Unilateral vs Bilateral Drainage Using SEMS for Advanced HBO
Method | Design | SEMS ( |
Technical success |
Clinical success |
Adverse events |
Re- intervention |
Stent patency (day) |
Survival (day) |
---|---|---|---|---|---|---|---|---|
Endoscopic method | ||||||||
Naitoh et al49 | Retrospective | Uni. (17) Bi. (29) |
100 (17) 89.7 (26) N/A |
94.1 (16) 86.2 (25) N/A |
64.7 (11) 65.4 (17) N/A |
58.8 (10) 23.1 (6) 0.02 |
210 488 0.009 |
166 205 0.559 |
Iwano et al44 | Retrospective | Uni. (65) Bi. (17) |
95.2 (60/63) 89.5 (17/19) - |
N/A | 36.9 (24) 41.2 (7) - |
26.2 (17) 29.4 (5) - |
133 125 0.322 |
170 184 0.490 |
Liberato and Canena33 | Retrospective (plastic+metal) | Uni. (35) Bi. (42) |
98.8 (total) N/A |
97.9 (total) N/A |
Early: 2; Late: 24.4 (total) N/A |
24.4 (total) N/A |
Longer patency in bilateral N/A |
- N/A |
Mukai et al34 | RCT (plastic+metal) | Uni. (14) Bi. (16) |
100 (total) N/A |
28.6 (4) 50.0 (8) N/A |
363 295 N/A |
219.5 (total) N/A |
||
Lee et al50 | RCT | Uni. (66) Bi. (67) |
100 (66) 95.5 (64) N/A |
84.8 (56) 95.3 (61) 0.047 |
27.3 (18) 6.3 (4) 0.001 (early) |
57.6 (38) 42.2 (27) 0.079 |
139 252 < 0.01 |
178 270 0.053 |
Percutaneous method | ||||||||
Teng et al46 | Retrospective | Uni. (58) Bi. (52) |
93.1 (54) 90.4 (47) 0.864 |
96.4 (53) 97.9 (46) 1.00 |
9/55 7/47 0.839 |
9/55 4/47 0.236 |
185 198 0.999 |
189 199 0.867 |
Chang et al47 | Retrospective | Uni. (33) Bi. SBS (30) |
93.9 (31) 90.0 (27) 0.912 |
93.5 (29) 96.3 (26) 0.637 |
4 7 0.207 |
16.1 (5) 11.1 (3) 0.58 |
368 387 0.685 |
200 198 0.751 |
Values are presented as percentage (number), number only, or median.
SEMS, self-expandable metal stent; Uni., unilateral; Bi., bilateral; N/A, not available; RCT, randomized controlled trial; SBS, stent-by-stent.