Spiral Enteroscopy Assisted ERCP in Patients with Surgically Altered Anatomy: A Meta-Analysis and Systematic Review

Manjusha Das; Watcoun-Nchinda Pisoh; Srinivas Puli

doi:doi:10.11648/j.js.20200804.11

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Spiral Enteroscopy Assisted ERCP in Patients with Surgically Altered Anatomy: A Meta-Analysis and Systematic Review

Manjusha Das, Watcoun-Nchinda Pisoh, Srinivas Puli

Published in Journal of Surgery (Volume 8, Issue 4)

Received: 1 April 2020 Accepted: 6 May 2020 Published: 9 June 2020

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Abstract

Endoscopic retrograde cholangiopancreatography (ERCP) is a well-described technique for diagnosis and treatment of hepatobiliary and pancreatic disorders. Spiral enteroscopy assisted ERCP (SE-ERCP) is a well-described technique for reaching and cannulating the ampulla and performing diagnostic and therapeutic interventions. The aim of the meta-analysis is to evaluate the procedural success rate of SE-ERCP in patients with altered upper gastrointestinal anatomy. A search was conducted in Medline, Pubmed, and Ovid and extracted data into an abstraction form. Meta-analysis for success rates was analyzed by calculating pooled proportion with inverse variance. A total of 172 SE-ERCPs were included in this analysis from five relevant studies. The pooled success rate of reaching the ampulla by spiral enteroscopy was 75%. SE-ERCP is a viable technique for diagnostic and therapeutic intervention of biliary disorders.

Published in	Journal of Surgery (Volume 8, Issue 4)
DOI	10.11648/j.js.20200804.11
Page(s)	104-108
Creative Commons	This is an Open Access article, distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution and reproduction in any medium or format, provided the original work is properly cited.
Copyright	Copyright © The Author(s), 2020. Published by Science Publishing Group

Keywords

Meta-analysis, Systematic Review, Spiral Enteroscopy, Assisted ERCP, Altered Gastrointestinal Anatomy, Roux-en-Y anatomy, Choledocholithiasis

References

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[2]	Krutsri C, Kida M, Yamauchi H, Iwai T, Imaizumi H, Koizumi W. Current status of endoscopic retrograde cholangiopancreatography in patients with surgically altered anatomy. World J Gastroenterol. 2019; 25 (26): 3313-3333.
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[6]	DerSimonian R, Laird N. Meta-analysis in clinical trials. Control Clin Trials. 1986; 7 (3): 177-188.
[7]	Deeks JJ. Systematic reviews in health care: Systematic reviews of evaluations of diagnostic and screening tests. BMJ. 2001; 323 (7305): 157-162.
[8]	Begg CB, Mazumdar M. Operating characteristics of a rank correlation test for publication bias. Biometrics. 1994; 50 (4): 1088-1101.
[9]	Sterne JA, Egger M, Smith GD. Systematic reviews in health care: Investigating and dealing with publication and other biases in meta-analysis. BMJ. 2001; 323 (7304): 101-105.
[10]	Shah RJ, Smolkin M, Yen R, et al. A multicenter, U.S. experience of single-balloon, double-balloon, and rotational overtube-assisted enteroscopy ERCP in patients with surgically altered pancreaticobiliary anatomy (with video). Gastrointest Endosc. 2013; 77 (4): 593-600.
[11]	Wagh MS, Draganov PV. Prospective evaluation of spiral overtube-assisted ERCP in patients with surgically altered anatomy. Gastrointest Endosc. 2012; 76 (2): 439-443.
[12]	Lennon AM, Kapoor S, Khashab M, et al. Spiral assisted ERCP is equivalent to single balloon assisted ERCP in patients with Roux-en-Y anatomy. Dig Dis Sci. 2012; 57 (5): 1391-1398.
[13]	Ali MF, Modayil R, Gurram KC, Brathwaite CEM, Friedel D, Stavropoulos SN. Spiral enteroscopy-assisted ERCP in bariatric-length Roux-en-Y anatomy: a large single-center series and review of the literature (with video). Gastrointest Endosc. 2018; 87 (5): 1241-1247.
[14]	Zouhairi ME, Watson JB, Desai SV, et al. Rotational assisted endoscopic retrograde cholangiopancreatography in patients with reconstructive gastrointestinal surgical anatomy. World J Gastrointest Endosc. 2015; 7 (3): 278-282.
[15]	Kogure H, Watabe H, Yamada A, et al. Spiral enteroscopy for therapeutic ERCP in patients with surgically altered anatomy: actual technique and review of the literature. J Hepatobiliary Pancreat Sci. 2011; 18 (3): 375-379.

