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Publication Name
World Journal of Gastroenterology
ISSN
1007-9327
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Baishideng Publishing Group Inc, 7041 Koll Center Parkway, Suite 160, Pleasanton, CA 94566, USA

Systematic Reviews
©The Author(s) 2019.
World J Gastroenterol. Jun 28, 2019; 25(24): 3091-3107
Published online Jun 28, 2019. doi: 10.3748/wjg.v25.i24.3091
Table 1 Characteristics of the 43 studies included in the systematic review
StudyStudy designNo.Indications for ERCPType of endoscopeSphincter therapyA-loop intubation, No. (%)Selective cannulation, No. (%)Adverse events
Forbes and Cotton[1], 1984Retrospective cohort53N/ASEST45/53 (84.9)35/45 (77.8)Bowel perforation (n = 1, 1.9%)
Osnes et al[2], 1986Retrospective cohort147N/ASEST134/147 (91.2)134/134 (100)Bowel perforation (n = 1, 0.7%)
Pancreatitis (n = 1, 0.7%)
Bleeding (n = 1, 0.7%)
Mortality (n = 2, 1.4%)
Hintze et al[31], 1997Retrospective cohort59CBD stoneSEST54/59 (91.5)54/54 (100)Bowel perforation (n = 1, 1.7%)
Papillary stenosisMortality (n = 1, 1.7%)
Tumor stenosis
Juxtapapillary diverticulum
Kim et al[3], 1997Prospective comparative45N/AF (n = 23)EST±NK44/4536/44 (80.0)Bowel perforation (n = 4, 8.9%)
(97.8)
S (n = 22)Pancreatitis (n = 3, 2.2%)
Lin et al[32], 1999Retrospective cohort56CBD stoneFEST43/56 (76.6)35/43 (81.3)Bleeding (n = 3, 5.4%)
CBD dilation
RUQ pain with cholestasis
Faylona et al[33], 1999Retrospective cohort110Cholangitis (n = 58)SEST2132/185 (71.4)2122/132 (92.4)Bowel perforation (n = 11, 5.9%)
CBD stone (n = 41)Pancreatitis (n = 1, 0.5%)
Jaundice (n = 28)
CBD dilation (n = 19)Bleeding (n = 3, 1.6%)
Pancreatitis (n = 9)Mortality (n = 2, 1.1%)
Others (n = 30)
Bergman et al[11], 2001Prospective comparative34CBD stone (n = 34)SEST/EPBDN/A28/34 (82.4)Bowel perforation (n = 1, 2.9%)
Pancreatitis (n = 1, 2.9%)
Bleeding (n = 3, 8.8%)
Respiratory insufficiency (n = 1, 2.9%)
Swarnkar et al[34], 2005Retrospective cohort41CBD stone (n = 16)SEST242/48 (87.5)241/42 (97.6)Bowel perforation (n = 1, 2.1%)
CBD dilation (n = 9)
Pancreatitis (n = 4)
Gastric cancer (n = 3)
Pancreatic cancer (n = 2)
Others (n = 7)
Bleeding (n = 2, 4.2%)
Kikuyama et al[35], 2005Retrospective cohort24CBD stone (n = 14)AOEEST24/24 (100)22/24 (91.7)Bowel perforation (n = 1, 4.2%)
Pancreaticobiliary malignancy (n = 8)Pancreatitis (n = 1, 4.2%)
Bleeding (n = 1, 4.2%)
Others (n = 2)
Ciçek et al[36], 2006Retrospective cohort52CBD stone (n = 27)SEST±NK45/52 (94.2)43/45 (95.6)Bowel perforation (n = 6, 11.5%)
Jaundice (n = 11)Bleeding (n = 3, 1.6%)
Pancreatico-biliary malignancy (n = 10)
(n = 2, 3.8%)
Bile leakage (n = 2)
Others (n = 2)
Park et al[37], 2007Retrospective cohort10CBD stone (n = 9)1FEST10/10 (100)10/10 (100)None
CBD stricture (n = 1)
Dolay and Soylu[38], 2008Retrospective cohort11SEST11/11 (100)11/11 (100)None
Nakahara et al[39], 2009Retrospective comparative43CBD stone (n = 43)AOEEST/EPBD±NK38/43 (88.4)36/38 (94.7)None
Koo et al[10], 2009Retrospective cohort14CBD stone (n = 8)Multiple bending endoscopeEST/EPBD14/14 (100)13/14 (92.9)None
Biliary pancreatitis (n = 2)
Pancreatico-biliary malignancy (n = 3)
