Double Stenting for Malignant Biliary and Duodenal Obstruction: A Systematic Review and Meta-Analysis.

ABSTRACT:

Introduction

Data about the efficacy of palliative double stenting for malignant duodenal and biliary obstruction are limited.

Methods

A systematic literature search was performed to assess the feasibility and optimal method of double stenting for malignant duodenobiliary obstruction compared with surgical double bypass in terms of technical and clinical success, adverse events, reinterventions, and survival. Event rates with 95% confidence intervals were calculated.

Results

Seventy-two retrospective and 8 prospective studies published until July 2018 were included. Technical and clinical success rates of double stenting were 97% (95%-99%) and 92% (89%-95%), respectively. Clinical success of endoscopic biliary stenting was higher than that of surgery (97% [94%-99%] vs

SUBMITTER: Fabian A 

PROVIDER: S-EPMC7263659 | biostudies-literature | 2020 Apr

REPOSITORIES: biostudies-literature