Systematic review and meta-analysis of endoscopic ultrasound drainage for the management of fluid collections after pancreas surgery

BACKGROUND: The outcomes of endoscopic ultrasonography-guided drainage (EUSD) in treatment of pancreas fluid collection (PFC) after pancreas surgeries have not been evaluated systematically. The current systematic review and meta-analysis aim to evaluate the outcomes of EUSD in patients with PFC aft...

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Autores principales: Ramouz, Ali, Shafiei, Saeed, Ali-Hasan-Al-Saegh, Sadeq, Khajeh, Elias, Rio-Tinto, Ricardo, Fakour, Sanam, Brandl, Andreas, Goncalves, Gil, Berchtold, Christoph, Büchler, Markus W., Mehrabi, Arianeb
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Springer US 2022
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9085703/
https://www.ncbi.nlm.nih.gov/pubmed/35246738
http://dx.doi.org/10.1007/s00464-022-09137-6
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author Ramouz, Ali
Shafiei, Saeed
Ali-Hasan-Al-Saegh, Sadeq
Khajeh, Elias
Rio-Tinto, Ricardo
Fakour, Sanam
Brandl, Andreas
Goncalves, Gil
Berchtold, Christoph
Büchler, Markus W.
Mehrabi, Arianeb
author_facet Ramouz, Ali
Shafiei, Saeed
Ali-Hasan-Al-Saegh, Sadeq
Khajeh, Elias
Rio-Tinto, Ricardo
Fakour, Sanam
Brandl, Andreas
Goncalves, Gil
Berchtold, Christoph
Büchler, Markus W.
Mehrabi, Arianeb
author_sort Ramouz, Ali
collection PubMed
description BACKGROUND: The outcomes of endoscopic ultrasonography-guided drainage (EUSD) in treatment of pancreas fluid collection (PFC) after pancreas surgeries have not been evaluated systematically. The current systematic review and meta-analysis aim to evaluate the outcomes of EUSD in patients with PFC after pancreas surgery and compare it with percutaneous drainage (PCD). METHODS: PubMed and Web of Science databases were searched for studies reporting outcomes EUSD in treatment of PFC after pancreas surgeries, from their inception until January 2022. Two meta-analyses were performed: (A) a systematic review and single-arm meta-analysis of EUSD (meta-analysis A) and (B) two-arm meta-analysis comparing the outcomes of EUSD and PCD (meta-analysis B). Pooled proportion of the outcomes in meta-analysis A as well as odds ratio (OR) and mean difference (MD) in meta-analysis B was calculated to determine the technical and clinical success rates, complications rate, hospital stay, and recurrence rate. ROBINS-I tool was used to assess the risk of bias. RESULTS: The literature search retrieved 610 articles, 25 of which were eligible for inclusion. Included clinical studies comprised reports on 695 patients. Twenty-five studies (477 patients) were included in meta-analysis A and eight studies (356 patients) were included in meta-analysis B. In meta-analysis A, the technical and clinical success rates of EUSD were 94% and 87%, respectively, with post-procedural complications of 14% and recurrence rates of 9%. Meta-analysis B showed comparable technical and clinical success rates as well as complications rates between EUSD and PCD. EUSD showed significantly shorter duration of hospital stay compared to that of patients treated with PCD. CONCLUSION: EUSD seems to be associated with high technical and clinical success rates, with low rates of procedure-related complications. Although EUSD leads to shorter hospital stay compared to PCD, the certainty of evidence was low in this regard. SUPPLEMENTARY INFORMATION: The online version contains supplementary material available at 10.1007/s00464-022-09137-6.
