Journal of Surgery

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Spiral Enteroscopy Assisted ERCP in Patients with Surgically Altered Anatomy: A Meta-Analysis and Systematic Review

Received: Apr. 01, 2020    Accepted: May 06, 2020    Published: Jun. 09, 2020
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Abstract

Endoscopic retrograde cholangiopancreatography (ERCP) is a well-described technique for diagnosis and treatment of hepatobiliary and pancreatic disorders. Spiral enteroscopy assisted ERCP (SE-ERCP) is a well-described technique for reaching and cannulating the ampulla and performing diagnostic and therapeutic interventions. The aim of the meta-analysis is to evaluate the procedural success rate of SE-ERCP in patients with altered upper gastrointestinal anatomy. A search was conducted in Medline, Pubmed, and Ovid and extracted data into an abstraction form. Meta-analysis for success rates was analyzed by calculating pooled proportion with inverse variance. A total of 172 SE-ERCPs were included in this analysis from five relevant studies. The pooled success rate of reaching the ampulla by spiral enteroscopy was 75%. SE-ERCP is a viable technique for diagnostic and therapeutic intervention of biliary disorders.

DOI 10.11648/j.js.20200804.11
Published in Journal of Surgery ( Volume 8, Issue 4, August 2020 )
Page(s) 104-108
Creative Commons

This is an Open Access article, distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution and reproduction in any medium or format, provided the original work is properly cited.

Copyright

Copyright © The Author(s), 2024. Published by Science Publishing Group

Keywords

Meta-analysis, Systematic Review, Spiral Enteroscopy, Assisted ERCP, Altered Gastrointestinal Anatomy, Roux-en-Y anatomy, Choledocholithiasis

References
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[2] Krutsri C, Kida M, Yamauchi H, Iwai T, Imaizumi H, Koizumi W. Current status of endoscopic retrograde cholangiopancreatography in patients with surgically altered anatomy. World J Gastroenterol. 2019; 25 (26): 3313-3333.
[3] Brennan P, Silman A. Statistical methods for assessing observer variability in clinical measures. BMJ. 1992; 304 (6840): 1491-1494.
[4] Jadad AR, Moore RA, Carroll D, et al. Assessing the quality of reports of randomized clinical trials: is blinding necessary? Control Clin Trials. 1996; 17 (1): 1-12.
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[6] DerSimonian R, Laird N. Meta-analysis in clinical trials. Control Clin Trials. 1986; 7 (3): 177-188.
[7] Deeks JJ. Systematic reviews in health care: Systematic reviews of evaluations of diagnostic and screening tests. BMJ. 2001; 323 (7305): 157-162.
[8] Begg CB, Mazumdar M. Operating characteristics of a rank correlation test for publication bias. Biometrics. 1994; 50 (4): 1088-1101.
[9] Sterne JA, Egger M, Smith GD. Systematic reviews in health care: Investigating and dealing with publication and other biases in meta-analysis. BMJ. 2001; 323 (7304): 101-105.
[10] Shah RJ, Smolkin M, Yen R, et al. A multicenter, U.S. experience of single-balloon, double-balloon, and rotational overtube-assisted enteroscopy ERCP in patients with surgically altered pancreaticobiliary anatomy (with video). Gastrointest Endosc. 2013; 77 (4): 593-600.
[11] Wagh MS, Draganov PV. Prospective evaluation of spiral overtube-assisted ERCP in patients with surgically altered anatomy. Gastrointest Endosc. 2012; 76 (2): 439-443.
[12] Lennon AM, Kapoor S, Khashab M, et al. Spiral assisted ERCP is equivalent to single balloon assisted ERCP in patients with Roux-en-Y anatomy. Dig Dis Sci. 2012; 57 (5): 1391-1398.
[13] Ali MF, Modayil R, Gurram KC, Brathwaite CEM, Friedel D, Stavropoulos SN. Spiral enteroscopy-assisted ERCP in bariatric-length Roux-en-Y anatomy: a large single-center series and review of the literature (with video). Gastrointest Endosc. 2018; 87 (5): 1241-1247.
[14] Zouhairi ME, Watson JB, Desai SV, et al. Rotational assisted endoscopic retrograde cholangiopancreatography in patients with reconstructive gastrointestinal surgical anatomy. World J Gastrointest Endosc. 2015; 7 (3): 278-282.
[15] Kogure H, Watabe H, Yamada A, et al. Spiral enteroscopy for therapeutic ERCP in patients with surgically altered anatomy: actual technique and review of the literature. J Hepatobiliary Pancreat Sci. 2011; 18 (3): 375-379.
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  • APA Style