Bile leakage after cholecystectomy (n = 1)
Shimatani et al[40], 2009Retrospective cohort17N/ADBEEST/EPBD222/22 (100)222/22 (100)None
Kikuyama et al[41], 2009Retrospective cohort11CBD stone (n = 8)AOE with over tubeEST/EPBD210/15 (66.7)210/10 (100)None
Pancreatico-biliary malignancy (n = 3)
Chronic pancreatitis (n = 1)
Lin et al[42], 2010Retrospective cohort32N/AS (n = 22)EPBD30/32 (68.8)28/30 (93.3)Bowel perforation (n = 2, 6.3%)
DBE (n = 8)
Itoi et al[12], 2010Retrospective cohort11CBD stone (n = 11)F (n = 8)EST+EPLBD11/11 (100)11/11 (100)None
S (n = 1)
AOE (n = 1)
SBE (n = 1)
Lee et al[30], 2012Retrospective cohort13CBD stone (n = 13)1FEPLBD13/13 (100)12/13 (92.3)Bleeding (n = 1, 7.7%)
Byun et al[43], 2012Retrospective cohort46CBD stone (n = 37)FEST+EPBD42/46 (91.3)42/42 (100)Bowel perforation (n = 1, 2.2%)
Pancreatico-biliary malignancy (n = 5)Pancreatitis (n = 1, 2.2%)
Benign biliary stricture (n = 4)
Choi et al[44], 2012Retrospective comparative26CBD stone (n = 26)S (n = 13)EST±EPBD26/26 (100)26/26 (100)None
F (n = 13)
Kianicka et al[45], 2012Retrospective cohort120Cholestasis (n = 100)FEST109/120 (90.8)109/120 (90.8)Bowel perforation (n = 1, 0.8%)
Biliary pancreatitis (n = 12)Pancreatitis (n = 2, 1.7%)
Acute cholangitis (n = 6)Bleeding (n = 2, 1.7%)
Bile leakage (n = 2)
Osoegawa et al[27], 2012Retrospective cohort15N/ADBEEST/EPBD±NK218/19 (94.7)216/18 (88.9)Bowel perforation (n = 1, 0.5%)
Sen-Yo et al[46], 2012Retrospective comparative65CBD stone (n = 38)AOEEST/EPBD±NK60/65 (92.3)60/60 (100)Bowel perforation (n = 1, 1.5%)
Pancreatico-biliary malignancy (n = 17)Pancreatitis (n = 3, 4.6%)
Cholangitis (n = 2, 3.0%)
Other malignancy (n = 2)
Chronic pancreatitis (n = 2)
Bile leakage (n = 2)
Others (n = 4)
Jang et al[47], 2013Retrospective cohort40CBD stones (n = 40)SEPLBD±NK40/40 (100)40/40 (100)Pancreatitis (n = 2, 5.0%)
Yao et al[9], 2013Retrospective cohort46CBD stone (n = 38)Dual-lumen gastroscopeEST/EPBD38/46 (82.6)38/38 (100)None
Biliary stricture (n = 3)
Pancreatico-biliary malignancy (n = 5)
Kawamura et al[48], 2013Retrospective comparative65CBD stone (n = 49)F (n = 56)N/A61/65 (93.8)51/61 (83.6)Bowel perforation (n = 2, 3.1%)
Pancreatico-biliary malignancy (n = 26)S (n = 2)Pancreatitis (n = 4, 6.2%)
SBE (n = 3)
Others (n = 4)Bleeding (n = 1, 1.5%)
Benign biliary stricture (n = 1)
Kim et al[49], 2014Retrospective cohort30CBD stone (n = 30)SEPLBD±EST30/30 (100)30/30 (100)Pancreatitis (n = 2, 6.7%)
Bleeding (n = 2, 6.7%)
Iwai et al[50], 2014Retrospective comparative19N/ASBEN/A18/19 (95)18/18 (100)None
Cheng et al[51], 2015Retrospective cohort77CBD stone (n = 77)DBEEPLBD/ EPBD±NK73/77 (95)67/73 (92)Bowel perforation (n = 3, 3.8%)
Intestinal mucosal tear (n = 2, 2.6%)
Jang et al[52], 2015Retrospective cohort36CBD stone (n = 28)1FEPBD± EST36/36 (100)32/36 (88.9)Bowel perforation (n = 3, 8.3%)
Benign biliary stricture (n = 6)Pancreatitis ((n = 2, 5.6%)
Pancreatico-biliary malignancy (n = 1)
Post-operative bile leakage (n = 1)
Ki et al[53], 2015Retrospective cohort72CBD stone (n = 55)1FEST/EPBD2125/126 (99.2)2125/125 (100)Bowel perforation (n = 1, 0.7%)
Cholangitis (n = 11)
CBD stricture (n = 7)