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APA Style

Manjusha Das, Watcoun-Nchinda Pisoh, Srinivas Puli. (2020). Spiral Enteroscopy Assisted ERCP in Patients with Surgically Altered Anatomy: A Meta-Analysis and Systematic Review. Journal of Surgery, 8(4), 104-108. https://doi.org/10.11648/j.js.20200804.11

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ACS Style

Manjusha Das; Watcoun-Nchinda Pisoh; Srinivas Puli. Spiral Enteroscopy Assisted ERCP in Patients with Surgically Altered Anatomy: A Meta-Analysis and Systematic Review. J. Surg. 2020, 8(4), 104-108. doi: 10.11648/j.js.20200804.11

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AMA Style

Manjusha Das, Watcoun-Nchinda Pisoh, Srinivas Puli. Spiral Enteroscopy Assisted ERCP in Patients with Surgically Altered Anatomy: A Meta-Analysis and Systematic Review. J Surg. 2020;8(4):104-108. doi: 10.11648/j.js.20200804.11

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@article{10.11648/j.js.20200804.11,
  author = {Manjusha Das and Watcoun-Nchinda Pisoh and Srinivas Puli},
  title = {Spiral Enteroscopy Assisted ERCP in Patients with Surgically Altered Anatomy: A Meta-Analysis and Systematic Review},
  journal = {Journal of Surgery},
  volume = {8},
  number = {4},
  pages = {104-108},
  doi = {10.11648/j.js.20200804.11},
  url = {https://doi.org/10.11648/j.js.20200804.11},
  eprint = {https://article.sciencepublishinggroup.com/pdf/10.11648.j.js.20200804.11},
  abstract = {Endoscopic retrograde cholangiopancreatography (ERCP) is a well-described technique for diagnosis and treatment of hepatobiliary and pancreatic disorders. Spiral enteroscopy assisted ERCP (SE-ERCP) is a well-described technique for reaching and cannulating the ampulla and performing diagnostic and therapeutic interventions. The aim of the meta-analysis is to evaluate the procedural success rate of SE-ERCP in patients with altered upper gastrointestinal anatomy. A search was conducted in Medline, Pubmed, and Ovid and extracted data into an abstraction form. Meta-analysis for success rates was analyzed by calculating pooled proportion with inverse variance. A total of 172 SE-ERCPs were included in this analysis from five relevant studies. The pooled success rate of reaching the ampulla by spiral enteroscopy was 75%. SE-ERCP is a viable technique for diagnostic and therapeutic intervention of biliary disorders.},
 year = {2020}
}

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TY  - JOUR
T1  - Spiral Enteroscopy Assisted ERCP in Patients with Surgically Altered Anatomy: A Meta-Analysis and Systematic Review
AU  - Manjusha Das
AU  - Watcoun-Nchinda Pisoh
AU  - Srinivas Puli
Y1  - 2020/06/09
PY  - 2020
N1  - https://doi.org/10.11648/j.js.20200804.11
DO  - 10.11648/j.js.20200804.11
T2  - Journal of Surgery
JF  - Journal of Surgery
JO  - Journal of Surgery
SP  - 104
EP  - 108
PB  - Science Publishing Group
SN  - 2330-0930
UR  - https://doi.org/10.11648/j.js.20200804.11
AB  - Endoscopic retrograde cholangiopancreatography (ERCP) is a well-described technique for diagnosis and treatment of hepatobiliary and pancreatic disorders. Spiral enteroscopy assisted ERCP (SE-ERCP) is a well-described technique for reaching and cannulating the ampulla and performing diagnostic and therapeutic interventions. The aim of the meta-analysis is to evaluate the procedural success rate of SE-ERCP in patients with altered upper gastrointestinal anatomy. A search was conducted in Medline, Pubmed, and Ovid and extracted data into an abstraction form. Meta-analysis for success rates was analyzed by calculating pooled proportion with inverse variance. A total of 172 SE-ERCPs were included in this analysis from five relevant studies. The pooled success rate of reaching the ampulla by spiral enteroscopy was 75%. SE-ERCP is a viable technique for diagnostic and therapeutic intervention of biliary disorders.
VL  - 8
IS  - 4
ER  -

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Author Information

Manjusha Das

Division of Gastroenterology and Hepatology, University of Illinois College of Medicine, Peoria, Illinois, USA
Watcoun-Nchinda Pisoh

