PDF herunterladen
Endoscopy 2021; 53(10): 1037-1047
DOI: 10.1055/a-1324-7919
Systematic review

Efficacy of lumen-apposing metal stents or self-expandable metal stents for endoscopic ultrasound-guided choledochoduodenostomy: a systematic review and meta-analysis

Arnaldo Amato 
 1   Division of Digestive Endoscopy and Gastroenterology, Valduce Hospital, Como, Italy
,
Emanuele Sinagra
 2   Gastroenterology and Endoscopy Unit, Fondazione Istituto G. Giglio, Cefalù, Italy
 3   Euro-Mediterranean Institute of Science and Technology (IEMEST), Section of Nutrition, Palermo, Italy
,
Ciro Celsa
 4   Section of Gastroenterology and Hepatology, Department of Health Promotion, Mother and Child Care, Internal Medicine and Medical Specialties, PROMISE, University of Palermo, Palermo, Italy
 5   Doctoral Programme in Experimental Oncology and Surgery, Department of Surgical Oncological and Oral Sciences, University of Palermo, Palermo, Italy
,
Marco Enea
 6   Department of Health Promotion, Mother and Child Care, Internal Medicine and Medical Specialties, PROMISE, University of Palermo, Palermo, Italy
,
Andrea Buda
 7   Gastroenterology Unit, Santa Maria del Prato Hospital, Feltre, Italy
,
Filippo Vieceli
 8   Gastroenterology and Endoscopy Unit, Pancreas Center, University of Verona, Italy
,
Lucia Scaramella
 1   Division of Digestive Endoscopy and Gastroenterology, Valduce Hospital, Como, Italy
 9   Department of Pathophysiology and Transplantation, University of Milan, Italy
,
Paul Belletrutti
10   Humanitas University, Department of Biomedical Sciences, Milan, Italy
,
Alessandro Fugazza 
11   Digestive Endoscopy Unit, Department of Gastroenterology, Humanitas Clinical and Research Center-IRCCS, Rozzano (MI), Italy
,
Calogero Cammà
 4   Section of Gastroenterology and Hepatology, Department of Health Promotion, Mother and Child Care, Internal Medicine and Medical Specialties, PROMISE, University of Palermo, Palermo, Italy
,
Franco Radaelli
 1   Division of Digestive Endoscopy and Gastroenterology, Valduce Hospital, Como, Italy
,
Alessandro Repici
10   Humanitas University, Department of Biomedical Sciences, Milan, Italy
11   Digestive Endoscopy Unit, Department of Gastroenterology, Humanitas Clinical and Research Center-IRCCS, Rozzano (MI), Italy
,
Andrea Anderloni
11   Digestive Endoscopy Unit, Department of Gastroenterology, Humanitas Clinical and Research Center-IRCCS, Rozzano (MI), Italy
› Institutsangaben
› Weitere Informationen
Auch verfügbar auf
    Lizenzen und Reprints

Einführung zu diesem Artikel:

Author commentary on Arnaldo Amato et al.Endoscopy 2021; 53(10): v50-v50
DOI: 10.1055/a-1379-6470

Abstract

Background Endoscopic ultrasound (EUS)-guided biliary drainage is becoming an option for palliation of malignant biliary obstruction. Lumen-apposing metal stents (LAMS) are replacing self-expandable metal stents (SEMS). The aim of this meta-analysis was to evaluate the efficacy and safety of LAMS and SEMS for EUS-guided choledochoduodenostomy (EUS-CDS).

Methods A meta-analysis was performed using PRISMA protocols. Electronic databases were searched for studies on EUS-CDS. The primary outcome was clinical success. Secondary outcomes were technical success, reintervention, and adverse events. We used the random effects model with the DerSimonian–Laird estimation, and the results were depicted using forest plots. Subgroup analyses were also performed with data stratified by selected variable.

