Effectiveness and complication rates of percutaneous transhepatic fluoroscopy-guided management of common bile duct stones: a single-arm meta-analysis.
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| Title: | Effectiveness and complication rates of percutaneous transhepatic fluoroscopy-guided management of common bile duct stones: a single-arm meta-analysis. |
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| Authors: | Yoon, Seung Bae1 (AUTHOR), Jeon, Tae Yeon2 (AUTHOR), Moon, Sung-Hoon3 (AUTHOR) endomoon@hallym.or.kr, Shin, Dong Woo3 (AUTHOR), Park, Ji Won3 (AUTHOR), Kim, Sung Eun3 (AUTHOR), Kim, Min-Jeong4 (AUTHOR) |
| Source: | European Radiology. Nov2023, Vol. 33 Issue 11, p7398-7407. 10p. |
| Subjects: | Gallstones, Fluoroscopy, Endoscopic surgery |
| Abstract: | Objectives: To perform a systematic review and meta-analysis to determine the success and complication rate of percutaneous transhepatic fluoroscopy-guided management (PTFM) for the removal of common bile duct stones (CBDS). Methods: A comprehensive literature search of multiple databases was conducted to identify original articles published between January 2010 and June 2022, reporting the success rate of PTFM for the removal of CBDS. A random-effect model was used to summarize the pooled rates of success and complications with 95% confidence intervals (CIs). Results: Eighteen studies involving 2554 patients met the inclusion criteria and were included in the meta-analysis. Failed or infeasible endoscopic management was the most common indication of PTFM. The meta-analytic summary estimates of PTFM for the removal of CBDS were as follows: rate of overall stone clearance 97.1% (95% CI, 95.7–98.5%); stone clearance at first attempt 80.5% (95% CI, 72.3–88.6%); overall complications 13.8% (95% CI, 9.7–18.0%); major complications 2.8% (95% CI, 1.4–4.2%); and minor complications 9.3% (95% CI, 5.7–12.8%). Egger's tests showed the presence of publication bias with respect to the overall complications (p = 0.049). Transcholecystic management of CBDS had an 88.5% pooled rate for overall stone clearance (95% CI, 81.2–95.7%), with a 23.0% rate for complications (95% CI, 5.7–40.4%). Conclusion: The systematic review and meta-analysis answer the questions of the overall stone clearance, clearance at first attempt, and complication rate of PTFM by summarizing the available literature. Percutaneous management could be considered in cases with failed or infeasible endoscopic management of CBDS. Clinical relevance statement: This meta-analysis highlights the excellent stone clearance rate achieved through percutaneous transhepatic fluoroscopy-guided removal of common bile duct stones, potentially influencing clinical decision-making when endoscopic treatment is not feasible. Key Points: • Percutaneous transhepatic fluoroscopy-guided management of common bile duct stones had a pooled rate of 97.1% for overall stone clearance and 80.5% for clearance at the first attempt. • Percutaneous transhepatic management of common bile duct stones had an overall complication rate of 13.8%, including a major complication rate of 2.8%. • Percutaneous transcholecystic management of common bile duct stones had an overall stone clearance rate of 88.5% and a complication rate of 23.0%. [ABSTRACT FROM AUTHOR] |
| Copyright of European Radiology is the property of Springer Nature and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.) | |
| Database: | Engineering Source |
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| Header | DbId: egs DbLabel: Engineering Source An: 173151785 AccessLevel: 6 PubType: Academic Journal PubTypeId: academicJournal PreciseRelevancyScore: 0 |
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| Items | – Name: Title Label: Title Group: Ti Data: Effectiveness and complication rates of percutaneous transhepatic fluoroscopy-guided management of common bile duct stones: a single-arm meta-analysis. – Name: Author Label: Authors Group: Au Data: <searchLink fieldCode="AR" term="%22Yoon%2C+Seung+Bae%22">Yoon, Seung Bae</searchLink><relatesTo>1</relatesTo> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Jeon%2C+Tae+Yeon%22">Jeon, Tae Yeon</searchLink><relatesTo>2</relatesTo> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Moon%2C+Sung-Hoon%22">Moon, Sung-Hoon</searchLink><relatesTo>3</relatesTo> (AUTHOR)<i> endomoon@hallym.or.kr</i><br /><searchLink fieldCode="AR" term="%22Shin%2C+Dong+Woo%22">Shin, Dong Woo</searchLink><relatesTo>3</relatesTo> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Park%2C+Ji+Won%22">Park, Ji Won</searchLink><relatesTo>3</relatesTo> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Kim%2C+Sung+Eun%22">Kim, Sung Eun</searchLink><relatesTo>3</relatesTo> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Kim%2C+Min-Jeong%22">Kim, Min-Jeong</searchLink><relatesTo>4</relatesTo> (AUTHOR) – Name: TitleSource Label: Source Group: Src Data: <searchLink fieldCode="JN" term="%22European+Radiology%22">European Radiology</searchLink>. Nov2023, Vol. 33 Issue 11, p7398-7407. 