analysis
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10073854/
https://www.ncbi.nlm.nih.gov/pubmed/37013391
http://dx.doi.org/10.5946/ce.2022.282
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