Results Overall, 31 studies (820 patients) were included. The pooled rates of clinical and technical success were 93.6 % (95 % confidence interval [CI] 88.6 %–96.5 %) and 94.8 % (95 %CI 90.2 %–97.3 %) for LAMS, and 91.7 % (95 %CI 88.1 %–94.2 %) and 92.7 % (95 %CI 89.9 %–94.9 %) for SEMS, respectively. The pooled rates of adverse events were 17.1 % (95 %CI 12.5 %–22.8 %) for LAMS and 18.3 % (95 %CI 14.3 %–23.0 %) for SEMS. The pooled rates of reintervention were 10.9 % (95 %CI 7.7 %–15.3 %) for LAMS and 13.9 % (95 %CI 9.6 %–19.7 %) for SEMS. Subgroup analyses confirmed these results.

Conclusions This meta-analysis showed that LAMS and SEMS are comparable in terms of efficacy for EUS-CDS. Clinical and technical success, post-procedure adverse events, and reintervention rates were similar between LAMS and SEMS use; however, adverse events require further investigation.

Tables 1s–8s, Figs. 1s–6s



Publikationsverlauf

Eingereicht: 23. September 2019

Angenommen nach Revision: 27. November 2020

Accepted Manuscript online:
27. November 2020

Artikel online veröffentlicht:
02. März 2021

© 2020. Thieme. All rights reserved.

Georg Thieme Verlag KG
Rüdigerstraße 14, 70469 Stuttgart, Germany

 