Pancreatico-biliary malignancy (n = 3)
IHD stone (n = 2)
Pancreatitis (n = 3, 2.2%)
Bleeding (n = 8, 5.9%)
Nakahara et al[54], 2015Retrospective cohort25CBD stone (n = 15)AOEEST/EPBD226/30 (86.7)226/26 (100)Pancreatitis (n = 1, 3.3%)
Pancreatico-biliary malignancy (n = 7)
Chronic pancreatitis (n = 3)
Bove et al[17], 2015Retrospective cohort713CBD stone (n = 365)S (n = 600)EST618/713 (86.7)580/618 (93.8)Bowel perforation (n = 22, 3.1%)
F (n = 18)
Obstructive jaundice (n = 177)Pancreatitis (n = 5, 0.7%)
Acute cholangitis (n = 61)
Chronic pancreatitis (n = 55)Bleeding (n = 11, 1.5%)
Biliary pancreatitis (n = 21)
Mortality (n = 2, 0.3%)
Benign biliary stricture (n = 9)
Others (n = 5)
Wu et al[18], 2016Retrospective cohort135CBD stone/cholangitisSEST+EPBD120/135 (88.8)117/135 (86.3)2Bowel perforation (n = 1, 0.7%)
Benign biliary stricturePancreatitis (n = 9, 4.1%)
Bleeding (n = 2, 0.9%)
Park et al[19], 2016Retrospective cohort165CBD stone (n = 133)1FEPBD±NK151/165144/151Bowel perforation (n = 3, 1.8%)
Benign biliary stricture (n = 21)(91.5)(95.4)Pancreatitis (n = 13, 7.9%)
Pancreatico-biliary malignancy (n = 11)
Hyperamylasemia (n = 22, 13.3%)
Wang et al[28], 2016Retrospective cohort18CBD stone (n = 15)Dual-lumen gastroscopeEST/EPBD15/18 (83.3)15/15 (100)Pancreatitis (n = 2, 11.1%)
Pancreatico-biliary malignancy (n = 3)Bleeding (n = 1, 5.6%)
Wang et al[29], 2016Retrospective cohort52CBD stone (n = 38)C (n = 31)EST/EPBD±NK50/52 (96.2)50/52 (96.2)Pancreatitis (n = 2, 3.8%)
Biliary stricture (n = 9)F (n = 13)Hyperamylasemia (n = 2, 3.8%)
Pancreatico-biliary malignancy (n = 5)S (n = 11)
Shimatani et al[25], 2016Prospective cohort26Cholangitis (n = 13)DBEEST25/26 (96.2)25/25 (100)Bowel perforation (n = 2, 7.7%)
Hepatobiliary disorder (n = 4)Pancreatitis (n = 5, 19.2%)
Obstructive jaundice (n = 4)Cholangitis (n = 1, 3.8%)
CBD stone (n = 2)
Aspiration pneumonia (n = 1, 3.8%)
Others (n = 3)
Shimatani et al[55], 2017Retrospective cohort11CBD stone (n = 7)DBEEST11/11 (100)11/11 (100)None
Obstructive jaundice (n = 2)
Others (n = 2)
Yane et al[26], 2017Retrospective cohort20CBD stoneSBEN/A20/20 (100)19/20 (95)Bowel perforation (n = 2, 1.0%)
Bile duct stricturePancreatitis (n = 3, 1.5%)
Aanstomosis site strictureCholangitis (n = 4, 2.0%)
Cholecystitis (n = 1, 0.5%)
Li et al[56], 2017Retrospective cohort49CBD stone (n = 49)SEPBDN/A42/49 (85.7)Pancreatitis (n = 3, 6.1%)
Han et al[57], 2018Retrospective cohort15CBD stone (n = 15)1FEST/EPBD±NK15/15 (100)15/15 (100)Pancreatitis (n = 1, 6.7%)
1Cap-fitted forward-viewing endoscope;
2The data are per procedure, not per patient. A-loop: Afferent loop; ERCP: Endoscopic retrograde cholangiopancreatography; N/A: Not available; RUQ: Right upper quadrant; EST: Endoscopic sphincterotomy; NK: Needle knife; EPBD: Endoscopic papillary balloon dilation; EPLBD: Endoscopic papillary large balloon dilation; CBD: Common bile duct; IHD: Intrahepatic duct; F: Forward-viewing endoscope; S: Side-viewing endoscope; C: Colonoscope; SBE: Single-balloon enteroscope; DBE: Double-balloon enteroscope; AOE: Anterior oblique-viewing endoscope.
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