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spelling pubmed-90857032022-05-11 Systematic review and meta-analysis of endoscopic ultrasound drainage for the management of fluid collections after pancreas surgery Ramouz, Ali Shafiei, Saeed Ali-Hasan-Al-Saegh, Sadeq Khajeh, Elias Rio-Tinto, Ricardo Fakour, Sanam Brandl, Andreas Goncalves, Gil Berchtold, Christoph Büchler, Markus W. Mehrabi, Arianeb Surg Endosc Review Article BACKGROUND: The outcomes of endoscopic ultrasonography-guided drainage (EUSD) in treatment of pancreas fluid collection (PFC) after pancreas surgeries have not been evaluated systematically. The current systematic review and meta-analysis aim to evaluate the outcomes of EUSD in patients with PFC after pancreas surgery and compare it with percutaneous drainage (PCD). METHODS: PubMed and Web of Science databases were searched for studies reporting outcomes EUSD in treatment of PFC after pancreas surgeries, from their inception until January 2022. Two meta-analyses were performed: (A) a systematic review and single-arm meta-analysis of EUSD (meta-analysis A) and (B) two-arm meta-analysis comparing the outcomes of EUSD and PCD (meta-analysis B). Pooled proportion of the outcomes in meta-analysis A as well as odds ratio (OR) and mean difference (MD) in meta-analysis B was calculated to determine the technical and clinical success rates, complications rate, hospital stay, and recurrence rate. ROBINS-I tool was used to assess the risk of bias. RESULTS: The literature search retrieved 610 articles, 25 of which were eligible for inclusion. Included clinical studies comprised reports on 695 patients. Twenty-five studies (477 patients) were included in meta-analysis A and eight studies (356 patients) were included in meta-analysis B. In meta-analysis A, the technical and clinical success rates of EUSD were 94% and 87%, respectively, with post-procedural complications of 14% and recurrence rates of 9%. Meta-analysis B showed comparable technical and clinical success rates as well as complications rates between EUSD and PCD. EUSD showed significantly shorter duration of hospital stay compared to that of patients treated with PCD. CONCLUSION: EUSD seems to be associated with high technical and clinical success rates, with low rates of procedure-related complications. Although EUSD leads to shorter hospital stay compared to PCD, the certainty of evidence was low in this regard. SUPPLEMENTARY INFORMATION: The online version contains supplementary material available at 10.1007/s00464-022-09137-6. Springer US 2022-03-04 2022 /pmc/articles/PMC9085703/ /pubmed/35246738 http://dx.doi.org/10.1007/s00464-022-09137-6 Text en © The Author(s) 2022 https://creativecommons.org/licenses/by/4.0/Open AccessThis article is licensed under a Creative Commons Attribution 4.0 International License, which permits use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons licence, and indicate if changes were made. The images or other third party material in this article are included in the article's Creative Commons licence, unless indicated otherwise in a credit line to the material. If material is not included in the article's Creative Commons licence and your intended use is not permitted by statutory regulation or exceeds the permitted use, you will need to obtain permission directly from the copyright holder. To view a copy of this licence, visit http://creativecommons.org/licenses/by/4.0/ (https://creativecommons.org/licenses/by/4.0/) .
spellingShingle Review Article
Ramouz, Ali
Shafiei, Saeed
Ali-Hasan-Al-Saegh, Sadeq
Khajeh, Elias
Rio-Tinto, Ricardo
Fakour, Sanam
Brandl, Andreas
Goncalves, Gil
Berchtold, Christoph
Büchler, Markus W.
Mehrabi, Arianeb
Systematic review and meta-analysis of endoscopic ultrasound drainage for the management of fluid collections after pancreas surgery
title Systematic review and meta-analysis of endoscopic ultrasound drainage for the management of fluid collections after pancreas surgery
title_full Systematic review and meta-analysis of endoscopic ultrasound drainage for the management of fluid collections after pancreas surgery
title_fullStr Systematic review and meta-analysis of endoscopic ultrasound drainage for the management of fluid collections after pancreas surgery
title_full_unstemmed Systematic review and meta-analysis of endoscopic ultrasound drainage for the management of fluid collections after pancreas surgery
title_short Systematic review and meta-analysis of endoscopic ultrasound drainage for the management of fluid collections after pancreas surgery
title_sort systematic review and meta-analysis of endoscopic ultrasound drainage for the management of fluid collections after pancreas surgery
topic Review Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9085703/
https://www.ncbi.nlm.nih.gov/pubmed/35246738
http://dx.doi.org/10.1007/s00464-022-09137-6
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