  • References

  • 1 Nennstiel S, Weber A, Frick G. et al. Drainage-related complications in percutaneous transhepatic biliary drainage: an analysis over 10 years. J Clin Gastroenterol 2015; 49: 764-770
    CrossrefPubMedSuche in Google Scholar
  • 2 Paik WH, Lee TH, Park DH. et al. EUS-guided biliary drainage versus ERCP for the primary palliation of malignant biliary obstruction: a multicenter randomized clinical trial. Am J Gastroenterol 2018; 113: 987-997
    CrossrefPubMedSuche in Google Scholar
  • 3 Uemura RS, Khan MA, Otoch JP. et al. EUS-guided choledochoduodenostomy versus hepaticogastrostomy: a systematic review and meta-analysis. J Clin Gastroenterol 2018; 52: 123-130
    CrossrefPubMedSuche in Google Scholar
  • 4 Giovannini M, Moutardier V, Pesenti C. et al. Endoscopic ultrasound-guided bilio-duodenal anastomosis: a new technique for biliary drainage. Endoscopy 2001; 33: 898-900
    Thieme ConnectPubMedSuche in Google Scholar
  • 5 Binmoeller KF, Shah J. A novel lumen-apposing stent for transluminal drainage of nonadherent extraintestinal fluid collections. Endoscopy 2011; 43: 337-342
    Thieme ConnectPubMedSuche in Google Scholar
  • 6 Moher D, Liberati A, Tetzlaff J. et al. Preferred reporting items for systematic reviews and meta-analyses: the PRISMA statement. Ann Intern Med 2009; 151: 264-269
    Suche in Google Scholar
  • 7 Stang A. Critical evaluation of the Newcastle–Ottawa scale for the assessment of the quality of nonrandomized studies in meta-analyses. Eur J Epidemiol 2010; 25: 603-605
    CrossrefPubMedSuche in Google Scholar
  • 8 Cotton PB, Eisen GM, Aabakken L. et al. A lexicon for endoscopic adverse events: report of an ASGE workshop. Gastrointest Endosc 2010; 71: 446-454
    CrossrefPubMedSuche in Google Scholar
  • 9 DerSimonian R, Laird N. Meta-analysis in clinical trials. Control Clin Trials 1986; 7: 177-188
    CrossrefPubMedSuche in Google Scholar
  • 10 Higgins JPT, Thompson SG, Deeks JJ. et al. Measuring inconsistency in meta-analyses. BMJ 2003; 327: 557-560
    CrossrefPubMedSuche in Google Scholar
  • 11 Kanwal F, White D. Systematic reviews and meta-analyses in clinical gastroenterology and hepatology. Clin Gastroenterol Hepatol 2012; 10: 1184-1186
    CrossrefPubMedSuche in Google Scholar
  • 12 Guyatt GH, Oxman AD, Kunz R. GRADE Working Group. et al. GRADE guidelines: 7. Rating the quality of evidence inconsistency. J Clin Epidemiol 2011; 64: 1294-1302
    CrossrefPubMedSuche in Google Scholar
  • 13 Higgins J, Thompson SG, Spiegelhalter DJ. A re‐evaluation of random‐effects meta‐analysis. J R Stat Soc Ser A Stat Soc 2009; 172: 137-159
    CrossrefPubMedSuche in Google Scholar
  • 14 Riley RD, Higgins JP, Deeks JJ. Interpretation of random effects meta-analyses. BMJ 2011; 342: d549
    CrossrefPubMedSuche in Google Scholar
  • 15 IntHout J, Ioannidis JP, Rovers MM. et al. Plea for routinely presenting prediction intervals in meta-analysis. BMJ Open 2016; 6: e010247
    CrossrefPubMedSuche in Google Scholar
  • 16 Jacques J, Privat J, Pinard F. et al. EUS-guided choledochoduodenostomy by use of electrocautery-enhanced lumen-apposing metal stents: a French multicenter study after implementation of the technique (with video). Gastrointest Endosc 2020; 92: 134-141
    CrossrefPubMedSuche in Google Scholar
  • 17 El Chafic AH, Shah JN, Hamerski C. et al. EUS-guided choledochoduodenostomy for distal malignant biliary obstruction using electrocautery-enhanced lumen-apposing metal stents: first US, multicenter experience. Dig Dis Sci 2019; 64: 3321-3327
    CrossrefPubMedSuche in Google Scholar
  • 18 Anderloni A, Fugazza A, Troncone E. et al. Single-stage EUS-guided choledochoduodenostomy using a lumen-apposing metal stent for malignant distal biliary obstruction. Gastrointest Endosc 2019; 89: 69-76
    CrossrefPubMedSuche in Google Scholar
  • 19 Jacques J, Privat J, Pinard F. et al. Endoscopic ultrasound-guided choledochoduodenostomy with electrocautery-enhanced lumen-apposing stents: a retrospective analysis. Endoscopy 2019; 51: 540-547
    Thieme ConnectPubMedSuche in Google Scholar
