{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,4,2]],"date-time":"2026-04-02T10:29:27Z","timestamp":1775125767910,"version":"3.50.1"},"reference-count":0,"publisher":"Georg Thieme Verlag KG","issue":"01","license":[{"start":{"date-parts":[[2019,1,3]],"date-time":"2019-01-03T00:00:00Z","timestamp":1546473600000},"content-version":"vor","delay-in-days":2,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Endosc Int Open"],"published-print":{"date-parts":[[2019,1]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:p>\n          Background and aim\u2002To assess the rate of adverse events and the technical success rate of biliary stenting with or without EBS.\u200a<\/jats:p><jats:p>\n          Methods\u2002A literature search up to February 2017 was performed. Studies assessing adverse events (AEs) and technical success rates of stenting with or without EBS were considered. <\/jats:p><jats:p>\n          Results\u2002Seven studies (870 patients; 12 treatment arms) were included. Early AEs, i.\u200ae. those occurring within 30 days, were significantly lower in no-EBS vs. EBS-group (11\u200a% vs. 20.1\u200a%; OR: 0.36, 95\u200a%CI: 0.13\u200a\u2013\u200a1.00). Rates of post-endoscopic retrograde cholangiopancreatography (ERCP) pancreatitis were not significantly different in the two groups (no-EBS vs. EBS: 6.1\u200a% vs 5\u200a%; OR: 1.33, 95\u200a%CI: 0.68\u200a\u2013\u200a2.59). The rate of bleeding was significantly lower in patients without EBS (no-EBS vs EBS: 0\u200a% vs 5\u200a%; OR: 0.12, 95\u200a% CI: 0.03\u200a\u2013\u200a0.45). Rates of cholangitis were significantly lower in patients without EBS (no-EBS vs. EBS: 3.3\u200a% vs. 7.4\u200a%; OR: 0.38, 95\u200a%CI: 0.17\u200a\u2013\u200a0.83). Both late AEs and mortality rates did not significantly differ between no-EBS and EBS patients (19.9\u200a% vs. 18.9\u200a%; OR: 0.93, 95\u200a%CI: 0.56\u200a\u2013\u200a1.53, and 2.5\u200a% vs. 2.9\u200a%; OR: 1.18, 95\u200a%CI: 0.22\u200a\u2013\u200a6.29, respectively). The technical success rate for stent insertion also did not differ (98\u200a% vs. 97.6\u200a%; OR: 1.05, 95\u200a%CI: 0.42\u200a\u2013\u200a2.63).<\/jats:p><jats:p>\n          Conclusion\u2002EBS seems to be associated, in the first 30 days after the procedure, with an increased risk of cholangitis and bleeding. No difference was observed in the rate of post-ERCP pancreatitis.<\/jats:p>","DOI":"10.1055\/a-0752-9956","type":"journal-article","created":{"date-parts":[[2019,1,18]],"date-time":"2019-01-18T08:06:14Z","timestamp":1547798774000},"page":"E26-E35","source":"Crossref","is-referenced-by-count":19,"title":["Endoscopic biliary self-expandable metallic stent in malignant biliary obstruction with or without sphincterotomy: systematic review and meta-analysis"],"prefix":"10.1055","volume":"07","author":[{"given":"Benedetto","family":"Mangiavillano","sequence":"additional","affiliation":[{"name":"Gastrointestinal Endoscopy Unit; Humanitas \u2013 Mater Domini Castellanza, Italy"},{"name":"Humanitas University, Milan, Italy"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Amedeo","family":"Montale","sequence":"additional","affiliation":[{"name":"Department of Medical and Surgical Sciences, S. Orsola-Malpighi Hospital, Bologna, Italy"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Leonardo","family":"Frazzoni","sequence":"additional","affiliation":[{"name":"Department of Medical and Surgical Sciences, S. Orsola-Malpighi Hospital, Bologna, Italy"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Mario","family":"Bianchetti","sequence":"additional","affiliation":[{"name":"Gastrointestinal Endoscopy Unit; Humanitas \u2013 Mater Domini Castellanza, Italy"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Amrita","family":"Sethi","sequence":"additional","affiliation":[{"name":"New York-Presbyterian Medical Center\/Columbia University Medical Center, New York, New York, United States"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Alessandro","family":"Repici","sequence":"additional","affiliation":[{"name":"Humanitas University, Milan, Italy"},{"name":"Digestive Endoscopy Unit, Humanitas Research Hospital, Rozzano (MI) Italy"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Lorenzo","family":"Fuccio","sequence":"additional","affiliation":[{"name":"Department of Medical and Surgical Sciences, S. Orsola-Malpighi Hospital, Bologna, Italy"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"194","published-online":{"date-parts":[[2019,1,3]]},"container-title":["Endoscopy International Open"],"original-title":[],"language":"en","link":[{"URL":"http:\/\/www.thieme-connect.de\/products\/ejournals\/pdf\/10.1055\/a-0752-9956.pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2019,5,6]],"date-time":"2019-05-06T21:14:53Z","timestamp":1557177293000},"score":1,"resource":{"primary":{"URL":"http:\/\/www.thieme-connect.de\/DOI\/DOI?10.1055\/a-0752-9956"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2019,1]]},"references-count":0,"journal-issue":{"issue":"01","published-online":{"date-parts":[[2019,1,3]]},"published-print":{"date-parts":[[2019,1]]}},"URL":"https:\/\/doi.org\/10.1055\/a-0752-9956","relation":{},"ISSN":["2364-3722","2196-9736"],"issn-type":[{"value":"2364-3722","type":"print"},{"value":"2196-9736","type":"electronic"}],"subject":[],"published":{"date-parts":[[2019,1]]}}}