Tawfik Khoury et al. Endoscopic ultrasound- versus ERCP-guided primary drainage of inoperable malignant distal biliary obstruction: systematic review and meta-analysis of randomized controlled trials

The authors performed a systematic review and meta-analysis, including 5 RCTs and 519 patients, comparing EUS-guided biliary drainage vs. ERCP for primary drainage in inoperable malignant distal biliary obstruction. Technical success, clinical success, 1-year stent patency, and adverse events were similar between the two groups, but the reintervention rate was lower in the EUS-guided drainage group. In subgroup analysis, EUS-guided drainage with a lumen-apposing metal stent had a higher technical success rate than ERCP.

Article published online:
28 November 2024

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