AIM: To investigate the efficacy and safety profile of pancreatic duct (PD) stent placement for prevention of post-endoscopic retrograde cholangiopancreatography (ERCP) pancreatitis (PEP). METHODS: We performed a search of MEDLINE, EMBASE, and Cochrane Library to identify randomized controlled clinical trials of prophylactic PD stent placement after ERCP. RevMan 5 software provided by Cochrane was used for the heterogeneity and efficacy analyses, and a meta-analysis was performed for the data that showed homogeneity. Categorical data are presented as relative risks and 95% confidence intervals (CIs), and measurement data are presented as weighted mean differences and 95%CIs. RESULTS: The incidence rates of severe pancreatitis, operation failure, complications and patient pain severity were analyzed. Data on pancreatitis incidence were reported in 14 of 15 trials. There was no significant heterogeneity between the trials (I(2) = 0%, P = 0.93). In the stent group, 49 of the 1233 patients suffered from PEP, compared to 133 of the 1277 patients in the no-stent group. The results of this meta-analysis indicate that it may be possible to prevent PEP by placing a PD stent. CONCLUSION: PD stent placement can reduce postoperative hyperamylasemia and might be an effective and safe option to prevent PEP if the operation indications are well controlled.
AIM: To investigate the efficacy and safety profile of pancreatic duct (PD) stent placement for prevention of post-endoscopic retrograde cholangiopancreatography (ERCP) pancreatitis (PEP). METHODS: We performed a search of MEDLINE, EMBASE, and Cochrane Library to identify randomized controlled clinical trials of prophylactic PD stent placement after ERCP. RevMan 5 software provided by Cochrane was used for the heterogeneity and efficacy analyses, and a meta-analysis was performed for the data that showed homogeneity. Categorical data are presented as relative risks and 95% confidence intervals (CIs), and measurement data are presented as weighted mean differences and 95%CIs. RESULTS: The incidence rates of severe pancreatitis, operation failure, complications and patientpain severity were analyzed. Data on pancreatitis incidence were reported in 14 of 15 trials. There was no significant heterogeneity between the trials (I(2) = 0%, P = 0.93). In the stent group, 49 of the 1233 patients suffered from PEP, compared to 133 of the 1277 patients in the no-stent group. The results of this meta-analysis indicate that it may be possible to prevent PEP by placing a PD stent. CONCLUSION:PD stent placement can reduce postoperative hyperamylasemia and might be an effective and safe option to prevent PEP if the operation indications are well controlled.
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Authors: Sang-Woo Cha; Wesley D Leung; Glen A Lehman; James L Watkins; Lee McHenry; Evan L Fogel; Stuart Sherman Journal: Gastrointest Endosc Date: 2012-10-22 Impact factor: 9.427
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Authors: Florian Alexander Michael; Ludmilla Gerber; Nina Weiler; Peter Marton Hunyady; Nada Abedin; Anna-Lena Laguna de la Vera; Philipp Stoffers; Natalie Filmann; Stefan Zeuzem; Jörg Bojunga; Mireen Friedrich-Rust; Georg Dultz Journal: United European Gastroenterol J Date: 2021-04-22 Impact factor: 4.623
Authors: Xavier J N M Smeets; David W da Costa; Paul Fockens; Chris J J Mulder; Robin Timmer; Wietske Kievit; Marieke Zegers; Marco J Bruno; Marc G H Besselink; Frank P Vleggaar; Rene W M van der Hulst; Alexander C Poen; Gerbrand D N Heine; Niels G Venneman; Jeroen J Kolkman; Lubbertus C Baak; Tessa E H Römkens; Sven M van Dijk; Nora D L Hallensleben; Wim van de Vrie; Tom C J Seerden; Adriaan C I T L Tan; Annet M C J Voorburg; Jan-Werner Poley; Ben J Witteman; Abha Bhalla; Muhammed Hadithi; Willem J Thijs; Matthijs P Schwartz; Jan Maarten Vrolijk; Robert C Verdonk; Foke van Delft; Yolande Keulemans; Harry van Goor; Joost P H Drenth; Erwin J M van Geenen Journal: Trials Date: 2018-04-02 Impact factor: 2.279