PMID- 37310282
OWN - NLM
STAT- MEDLINE
DCOM- 20231219
LR  - 20231219
IS  - 1365-2931 (Electronic)
IS  - 1364-5706 (Linking)
VI  - 32
IP  - 6
DP  - 2023 Dec
TI  - EUS-guided gastroenterostomy for gastric outlet obstruction: a comprehensive 
      meta-analysis.
PG  - 285-299
LID - 10.1080/13645706.2023.2221336 [doi]
AB  - OBJECTIVE: A comprehensive meta-analysis was performed to evaluate the efficacy 
      and safety of endoscopic ultrasound-guided gastroenterostomy (EUS-GE) for benign 
      and malignant gastric outlet obstruction (GOO). MATERIAL AND METHODS: PubMed, 
      Embase, Web of Science and Cochrane Library were searched to identify relevant 
      studies. The primary outcomes evaluated technical success, clinical success, and 
      adverse events (AEs). RESULTS: Twenty‑six studies with 1493 patients were 
      included in this meta-analysis. The pooled rates of technical success, clinical 
      success, and overall AEs of EUS-GE were 94.0%, 89.9%, and 13.1%, respectively. 
      Eight studies were included in the subgroup meta-analysis for comparative 
      evaluation of EUS-GE and surgical gastroenterostomy (SGE), while seven studies 
      were for EUS-GE and enteral stenting (ES). Compared with SGE, the pooled odds 
      ratios (ORs) of technical success, clinical success, and overall AEs of EUS-GE 
      were 0.17 (p = .003), 1.42 (p = .40), and 0.15 (p < .00001), respectively. When 
      compared with ES, the above corresponding pooled ORs were 0.55 (p = .11), 2.64 (p 
      < .0001), and 0.41 (p = .01), respectively. CONCLUSION: Although it is 
      technically challenging, this largest meta-analysis indicates that EUS‑GE has 
      comparable and high technical and clinical success rates and hence a very 
      effective minimally invasive procedure for GOO.
FAU - Li, Jia-Su
AU  - Li JS
AD  - Department of Gastroenterology, Zhongnan Hospital of Wuhan University, Wuhan, 
      China.
FAU - Lin, Kun
AU  - Lin K
AD  - Department of Gastroenterology, Zhongnan Hospital of Wuhan University, Wuhan, 
      China.
FAU - Tang, Jian
AU  - Tang J
AD  - Digestive Endoscopy Center, Shanghai Tenth People's Hospital, Tongji University 
      School of Medicine, Shanghai, China.
FAU - Liu, Feng
AU  - Liu F
AUID- ORCID: 0000-0002-5126-5389
AD  - Digestive Endoscopy Center, Shanghai Tenth People's Hospital, Tongji University 
      School of Medicine, Shanghai, China.
FAU - Fang, Jun
AU  - Fang J
AUID- ORCID: 0009-0005-6702-0289
AD  - Department of Gastroenterology, Zhongnan Hospital of Wuhan University, Wuhan, 
      China.
LA  - eng
PT  - Journal Article
PT  - Meta-Analysis
PT  - Review
DEP - 20230613
PL  - England
TA  - Minim Invasive Ther Allied Technol
JT  - Minimally invasive therapy & allied technologies : MITAT : official journal of 
      the Society for Minimally Invasive Therapy
JID - 9612996
SB  - IM
MH  - Humans
MH  - *Gastroenterostomy/adverse effects/methods
MH  - *Gastric Outlet Obstruction/etiology/surgery
MH  - Endosonography/methods
MH  - Stents
MH  - Retrospective Studies
OTO - NOTNLM
OT  - EUS-guided gastroenterostomy
OT  - adverse events
OT  - enteral stenting
OT  - gastric outlet obstruction
OT  - surgical gastroenterostomy
EDAT- 2023/06/13 13:12
MHDA- 2023/12/19 06:41
CRDT- 2023/06/13 10:14
PHST- 2023/12/19 06:41 [medline]
PHST- 2023/06/13 13:12 [pubmed]
PHST- 2023/06/13 10:14 [entrez]
AID - 10.1080/13645706.2023.2221336 [doi]
PST - ppublish
SO  - Minim Invasive Ther Allied Technol. 2023 Dec;32(6):285-299. doi: 
      10.1080/13645706.2023.2221336. Epub 2023 Jun 13.