  • 20 Tsuchiya T, Teoh AYB, Itoi T. et al. Long-term outcomes of EUS-guided choledochoduodenostomy using a lumen-apposing metal stent for malignant distal biliary obstruction: a prospective multicenter study. Gastrointest Endosc 2018; 87: 1138-1146
    CrossrefPubMedSuche in Google Scholar
  • 21 Kunda R, Pérez-Miranda M, Will U. et al. EUS-guided choledochoduodenostomy for malignant distal biliary obstruction using a lumen-apposing fully covered metal stent after failed ERCP. Surg Endosc 2016; 30: 5002-5008
    CrossrefPubMedSuche in Google Scholar
  • 22 Minaga K, Ogura T, Shiomi H. et al. Comparison of the efficacy and safety of endoscopic ultrasound-guided choledochoduodenostomy and hepaticogastrostomy for malignant distal biliary obstruction: multicenter, randomized, clinical trial. Dig Endosc 2019; 31: 575-582
    CrossrefPubMedSuche in Google Scholar
  • 23 Itonaga M, Kitano M, Hatamaru K. et al. Endoscopic ultrasound-guided choledochoduodenostomy using a thin stent delivery system in patients with unresectable malignant distal biliary obstruction: a prospective multicenter study. Dig Endosc 2019; 31: 291-298
    CrossrefPubMedSuche in Google Scholar
  • 24 Nakai Y, Kogure H, Isayama H. et al. Endoscopic ultrasound-guided biliary drainage for unresectable hilar malignant biliary obstruction. Clin Endosc 2019; 52: 220-225
    CrossrefPubMedSuche in Google Scholar
  • 25 Bang JY, Navaneethan U, Hasan M. et al. Stent placement by EUS or ERCP for primary biliary decompression in pancreatic cancer: a randomized trial (with videos). Gastrointest Endosc 2018; 88: 9-17
    CrossrefPubMedSuche in Google Scholar
  • 26 Alvarez-Sánchez MV, Luna OB, Oria I. et al. Feasibility and safety of endoscopic ultrasound-guided biliary drainage (EUS-BD) for malignant biliary obstruction associated with ascites: results of a pilot study. J Gastrointest Surg 2018; 22: 1213-1220
    CrossrefPubMedSuche in Google Scholar
  • 27 Park JK, Woo YS, Noh DH. et al. Efficacy of EUS-guided and ERCP-guided biliary drainage for malignant biliary obstruction: prospective randomized controlled study. Gastrointest Endosc 2018; 88: 277-282
    CrossrefPubMedSuche in Google Scholar
  • 28 Rai P, Lokesh CR, Goel A. et al. Endoscopic ultrasound-guided choledochoduodenostomy using partially-covered self-expandable metal stent in patients with malignant distal biliary obstruction and unsuccessful ERCP. Endosc Int Open 2018; 6: E67-E72
    Thieme ConnectPubMedSuche in Google Scholar
  • 29 Huang P, Zhang H, Zhang XF. et al. Comparison of endoscopic ultrasonography guided biliary drainage and percutaneous transhepatic biliary drainage in the management of malignant obstructive jaundice after failed ERCP. Surg Laparosc Endosc Percutan Tech 2017; 27: e127-e131 Erratum in: Surg Laparosc Endosc Percutan Tech 2018; 28: 133
    CrossrefPubMedSuche in Google Scholar
  • 30 Cho DH, Lee SS, Oh D. et al. Long-term outcomes of a newly developed hybrid metal stent for EUS-guided biliary drainage (with videos). Gastrointest Endosc 2017; 85: 1067-1075
    CrossrefPubMedSuche in Google Scholar
  • 31 Lu L, Tang X, Jin H. et al. Endoscopic ultrasound-guided biliary drainage using self-expandable metal stent for malignant biliary obstruction. Gastroenterol Res Pract 2017; 2017: 6284094
    PubMedSuche in Google Scholar
  • 32 Lee TH, Choi JH, Park do H. et al. Similar efficacies of endoscopic ultrasound-guided transmural and percutaneous drainage for malignant distal biliary obstruction. Clin Gastroenterol Hepatol 2016; 14: 1011-1019.e3
    CrossrefPubMedSuche in Google Scholar
  • 33 Ogura T, Chiba Y, Masuda D. et al. Comparison of the clinical impact of endoscopic ultrasound-guided choledochoduodenostomy and hepaticogastrostomy for bile duct obstruction with duodenal obstruction. Endoscopy 2016; 48: 156-163 Erratum in: Endoscopy 2016; 48: 163
    Thieme ConnectPubMedSuche in Google Scholar
  • 34 Guo J, Sun S, Liu X. et al. Endoscopic ultrasound-guided biliary drainage using a fully covered metallic stent after failed endoscopic retrograde cholangiopancreatography. Gastroenterol Res Pract 2016; 2016: 9469472
    PubMedSuche in Google Scholar