10p. – Name: Subject Label: Subjects Group: Su Data: <searchLink fieldCode="DE" term="%22Gallstones%22">Gallstones</searchLink><br /><searchLink fieldCode="DE" term="%22Fluoroscopy%22">Fluoroscopy</searchLink><br /><searchLink fieldCode="DE" term="%22Endoscopic+surgery%22">Endoscopic surgery</searchLink> – Name: Abstract Label: Abstract Group: Ab Data: Objectives: To perform a systematic review and meta-analysis to determine the success and complication rate of percutaneous transhepatic fluoroscopy-guided management (PTFM) for the removal of common bile duct stones (CBDS). Methods: A comprehensive literature search of multiple databases was conducted to identify original articles published between January 2010 and June 2022, reporting the success rate of PTFM for the removal of CBDS. A random-effect model was used to summarize the pooled rates of success and complications with 95% confidence intervals (CIs). Results: Eighteen studies involving 2554 patients met the inclusion criteria and were included in the meta-analysis. Failed or infeasible endoscopic management was the most common indication of PTFM. The meta-analytic summary estimates of PTFM for the removal of CBDS were as follows: rate of overall stone clearance 97.1% (95% CI, 95.7–98.5%); stone clearance at first attempt 80.5% (95% CI, 72.3–88.6%); overall complications 13.8% (95% CI, 9.7–18.0%); major complications 2.8% (95% CI, 1.4–4.2%); and minor complications 9.3% (95% CI, 5.7–12.8%). Egger's tests showed the presence of publication bias with respect to the overall complications (p = 0.049). Transcholecystic management of CBDS had an 88.5% pooled rate for overall stone clearance (95% CI, 81.2–95.7%), with a 23.0% rate for complications (95% CI, 5.7–40.4%). Conclusion: The systematic review and meta-analysis answer the questions of the overall stone clearance, clearance at first attempt, and complication rate of PTFM by summarizing the available literature. Percutaneous management could be considered in cases with failed or infeasible endoscopic management of CBDS. Clinical relevance statement: This meta-analysis highlights the excellent stone clearance rate achieved through percutaneous transhepatic fluoroscopy-guided removal of common bile duct stones, potentially influencing clinical decision-making when endoscopic treatment is not feasible. Key Points: • Percutaneous transhepatic fluoroscopy-guided management of common bile duct stones had a pooled rate of 97.1% for overall stone clearance and 80.5% for clearance at the first attempt. • Percutaneous transhepatic management of common bile duct stones had an overall complication rate of 13.8%, including a major complication rate of 2.8%. • Percutaneous transcholecystic management of common bile duct stones had an overall stone clearance rate of 88.5% and a complication rate of 23.0%. [ABSTRACT FROM AUTHOR] – Name: AbstractSuppliedCopyright Label: Group: Ab Data: <i>Copyright of European Radiology is the property of Springer Nature and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract.</i> (Copyright applies to all Abstracts.) |
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| RecordInfo | BibRecord: BibEntity: Identifiers: – Type: doi Value: 10.1007/s00330-023-09846-z Languages: – Code: eng Text: English PhysicalDescription: Pagination: PageCount: 10 StartPage: 7398 Subjects: – SubjectFull: Gallstones Type: general – SubjectFull: Fluoroscopy Type: general – SubjectFull: Endoscopic surgery Type: general Titles: – TitleFull: Effectiveness and complication rates of percutaneous transhepatic fluoroscopy-guided management of common bile duct stones: a single-arm meta-analysis. Type: main BibRelationships: HasContributorRelationships: – PersonEntity: Name: NameFull: Yoon, Seung Bae – PersonEntity: Name: NameFull: Jeon, Tae Yeon – PersonEntity: Name: NameFull: Moon, Sung-Hoon – PersonEntity: Name: NameFull: Shin, Dong Woo – PersonEntity: Name: NameFull: Park, Ji Won – PersonEntity: Name: NameFull: Kim, Sung Eun – PersonEntity: Name: NameFull: Kim, Min-Jeong IsPartOfRelationships: – BibEntity: Dates: – D: 01 M: 11 Text: Nov2023 Type: published Y: 2023 Identifiers: – Type: issn-print Value: 09387994 Numbering: – Type: volume Value: 33 – Type: issue Value: 11 Titles: – TitleFull: European Radiology Type: main |
| ResultId | 1 |
