Understanding the Role of Different ERCP Techniques in Post-Roux-en-Y Gastric Bypass Patients: a Systematic Review and Meta-analysis

被引：0
作者：
Gellert, Balint [1 ,2 ]
Rancz, Anett [1 ,3 ]
Hoferica, Jakub [1 ,4 ]
Teutsch, Brigitta [1 ,5 ,6 ]
Sipos, Zoltan [5 ,7 ]
Veres, Daniel S. [8 ]
Hegyi, Peter Jeno [1 ,9 ]
Abraham, Szabolcs [10 ]
Hegyi, Peter [1 ,5 ,9 ,11 ]
Hritz, Istvan [2 ]
机构：
[1] Semmelweis Univ, Ctr Translat Med, Ulloi Ut 26, H-1085 Budapest, Hungary
[2] Semmelweis Univ, Dept Surg Transplantat & Gastroenterol, Div Intervent Gastroenterol, Ullo Ut 78, H-1082 Budapest, Hungary
[3] Semmelweis Univ, Med Sch, Dept Internal Med & Hematol, Ullo Ut 26, H-1085 Budapest, Hungary
[4] Comenius Univ, Jessenius Fac Med Martin, Mala Hora 4A, Martin 03601, Slovakia
[5] Univ Pecs, Inst Translat Med, Med Sch, Sziget Ut 12, H-7624 Pecs, Hungary
[6] Semmelweis Univ, Med Imaging Ctr, Dept Radiol, Korany Sandor U 2, H-1082 Budapest, Hungary
[7] Univ Pecs, Inst Bioanal, Med Sch, Honved Utca 1, H-7624 Pecs, Hungary
[8] Semmelweis Univ, Dept Biophys & Radiat Biol, Tuzolto U 37-47, H-1094 Budapest 9, Hungary
[9] Semmelweis Univ, Inst Pancreat Dis, Tomo Utca 25-29, Budapest, Hungary
[10] Univ Szeged, Albert Szent Gyorgy Med Sch, Dept Surg, Tisza Utca 109, H-6725 Szeged, Hungary
[11] Univ Szeged, Interdisciplinary Ctr Excellence Res Dev & Innova, Translat Pancreatol Res Grp, Tisza Utca 109, H-6725 Szeged, Hungary
来源：
OBESITY SURGERY | 2025年 / 35卷 / 01期
关键词：
ERCP; Surgically altered anatomy; Laparoscopy; Enteroscopy; Endoscopic ultrasound; ENDOSCOPIC RETROGRADE CHOLANGIOPANCREATOGRAPHY; LAPAROSCOPIC TRANSGASTRIC ENDOSCOPY; ASSISTED ERCP; CASE SERIES; SURGICAL GASTROSTOMY; ENTEROSCOPY; SURGERY; ACCESS; EDGE; EUS;
D O I：
10.1007/s11695-024-07459-z
中图分类号：
R61 [外科手术学];
学科分类号：
摘要：
We aimed to compare enteroscopy-assisted ERCP (EA-ERCP), laparoscopy-assisted ERCP (LA-ERCP), and endoscopic ultrasound-directed ERCP (EDGE) in terms of safety and efficacy in post-Roux-en-Y gastric bypass patients. We conducted a rigorous analysis based on a predefined protocol (PROSPERO, CRD42022368788). Sixty-seven studies were included. The technical success rates were 77% (CI 69-83%) for EA-ERCP, 93% (CI 91-96%) for LA-ERCP, and 96% (CI 92-98%) for EDGE. Subgroup differences were significant between the EA-ERCP and other groups (p < 0.05). The overall adverse event rates were 13% (CI 8-22%), 19% (CI 14-24%), and 20% (CI 12-31%), respectively (p = 0.49). Our findings suggest that EDGE and LA-ERCP may be more effective and as safe as EA-ERCP. [GRAPHICS]
引用
收藏
页码：285 / 304
页数：20
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