  • 35 Khashab MA, Van der Merwe S, Kunda R. et al. Prospective international multicenter study on endoscopic ultrasound-guided biliary drainage for patients with malignant distal biliary obstruction after failed endoscopic retrograde cholangiopancreatography. Endosc Int Open 2016; 4: E487-496
    Thieme ConnectPubMedSuche in Google Scholar
  • 36 Amano M, Ogura T, Onda S. et al. Prospective clinical study of endoscopic ultrasound-guided biliary drainage using novel balloon catheter (with video). J Gastroenterol Hepatol 2017; 32: 716-720
    CrossrefPubMedSuche in Google Scholar
  • 37 Artifon EL, Loureiro JF, Baron TH. et al. Surgery or EUS-guided choledochoduodenostomy for malignant distal biliary obstruction after ERCP failure. Endosc Ultrasound 2015; 4: 235-243
    CrossrefPubMedSuche in Google Scholar
  • 38 Poincloux L, Rouquette O, Buc E. et al. Endoscopic ultrasound-guided biliary drainage after failed ERCP: cumulative experience of 101 procedures at a single center. Endoscopy 2015; 47: 794-801
    Thieme ConnectPubMedSuche in Google Scholar
  • 39 Khashab MA, Valeshabad AK, Modayil R. et al. EUS-guided biliary drainage by using a standardized approach for malignant biliary obstruction: rendezvous versus direct transluminal techniques (with videos). Gastrointest Endosc 2013; 78: 734-741
    CrossrefPubMedSuche in Google Scholar
  • 40 Artifon EL, Aparicio D, Paione JB. et al. Biliary drainage in patients with unresectable, malignant obstruction where ERCP fails: endoscopic ultrasonography-guided choledochoduodenostomy versus percutaneous drainage. J Clin Gastroenterol 2012; 46: 768-774
    CrossrefPubMedSuche in Google Scholar
  • 41 Kim TH, Kim SH, Oh HJ. et al. Endoscopic ultrasound-guided biliary drainage with placement of a fully covered metal stent for malignant biliary obstruction. World J Gastroenterol 2012; 18: 2526-2532
    CrossrefPubMedSuche in Google Scholar
  • 42 Hara K, Yamao K, Hijioka S. et al. Prospective clinical study of endoscopic ultrasound-guided choledochoduodenostomy with direct metallic stent placement using a forward-viewing echoendoscope. Endoscopy 2013; 45: 392-396
    Thieme ConnectPubMedSuche in Google Scholar
  • 43 Song TJ, Hyun YS, Lee SS. et al. Endoscopic ultrasound-guided choledochoduodenostomies with fully covered self-expandable metallic stents. World J Gastroenterol 2012; 18: 4435-4440
    CrossrefPubMedSuche in Google Scholar
  • 44 Park DH, Jang JW, Lee SS. et al. EUS-guided biliary drainage with transluminal stenting after failed ERCP: predictors of adverse events and long-term results. Gastrointest Endosc 2011; 74: 1276-1284
    CrossrefPubMedSuche in Google Scholar
  • 45 Fabbri C, Luigiano C, Fuccio L. et al. EUS-guided biliary drainage with placement of a new partially covered biliary stent for palliation of malignant biliary obstruction: a case series. Endoscopy 2011; 43: 438-441
    Thieme ConnectPubMedSuche in Google Scholar
  • 46 Guyatt GH, Oxman AD, Vist GE. et al. GRADE: an emerging consensus on rating quality of evidence and strength of recommendations. BMJ 2008; 336: 924-926
    CrossrefPubMedSuche in Google Scholar
  • 47 Weber A, Mittermeyer T, Wagenpfeil S. et al. Self-expanding metal stents versus polyethylene stents for palliative treatment in patients with advanced pancreatic cancer. Pancreas 2009; 38: e7-e12
    CrossrefPubMedSuche in Google Scholar
  • 48 Soderlund C, Linder S. Covered metal versus plastic stents for malignant common bile duct stenosis: a prospective, randomized, controlled trial. Gastrointest Endosc 2006; 63: 986-995
    CrossrefPubMedSuche in Google Scholar
  • 49 Park DH, Koo JE, Oh J. et al. EUS-guided biliary drainage with one-step placement of a fully covered metal stent for malignant biliary obstruction: a prospective feasibility study. Am J Gastroenterol 2009; 104: 2168-2174
    CrossrefPubMedSuche in Google Scholar
  • 50 Mohan BP, Shakhatreh M, Garg R. et al. Efficacy and safety of endoscopic ultrasound-guided choledochoduodenostomy: a systematic review and meta-analysis. J Clin Gastroenterol 2019; 53: 243-250
    CrossrefPubMedSuche in Google Scholar