Systematic review with meta-analysis: incidence of variceal hemorrhage in patients with cirrhosis undergoing transesophageal echocardiography.

ABSTRACT:

Background

The presence of esophageal varices is considered a relative contraindication to transesophageal echocardiography (TEE) by cardiology professional societies, so gastroenterologists are often consulted to perform upper endoscopy prior to TEE in patients with cirrhosis.

Aim

To perform a systematic review to quantify the risk of bleeding complications in patients with cirrhosis following TEE.

Methods

Two reviewers searched Ovid MEDLINE, MEDLINE In-Process and EMBASE databases from January 1992 to May 2021 for studies reporting bleeding complications from TEE in patients with cirrhosis. We calculated the pooled incidence rate of bleeding events using the metaprop command with a random effect model.

Results

We identified 21 studies comprising 4050 unique p

SUBMITTER: Odewole M 

PROVIDER: S-EPMC9197198 | biostudies-literature | 2022 May

REPOSITORIES: biostudies-literature