Endoscopic Ultrasound-guided Biliary Drainage Versus Percutaneous Transhepatic Biliary Drainage After Failed Endoscopic Retrograde Cholangiopancreatography: a Meta-analysis

Overview

Journal Clin Exp Gastroenterol

Publisher Dove Medical Press

Specialty Gastroenterology

Date 2017 Apr 15

PMID 28408850

Citations 23

Authors

Ramkaji Baniya

Sunil Upadhaya

Seetharamprasad Madala

Subash Chandra Subedi

Tabrez Shaik Mohammed

Ghassan Bachuwa

Affiliations

Soon will be listed here.

Abstract

The failure rate of endoscopic retrograde cholangiopancreatography for biliary cannulation is approximately 6%-7% in cases of obstructive jaundice. Percutaneous transhepatic biliary drainage (PTBD) is the procedure of choice in such cases. Endoscopic ultrasound-guided biliary drainage (EGBD) is a novel technique that allows biliary drainage by echoendoscopy and fluoroscopy using a stent from the biliary tree to the gastrointestinal tract. Information in PubMed, Scopus, clinicaltrials.gov and Cochrane review were analyzed to obtain studies comparing EGBD and PTBD. Six studies fulfilled the inclusion criteria. Technical (odds ratio (OR): 0.34; confidence interval (CI) 0.10-1.14; =0.05) and clinical (OR: 1.48; CI 0.46-4.79; =0.51) success rates were not statistically significant between the EGBD and PTBD groups. Mild adverse events were nonsignificantly different (OR: 0.36; CI 0.10-1.24; =0.11) but not the moderate-to-severe adverse events (OR: 0.16; CI 0.08-0.32; ≤0.00001) and total adverse events (OR: 0.34; CI 0.20-0.59; ≤0.0001). EGBD is equally effective but safer than PTBD.

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