Journal article
Efficacy of cap-assisted endoscopy for the visualization of the major duodenal papilla: a systematic review and meta-analysis
Gastrointestinal endoscopy, Vol.98(6), pp.1004-1008
Dec 2023
PMID: 37544335
Featured in Collection : UN Sustainable Development Goals @ Drexel
Abstract
The current standard of practice is to use a duodenoscope for the evaluation of the major duodenal papilla (MDP). Recently, cap-assisted endoscopy (CAE), which uses a transparent cap at the tip of a standard front-viewing endoscope, has emerged as an alternative.
A systematic literature search was performed in several databases from inception to January 2023 to identify studies evaluating the efficacy of CAE for the evaluation of the MDP.
Nine studies including 806 patients met our inclusion criteria. The pooled rate of technical success for CAE was 93.2% (95% confidence interval, 85.6-96.9; I
= 84.6%). A subgroup analysis comparing CAE with a standard endoscope showed higher odds for the evaluation of the MDP with CAE (but not a duodenoscope, which was better than CAE) with an odds ratio of 57.294 (95% confidence interval, 17.767-184.755; I
= 45.303%).
CAE offers a significant advantage with high rates of complete MDP evaluation compared with standard forward-viewing endoscopy. However, CAE is associated with lower rates of success when compared with side-viewing endoscopes.
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Details
- Title
- Efficacy of cap-assisted endoscopy for the visualization of the major duodenal papilla: a systematic review and meta-analysis
- Creators
- Umair Iqbal - WellSpan York HospitalMichael Yodice - Geisinger Medical CenterZohaib Ahmed - University of Toledo Medical CenterWade Lee-Smith - University of Toledo Medical CenterDouglas G Adler - Porter Adventist HospitalBradley D Confer - Geisinger Medical Center
- Publication Details
- Gastrointestinal endoscopy, Vol.98(6), pp.1004-1008
- Publisher
- Elsevier
- Resource Type
- Journal article
- Language
- English
- Academic Unit
- General Internal Medicine
- Web of Science ID
- WOS:001120137300001
- Scopus ID
- 2-s2.0-85177499903
- Other Identifier
- 991022058595704721
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- Collaboration types
- Domestic collaboration
- Web of Science research areas
- Gastroenterology & Hepatology