Primary obesity surgery endoluminal (POSE) for the treatment of obesity: a systematic review and meta-analysis

Primary obesity surgery endoluminal (posex) utilizes an incision-less operating platform system to create full-thickness plications in the gastric fundus and body. Many studies have demonstrated the safety and efficacy of original POSE for the treatment of obesity. The outcomes of POSE meet and surpass the ASGE joint task force thresholds. Future studies should evaluate newer versions of this procedure that emphasize gastric body plication sparing the fundus, authors say. The overall incidence o

Endoscopic ultrasound-guided parenchymal liver biopsy: a systematic review and meta-analysis

Endoscopic ultrasonography (EUS)-guided liver biopsy is a novel technique to obtain adequate liver samples for diagnosis of liver parenchymal diseases. The aim was to determine the diagnostic accuracy of EUS-LB and evaluate factors associated with specimen quality. We searched databases to identify studies in which results of E US-guided liver parechymic biopsies were reported published up to July 2020. Using FNB needles with a slow-pull technique can provide better results than fine-needle aspi

Endobronchial ultrasound-guided transbronchial needle aspiration combined with either endoscopic ultrasound-guided fine-needle aspiration or endoscopic ultrasound using the EBUS scope-guided fine-needle aspiration for diagnosing and staging mediastinal diseases: a systematic review and meta-analysis

Combining EBUS-TBNA with EUS-FNA was associated with slightly better diagnostic accuracy than combining it with Eus-B-Fna. Evidence suggests that the combination of EBus- TBNA with either EUS.FNA or EUS:FNA provides relatively high accuracy for diagnosing mediastinal diseases. The combination with E US-F NA may be slightly better, however, according to our analysis.

Endoscopic ultrasound-fine needle biopsies of pancreatic lesions: Prospective study of histology quality using Franseen needle

22G Franseen needle was used in the endoscopic ultrasound-guided tissue acquisition (EUS-TA) trial. High-quality histology, rated with Payne score 3, was obtained in 37/40 cases (92.5%) after two needle passes. diagnostic accuracy for the correct diagnosis was 85% (34/40) Only one adverse event was occurred, consisting of self-limiting bleeding in the puncture site.

Comparison of EUS-guided conventional smear and liquid-based cytology in pancreatic lesions: A systematic review and meta-analysis

Endoscopic ultrasound (EUS)-guided fine-needle aspiration has limitations of inadequate sampling and false-negative results for malignancy. Alternative to conventional smear (CS) cytology with rapid on-site evaluation (ROSE) is liquid-based cytology (LBC) LBC techniques include precipitation-based and filtration-based. pooled diagnostic accuracy was 79.7% for CS, 85.2% for LBC, and 99.5% for both techniques for pancreatic lesions.The precipitation-based LBC technique (SurePath™) had superior dia

Efficacy and safety of endoscopic ultrasound-guided pancreatic duct drainage (EUS-PDD): A systematic review and meta-analysis of 714 patients

Endoscopic ultrasound guided pancreatic duct drainage (EUS-PDD) is a minimal-invasive therapeutic option to surgery and in patients with failed endoscopic retrograde pancreatography (ERP) We searched multiple databases from inception through March 2020 to identify studies that reported on EUS- PDD. The pooled rate of technical success was 84.8% (95% CI 79.1-89.2) and the clinical success rate was 89.2%. Technical success was especially high for anastomotic strictures.

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

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 stent (SEMS) Aim of this meta-analysis was to evaluate the efficacy and safety of LAMS or SEMS for EUS-guided choledocho-duodenostomy. pooled rates of clinical and technical success were 93.6% (95% CI [95%CI] 88.6-96.5%) for LAMS and 94.8% for SEMS.

Needle-based Confocal Laser Endomicroscopy (nCLE) for Evaluation of Pancreatic Cystic Lesions: A Systematic Review and Meta-analysis

New imaging techniques including needle-based confocal laser endomicroscopy (nCLE) have been devised. nCLE has a diagnostic accuracy of 99% with a low rate of adverse events. Postprocedure pancreatitis developed in 1% (95% CI, 0-3; I=5.64%) of cases using nCLE. On the basis of this meta-analysis, nCLE appears to be an effective and safe technique for the diagnostic evaluation of PCLs.

Departments

Recent Posts