{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,20]],"date-time":"2026-10-20T13:33:39Z","timestamp":1792503219723,"version":"4.5.0"},"reference-count":39,"publisher":"Georg Thieme Verlag KG","issue":"11","license":[{"start":{"date-parts":[[2020,10,22]],"date-time":"2020-10-22T00:00:00Z","timestamp":1603324800000},"content-version":"vor","delay-in-days":0,"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":[[2020,11]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:p>Background and study aims\u2002Endoscopic ultrasound guided pancreatic duct drainage (EUS-PDD) is a minimal-invasive therapeutic option to surgery and in patients with failed endoscopic retrograde pancreatography (ERP). The aim of this review was to quantitatively appraise the clinical outcomes of EUS-PDD by meta-analysis methods.<\/jats:p>\n                  <jats:p>Methods\u2002We searched multiple databases from inception through March 2020 to identify studies that reported on EUS-PDD. Pooled rates of technical success, successful drainage of pancreatic duct, clinical success, and adverse events were calculated. Study heterogeneity was assessed using I2% and 95\u200a% prediction interval.<\/jats:p>\n                  <jats:p>Results\u2002A total of 22 studies (714 patients) were included. The pooled rate of technical success in EUS-PDD was 84.8\u200a% (95\u200a% CI 79.1\u201389.2). The pooled rate of successful PD drained by EUS-PDD was 77.5\u200a% (95\u200a% CI 63.1\u201387.4). The pooled rate of clinical success of EUS-PDD was 89.2\u200a% (95\u200a% CI 82.1\u201393.7). The pooled rate of all adverse events was 18.1\u200a% (95\u200a% CI 14.2\u201322.9). On sub-group analysis, the pooled technical success and clinical success of EUS-PDD from Japanese data were considerably superior (91.2\u200a%, 83\u201395.6 &amp; 92.5\u200a%, 83.9\u201396.7, respectively). The pooled rate of post EUS-PDD acute pancreatitis was 6.6\u200a% (95\u200a% CI 4.5\u20139.4), bleeding was 4.1\u200a% (95\u200a% CI 2.7\u20136.2), perforation and\/or pneumoperitoneum was 3.1\u200a% (95\u200a% CI 1.9\u20135), pancreatic leak and\/or pancreatic fluid collection was 2.3\u200a% (95\u200a% CI 1.4\u20134), and infection was 2.8\u200a% (95\u200a% CI 1.7\u20134.6).<\/jats:p>\n                  <jats:p>Conclusion\u2002EUS-PDD demonstrates high technical success and clinical success rates with acceptable adverse events. Technical success was especially high for anastomotic strictures.<\/jats:p>","DOI":"10.1055\/a-1236-3350","type":"journal-article","created":{"date-parts":[[2020,10,22]],"date-time":"2020-10-22T19:16:38Z","timestamp":1603394198000},"page":"E1664-E1672","source":"Crossref","is-referenced-by-count":36,"title":["Efficacy and safety of endoscopic ultrasound-guided pancreatic duct drainage (EUS-PDD): A systematic review and meta-analysis of 714 patients"],"prefix":"10.1055","volume":"08","author":[{"given":"Saurabh","family":"Chandan","sequence":"first","affiliation":[{"name":"Division of Gastroenterology and Hepatology, CHI Creighton University Medical Center, Omaha, Nebraska, United States"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Babu P.","family":"Mohan","sequence":"first","affiliation":[{"name":"Division of Gastroenterology and Hepatology, University of Utah School of Medicine, Salt Lake City, Utah, United States"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Shahab R.","family":"Khan","sequence":"additional","affiliation":[{"name":"Section of Gastroenterology, Rush University Medical Center, Chicago, Illinois, United States"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Lena L.","family":"Kassab","sequence":"additional","affiliation":[{"name":"Internal Medicine, Mayo Clinic, Rochester, Minnesota, United States"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Suresh","family":"Ponnada","sequence":"additional","affiliation":[{"name":"Internal Medicine, Carilion Roanoke Memorial Hospital, Roanoke, Virginia, United States"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Andrew","family":"Ofosu","sequence":"additional","affiliation":[{"name":"Gastroenterology, Brooklyn Hospital, New York, United States"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ishfaq","family":"Bhat","sequence":"additional","affiliation":[{"name":"Division of Gastroenterology and Hepatology, CHI Creighton University Medical Center, Omaha, Nebraska, United States"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Shailender","family":"Singh","sequence":"additional","affiliation":[{"name":"Division of Gastroenterology and Hepatology, CHI Creighton University Medical Center, Omaha, Nebraska, United States"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Douglas G.","family":"Adler","sequence":"additional","affiliation":[{"name":"Division of Gastroenterology and Hepatology, University of Utah School of Medicine, Salt Lake City, Utah, United States"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"194","published-online":{"date-parts":[[2020,10,22]]},"reference":[{"key":"ref1","doi-asserted-by":"crossref","first-page":"284","DOI":"10.4103\/eus.eus_104_17","article-title":"EUS-guided pancreatic duct drainage: Approach to a challenging procedure","volume":"7","author":"J E Baars","year":"2018","journal-title":"Endosc Ultrasound"},{"key":"ref2","doi-asserted-by":"crossref","first-page":"865","DOI":"10.1016\/j.gie.2013.10.019","article-title":"EUS-guided pancreatic duct drainage: ready for prime time?","volume":"78","author":"M Giovannini","year":"2013","journal-title":"Gastrointestinal endoscopy"},{"key":"ref3","doi-asserted-by":"crossref","first-page":"547","DOI":"10.1016\/S0016-5107(96)70189-X","article-title":"Endoscopic pancreatic drainage in chronic pancreatitis associated with ductal stones: long-term results","volume":"43","author":"J-M Dumonceau","year":"1996","journal-title":"Gastrointest 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Itoi","year":"2013","journal-title":"Digest Endosc"}],"container-title":["Endoscopy International 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