Percutaneous transhepatic cholangiography vs endoscopic ultrasound-guided biliary drainage:A systematic review

作     者：Zeinab Hassan Eyad Gadour 

作者机构：Internal MedicineStockport Hospitals NHS Foundation TrustManchester SK27JEUnited Kingdom Department of GastroenterologyUniversity Hospitals of Morecambe Bay NHS Foundation TrustLancaster LA14RPUnited Kingdom 

出 版 物：《World Journal of Gastroenterology》 (世界胃肠病学杂志（英文版）)

年 卷 期：2022年第28卷第27期

页      面：3514-3523页

核心收录：

学科分类：1002[医学-临床医学] 100210[医学-外科学(含：普外、骨外、泌尿外、胸心外、神外、整形、烧伤、野战外)] 10[医学] 

主　　题：Percutaneous transhepatic cholangiography Endoscopic ultrasound Biliary drainage Obstructive cholangiopathy 

摘      要：BACKGROUND Percutaneous transhepatic cholangiography is a diagnostic and therapeutic procedure that involves inserting a needle into the biliary tree,followed by the immediate insertion of a *** ultrasound-guided biliary drainage(EUS-BD)is a novel technique that allows BD by echoendoscopy and fluoroscopy using a stent from the biliary tree to the gastrointestinal *** To compare the technical aspects and outcomes of percutaneous transhepatic BD(PTBD)and *** Different databases,including PubMed,Embase,***,the Cochrane library,Scopus,and Google Scholar,were searched according to the guidelines for Preferred Reporting Items for Systematic reviews and Meta-Analyses to obtain studies comparing PTBD and *** Among the six studies that fulfilled the inclusion criteria,PTBD patients underwent significantly more reinterventions(4.9 vs 1.3),experienced more postprocedural pain(4.1 vs 1.9),and experienced more late adverse events(53.8%vs 6.6%)than EUS-BD *** was a significant reduction in the total bilirubin levels in both the groups(16.4-3.3μmol/L and 17.2-3.8μmol/L for EUSBD and PTBD,respectively;P=0.002)at the 7-d *** were no significant differences observed in the complication rates between PTBD and EUSBD(3.3 vs 3.8).PTBD was associated with a higher adverse event rate than EUSBD in all the procedures,including reinterventions(80.4%vs 15.7%,respectively)and a higher index procedure(39.2%vs 18.2%,respectively).CONCLUSION The findings of this systematic review revealed that EUS-BD is linked with a higher rate of effective BD and a more manageable procedure-related adverse event profile than *** findings highlight the evidence for successful EUS-BD implementation.