Figure 1. The PRISMA flow chart illustrating how the final studies were selected. PRISMA: Preferred Reporting Items for Systematic Reviews and Meta-Analyses.
| Gastroenterology Research, ISSN 1918-2805 print, 1918-2813 online, Open Access |
| Article copyright, the authors; Journal compilation copyright, Gastroenterol Res and Elmer Press Inc |
| Journal website https://www.gastrores.org |
Original Article
Volume 17, Number 4, August 2024, pages 151-158
Pre-Cut Papillotomy Versus Endoscopic Ultrasound-Rendezvous for Difficult Biliary Cannulation: A Systematic Review and Meta-Analysis
Figures
Tables
| Dhir et al, 2011 [19] | Dalal et al, 2022 [20] | Choudhury et al, 2022 [21] | Tang et al, 2023 [22] | |
|---|---|---|---|---|
| ERCP: endoscopic retrograde cholangiopancreatography; EUS: endoscopic ultrasound. | ||||
| Study period | May 2010 to April 2011 | 3-year study period | July 2020 to May 2021 | January 2014 to October 2022 |
| Single/multicenter | Single center | Single center | Single center | Single center |
| Mean age, years | 48.5 | 51.5 | 75.5 | |
| Total ERCP (n) | 4,362 | 471 | 100 | 8,626 |
| Males, n (%) | 124 (61%) | 330 (70.1%) | 245 (56%) | |
| Pre-cut papillotomy (n) | 144 | 230 | 50 | 375 |
| EUS-rendezvous (n) | 58 | 35 | 50 | 62 |
| Dhir et al, 2011 [19] | Dalal et al, 2022 [20] | Choudhury et al, 2022 [21] | Tang et al, 2023 [22] | |||
|---|---|---|---|---|---|---|
| EUS: endoscopic ultrasound; ERCP: endoscopic retrograde cholangiopancreatography; CBD: common bile duct. | ||||||
| Indications | Pre-cut | EUS | Pre-cut | EUS | ||
| Ampullary cancer | 9 | 4 | 50 | Benign biliary disease | 8 | 1 |
| Malignant biliary strictures | 110 | 39 | 10 | |||
| Benign biliary stricture | 10 | 7 | 10 | 9 | 3 | |
| CBD stone | 15 | 8 | 214 | 207 | 47 | |
| Cholangiocarcinoma | 37 | 3 | ||||
| Pancreatic cancer | 82 | 60 | 5 | |||
| Malignant obstruction due to lymph node metastasis from other cancers | 44 | 3 | ||||
| Gallbladder cancer | 6 | 0 | ||||
| Dhir et al, 2011 [19] | Dalal et al, 2022 [20] | Choudhury et al, 2022 [21] | Tang et al, 2023 [22] | |
|---|---|---|---|---|
| EUS: endoscopic ultrasound; N/A: not available. | ||||
| Technical success (n) | ||||
| Pre-cut papillotomy | 138 | 220 | 45 | 293 |
| EUS-rendezvous | 57 | 34 | 46 | 57 |
| Pancreatitis (n) | ||||
| Pre-cut papillotomy | 4 | 20 | 5 | 32 |
| EUS-rendezvous | 0 | 0 | 5 | 2 |
| Bleeding (n) | ||||
| Pre-cut papillotomy | 6 | 9 | N/A | 12 |
| EUS-rendezvous | 0 | 0 | N/A | 1 |
| Overall complications (n) | ||||
| Pre-cut papillotomy | 10 | 32 | 5 | 56 |
| EUS-rendezvous | 2 | 20 | 5 | 6 |