    Manjusha Das, Watcoun-Nchinda Pisoh, Srinivas Puli. (2020). Spiral Enteroscopy Assisted ERCP in Patients with Surgically Altered Anatomy: A Meta-Analysis and Systematic Review. Journal of Surgery, 8(4), 104-108. https://doi.org/10.11648/j.js.20200804.11

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    ACS Style

    Manjusha Das; Watcoun-Nchinda Pisoh; Srinivas Puli. Spiral Enteroscopy Assisted ERCP in Patients with Surgically Altered Anatomy: A Meta-Analysis and Systematic Review. J. Surg. 2020, 8(4), 104-108. doi: 10.11648/j.js.20200804.11

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    AMA Style

    Manjusha Das, Watcoun-Nchinda Pisoh, Srinivas Puli. Spiral Enteroscopy Assisted ERCP in Patients with Surgically Altered Anatomy: A Meta-Analysis and Systematic Review. J Surg. 2020;8(4):104-108. doi: 10.11648/j.js.20200804.11

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  • @article{10.11648/j.js.20200804.11,
      author = {Manjusha Das and Watcoun-Nchinda Pisoh and Srinivas Puli},
      title = {Spiral Enteroscopy Assisted ERCP in Patients with Surgically Altered Anatomy: A Meta-Analysis and Systematic Review},
      journal = {Journal of Surgery},
      volume = {8},
      number = {4},
      pages = {104-108},
      doi = {10.11648/j.js.20200804.11},
      url = {https://doi.org/10.11648/j.js.20200804.11},
      eprint = {https://download.sciencepg.com/pdf/10.11648.j.js.20200804.11},
      abstract = {Endoscopic retrograde cholangiopancreatography (ERCP) is a well-described technique for diagnosis and treatment of hepatobiliary and pancreatic disorders. Spiral enteroscopy assisted ERCP (SE-ERCP) is a well-described technique for reaching and cannulating the ampulla and performing diagnostic and therapeutic interventions. The aim of the meta-analysis is to evaluate the procedural success rate of SE-ERCP in patients with altered upper gastrointestinal anatomy. A search was conducted in Medline, Pubmed, and Ovid and extracted data into an abstraction form. Meta-analysis for success rates was analyzed by calculating pooled proportion with inverse variance. A total of 172 SE-ERCPs were included in this analysis from five relevant studies. The pooled success rate of reaching the ampulla by spiral enteroscopy was 75%. SE-ERCP is a viable technique for diagnostic and therapeutic intervention of biliary disorders.},
     year = {2020}
    }
    

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    AB  - Endoscopic retrograde cholangiopancreatography (ERCP) is a well-described technique for diagnosis and treatment of hepatobiliary and pancreatic disorders. Spiral enteroscopy assisted ERCP (SE-ERCP) is a well-described technique for reaching and cannulating the ampulla and performing diagnostic and therapeutic interventions. The aim of the meta-analysis is to evaluate the procedural success rate of SE-ERCP in patients with altered upper gastrointestinal anatomy. A search was conducted in Medline, Pubmed, and Ovid and extracted data into an abstraction form. Meta-analysis for success rates was analyzed by calculating pooled proportion with inverse variance. A total of 172 SE-ERCPs were included in this analysis from five relevant studies. The pooled success rate of reaching the ampulla by spiral enteroscopy was 75%. SE-ERCP is a viable technique for diagnostic and therapeutic intervention of biliary disorders.
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Author Information
  • Division of Gastroenterology and Hepatology, University of Illinois College of Medicine, Peoria, Illinois, USA

  • Division of Gastroenterology and Hepatology, University of Illinois College of Medicine, Peoria, Illinois, USA

  • Division of Gastroenterology and Hepatology, University of Illinois College of Medicine, Peoria, Illinois, USA

  • Section