Chisthi Meer M
Department of General Surgery, Government Medical College Pathanamthitta, Konni 689691, Kerala, India.
World J Gastrointest Surg. 2024 Jul 27;16(7):1956-1959. doi: 10.4240/wjgs.v16.i7.1956.
This editorial delves into Peng 's article, published in the . Peng 's meta-analysis investigates the effectiveness of electrocautery-enhanced lumen-apposing metal stents (ECE-LAMS) in ultrasound-guided biliary drainage for alleviating malignant biliary obstruction. Examining 14 studies encompassing 620 participants, the research underscores a robust technical success rate of 96.7%, highlighting the efficacy of ECE-LAMS, particularly in challenging cases which have failed endoscopic retrograde cholangio pancreatography. A clinical success rate of 91.0% underscores its impact on symptom alleviation, while a reasonably tolerable adverse event rate of 17.5% is observed. However, the 7.3% re-intervention rate stresses the need for post-procedural monitoring. Subgroup analyses validate consistent outcomes, bolstering the applicability of ECE-LAMS. These findings advocate for the adoption of ECE-LAMS as an appropriate approach for biliary palliation, urging further exploration in real-world clinical contexts. They offer valuable insights for optimizing interventions targeting malignant biliary obstruction management.
这篇社论深入探讨了彭发表在……上的文章。彭的荟萃分析研究了电灼增强管腔贴合金属支架（ECE-LAMS）在超声引导下胆道引流中缓解恶性胆道梗阻的有效性。该研究审查了14项涵盖620名参与者的研究，强调技术成功率高达96.7%，突出了ECE-LAMS的疗效，特别是在经内镜逆行胰胆管造影失败的具有挑战性的病例中。91.0%的临床成功率强调了其对症状缓解的影响，同时观察到不良事件发生率为17.5%，在合理的可耐受范围内。然而，7.3%的再次干预率强调了术后监测的必要性。亚组分析验证了一致的结果，支持了ECE-LAMS的适用性。这些发现主张采用ECE-LAMS作为胆道姑息治疗的合适方法，并敦促在现实世界的临床环境中进行进一步探索。它们为优化针对恶性胆道梗阻管理的干预措施提供了有价值的见解。
