Thiago Visconti

Colonic stent versus emergency surgery as treatment of malignant colonic obstruction in the palliative setting: a systematic review and meta-analysis

[This corrects the article DOI: 10.1055/a-0591-2883.].

Metallic vs plastic stents to treat biliary stricture after liver transplantation: a systematic review and meta-analysis based on randomized trials

Background and study aims u2002The first-line approach to anastomotic biliary stricture after orthotopic liver transplantation (OLTX) involves endoscopic retrograde cholangiopancreatography (ERCP). The most widely used technique is placement of multiple plastic stents, but discussions are ongoing on the benefits of fully-covered self-expandable metallic stents (FCEMS) in this situation. This study aimed to compare results from use of plastic and metal stents to treat biliary stricture after transplantation. Patients and methods u2002Searches were performed in the Medline, EMBASE, SciELO/LILACS, and Cochrane databases, and only randomized studies comparing the two techniques were included in the meta-analysis. Results u2002Our study included four randomized clinical trials totaling 205 patients. No difference was observed between the stricture resolution rate (RD: 0.01; 95u200a%CI [−0.08u200a–u200a0.10]), stricture recurrence (RD: 0.13; 95u200a%CI [−0.03u200a–u200a0.28]), and adverse events (RD: −0.10; 95u200a%CI [−0.65u200a–u200a0.44]) between the plastic and metallic stent groups. The metallic stent group demonstrated benefits in relation to the number of ERCPs performed (MD: −1.86; 95u200a%CI [−3.12 to −0.6]), duration of treatment (MD: −105.07; 95u200a%CI [−202.38 to −7.76 days]), number of stents used (MD: −10.633; 95u200a%CI [−20.82 to −0.44]), and cost (average

Large biliary stone: Lessons from a difficult case

u200a8,288.50 versus

Mo1706 BEST POLYPECTOMY TECHNIQUE FOR SMALL AND DIMINUTIVE COLORECTAL POLYPS: A SYSTEMATIC REVIEW AND META-ANALYSIS

u200a18,580.00, P u200a<u200a0.001). Conclusions u2002Rates of resolution and recurrence of stricture are similar, whereas the number of ERCPs performed, number of stents used, duration of treatment, and costs were lower in patients treated with FCEMS, which shows that this device is a valid option for initial treatment of post-OLTX biliary stricture.

777 ILEAL POUCH–ANAL ANASTOMOSIS ADENOMA: ENDOSCOPIC SUBMUCOSAL DISSECTION TREATMENT

Large biliary stones can be well managed by electrohydraulic or laser lithotripsy(1,2). We present a 74 years old male with giant choledocolitiasis. Patient developed acute cholangitis and ERCP showed a 30mm common bile duct (CBD) stone with biliary duct dilation (22mm). Plastic biliary stent drainage was performed. Two other ERCPs also failed in stone removal. This article is protected by copyright. All rights reserved.