Division of Gastroenterology and Hepatology, University of Illinois College of Medicine, Peoria, Illinois, USA
Srinivas Puli

Division of Gastroenterology and Hepatology, University of Illinois College of Medicine, Peoria, Illinois, USA

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Plain Text BibTeX RIS

APA Style

Manjusha Das, Watcoun-Nchinda Pisoh, Srinivas Puli. (2020). Spiral Enteroscopy Assisted ERCP in Patients with Surgically Altered Anatomy: A Meta-Analysis and Systematic Review. Journal of Surgery, 8(4), 104-108. https://doi.org/10.11648/j.js.20200804.11

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ACS Style

Manjusha Das; Watcoun-Nchinda Pisoh; Srinivas Puli. Spiral Enteroscopy Assisted ERCP in Patients with Surgically Altered Anatomy: A Meta-Analysis and Systematic Review. J. Surg. 2020, 8(4), 104-108. doi: 10.11648/j.js.20200804.11

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AMA Style

Manjusha Das, Watcoun-Nchinda Pisoh, Srinivas Puli. Spiral Enteroscopy Assisted ERCP in Patients with Surgically Altered Anatomy: A Meta-Analysis and Systematic Review. J Surg. 2020;8(4):104-108. doi: 10.11648/j.js.20200804.11

Copy | Download

@article{10.11648/j.js.20200804.11,
  author = {Manjusha Das and Watcoun-Nchinda Pisoh and Srinivas Puli},
  title = {Spiral Enteroscopy Assisted ERCP in Patients with Surgically Altered Anatomy: A Meta-Analysis and Systematic Review},
  journal = {Journal of Surgery},
  volume = {8},
  number = {4},
  pages = {104-108},
  doi = {10.11648/j.js.20200804.11},
  url = {https://doi.org/10.11648/j.js.20200804.11},
  eprint = {https://article.sciencepublishinggroup.com/pdf/10.11648.j.js.20200804.11},
  abstract = {Endoscopic retrograde cholangiopancreatography (ERCP) is a well-described technique for diagnosis and treatment of hepatobiliary and pancreatic disorders. Spiral enteroscopy assisted ERCP (SE-ERCP) is a well-described technique for reaching and cannulating the ampulla and performing diagnostic and therapeutic interventions. The aim of the meta-analysis is to evaluate the procedural success rate of SE-ERCP in patients with altered upper gastrointestinal anatomy. A search was conducted in Medline, Pubmed, and Ovid and extracted data into an abstraction form. Meta-analysis for success rates was analyzed by calculating pooled proportion with inverse variance. A total of 172 SE-ERCPs were included in this analysis from five relevant studies. The pooled success rate of reaching the ampulla by spiral enteroscopy was 75%. SE-ERCP is a viable technique for diagnostic and therapeutic intervention of biliary disorders.},
 year = {2020}
}

Copy | Download

TY  - JOUR
T1  - Spiral Enteroscopy Assisted ERCP in Patients with Surgically Altered Anatomy: A Meta-Analysis and Systematic Review
AU  - Manjusha Das
AU  - Watcoun-Nchinda Pisoh
AU  - Srinivas Puli
Y1  - 2020/06/09
PY  - 2020
N1  - https://doi.org/10.11648/j.js.20200804.11
DO  - 10.11648/j.js.20200804.11
T2  - Journal of Surgery
JF  - Journal of Surgery
JO  - Journal of Surgery
SP  - 104
EP  - 108
PB  - Science Publishing Group
SN  - 2330-0930
UR  - https://doi.org/10.11648/j.js.20200804.11
AB  - Endoscopic retrograde cholangiopancreatography (ERCP) is a well-described technique for diagnosis and treatment of hepatobiliary and pancreatic disorders. Spiral enteroscopy assisted ERCP (SE-ERCP) is a well-described technique for reaching and cannulating the ampulla and performing diagnostic and therapeutic interventions. The aim of the meta-analysis is to evaluate the procedural success rate of SE-ERCP in patients with altered upper gastrointestinal anatomy. A search was conducted in Medline, Pubmed, and Ovid and extracted data into an abstraction form. Meta-analysis for success rates was analyzed by calculating pooled proportion with inverse variance. A total of 172 SE-ERCPs were included in this analysis from five relevant studies. The pooled success rate of reaching the ampulla by spiral enteroscopy was 75%. SE-ERCP is a viable technique for diagnostic and therapeutic intervention of biliary disorders.
VL  - 8
IS  - 4
ER  -

Copy | Download