PMID- 38348330
OWN - NLM
STAT- PubMed-not-MEDLINE
LR  - 20240214
IS  - 2364-3722 (Print)
IS  - 2196-9736 (Electronic)
IS  - 2196-9736 (Linking)
VI  - 12
IP  - 2
DP  - 2024 Feb
TI  - Risk of recurrence with or without plastic stent after EUS-guided treatment of 
      peripancreatic fluid collections: A systematic review and meta-analysis.
PG  - E188-E198
LID - 10.1055/a-2226-1237 [doi]
AB  - Background and study aims Recent advances in endoscopic transmural treatment have 
      improved the clinical outcomes of patients with pancreatic fluid collections 
      (PFCs). However, there is still a debate about the preventive effect of long-term 
      placement of a transmural plastic stent (PS) on recurrence after successful 
      endoscopic ultrasound (EUS)-guided treatment of PFCs. We conducted a systematic 
      review and meta-analysis to evaluate PFC recurrence rates with and without a 
      transmural PS after EUS-guided treatment. Patients and methods A systematic 
      literature search of PubMed, Embase, and the Cochrane database was conducted to 
      identify clinical studies comparing outcomes with and without transmural PS 
      published until September 2022. Data on PFC recurrence and adverse events (AEs) 
      were pooled using a random-effects model. Results Nine studies including 380 
      patients with long-term transmural PS and 289 patients without PS were 
      identified. The rate of PFC recurrence was significantly lower in patients with 
      transmural PS (pooled odds ratio [OR] = 0.23, 95% confidence interval [CI] 
      [0.08-0.65], P = 0.005). In a subgroup analysis limited to studies focusing on 
      patients with disconnected pancreatic duct syndrome, which has been reported to 
      be a risk factor for PFC recurrence, the OR was numerically lower than that for 
      the entire cohort (OR = 0.14, 95% CI [0.04-0.46]). The rate of AEs was 
      significantly higher with long-term transmural PS (OR = 14.77, 95% CI 
      [4.21-51.83]). Conclusions In this meta-analysis, long-term PS placement reduced 
      the risk of PFC recurrence. Given the potential AEs of indwelling PS, further 
      research is required to evaluate the overall benefits of long-term PS placement.
CI  - The Author(s). This is an open access article published by Thieme under the terms 
      of the Creative Commons Attribution-NonDerivative-NonCommercial-License, 
      permitting copying and reproduction so long as the original work is given 
      appropriate credit. Contents may not be used for commercial purposes, or adapted, 
      remixed, transformed or built upon. 
      (https://creativecommons.org/licenses/by-nc-nd/4.0/).
FAU - Iwashita, Takuji
AU  - Iwashita T
AUID- ORCID: 0000-0003-4978-1787
AD  - First Department of Internal Medicine, Gifu University Hospital, Gifu, Japan. 
      RINGGOLD: 476117
FAU - Sato, Tatsuya
AU  - Sato T
AUID- ORCID: 0000-0002-5142-4706
AD  - Department of Gastroenterology, The University of Tokyo Graduate School of 
      Medicine, Tokyo, Japan.
FAU - Hamada, Tsuyoshi
AU  - Hamada T
AD  - Department of Gastroenterology, The University of Tokyo Graduate School of 
      Medicine, Tokyo, Japan.
AD  - Department of Hepato-Biliary-Pancreatic Medicine, Cancer Institute Hospital, 
      Japanese Foundation for Cancer Research, Tokyo, Japan.
FAU - Saito, Tomotaka
AU  - Saito T
AUID- ORCID: 0000-0001-6008-1648
AD  - Department of Gastroenterology, The University of Tokyo Graduate School of 
      Medicine, Tokyo, Japan.
FAU - Iwata, Keisuke
AU  - Iwata K
AD  - Department of Gastroenterology, Gifu Municipal Hospital, Gifu, Japan. RINGGOLD: 
      38226
FAU - Shiomi, Hideyuki
AU  - Shiomi H
AD  - Division of Hepatobiliary and Pancreatic Diseases, Department of 
      Gastroenterology, Hyogo Medical University, Hyogo, Japan. RINGGOLD: 12818
FAU - Takenaka, Mamoru
AU  - Takenaka M
AUID- ORCID: 0000-0001-7308-4311
AD  - Department of Gastroenterology and Hepatology, Kindai University Faculty of 
      Medicine, Osaka, Japan.
FAU - Maruta, Akinori
AU  - Maruta A
AD  - Department of Gastroenterology, Gifu Prefectural General Medical Center, Gifu, 
      Japan. RINGGOLD: 68266
FAU - Uemura, Shinya
AU  - Uemura S
AD  - First Department of Internal Medicine, Gifu University Hospital, Gifu, Japan. 
      RINGGOLD: 476117
FAU - Masuda, Atsuhiro
AU  - Masuda A
AD  - Department of Gastroenterology, Kobe University Graduate School of Medicine, 
      Hyogo, Japan.
FAU - Matsubara, Saburo
AU  - Matsubara S
AUID- ORCID: 0000-0001-8182-3524
AD  - Department of Gastroenterology and Hepatology, Saitama Medical Center, Saitama 
      Medical University, Saitama, Japan.
FAU - Mukai, Tsuyoshi
AU  - Mukai T
AD  - Department of Gastroenterological Endoscopy, Kanazawa Medical University, 
      Ishikawa, Japan. RINGGOLD: 12857
FAU - Isayama, Hiroyuki
AU  - Isayama H
AUID- ORCID: 0000-0002-6206-9236
AD  - Department of Gastroenterology, Juntendo University Graduate School of Medicine, 
      Tokyo, Japan.
FAU - Yasuda, Ichiro
AU  - Yasuda I
AD  - Third Department of Internal Medicine, University of Toyama, Toyama, Japan.
FAU - Nakai, Yousuke
AU  - Nakai Y
AUID- ORCID: 0000-0001-7411-1385
AD  - Department of Gastroenterology, The University of Tokyo Graduate School of 
      Medicine, Tokyo, Japan.
AD  - Department of Endoscopy and Endoscopic Surgery, The University of Tokyo Hospital, 
      Tokyo, Japan. RINGGOLD: 26782
LA  - eng
PT  - Journal Article
PT  - Review
DEP - 20240212
PL  - Germany
TA  - Endosc Int Open
JT  - Endoscopy international open
JID - 101639919
PMC - PMC10861320
OTO - NOTNLM
OT  - Biliary tract
OT  - Endoscopic ultrasonography
OT  - Intervention EUS
OT  - Pancreas
COIS- Conflict of Interest YN received research grants from Boston Scientific Japan, 
      Fujifilm Corporation, and HOYA Corporation, and honoraria from Boston Scientific 
      Japan, Fujifilm Corporation, Olympus Corporation, and Gadelius Medical. HI 
      received research grants from Boston Scientific Japan, Fujifilm Corporation, 
      Fujifilm Health Care Corporation, Gadelius Medical KK, and Zeon Medical Inc., and 
      honoraria from Boston Scientific Japan, Fujifilm Corporation, Taewoong Medical 
      Devices, Olympus Corporation, Century Medical Inc., and Cook Medical Japan G.K. 
      Other authors have no conflicts of interest to declare.
EDAT- 2024/02/13 06:45
MHDA- 2024/02/13 06:46
PMCR- 2024/02/01
CRDT- 2024/02/13 03:51
PHST- 2023/08/01 00:00 [received]
PHST- 2023/12/06 00:00 [accepted]
PHST- 2024/02/13 06:46 [medline]
PHST- 2024/02/13 06:45 [pubmed]
PHST- 2024/02/13 03:51 [entrez]
PHST- 2024/02/01 00:00 [pmc-release]
AID - EIO-2023-08-3085-REV [pii]
AID - 10.1055/a-2226-1237 [doi]
PST - epublish
SO  - Endosc Int Open. 2024 Feb 12;12(2):E188-E198. doi: 10.1055/a-2226-1237. 
      eCollection 2024 Feb.