Mailizar Mailizar, Rahmah Johar, Yulinar Safitri, Sulastri Sulastri, Siti Fatimah, Ulya Rohaizati
Using comics in teaching mathematics to improve junior high school students' disaster awareness
Jamba (Potchefstroom, South Africa)
endoscopic sphincterotomy es mandatory biliary stenting impact es biliary stent placement remains uncertain previous studies reported es increase adverse event rates 45 times compared es aimed assess occurrence postercp adverse events following biliary stent placement without es pubmed embase cochrane systematically searched randomized controlled trials primary outcome postercp pancreatitis pep subgroup analyses performed patients undergoing biliary drainage due obstruction using metal stents using plastic stents secondary outcomes included postprocedure bleeding perforation stentcatheter occlusion stentcatheter migration cholangitis heterogeneity examined using i2 statistics randomeffects model employed review manager 54 used statistical analyses seven rcts 1022 patients included significant difference es nones groups 046 95 019 109 p 008 i2 59 regarding pep however significant difference bleeding rates found groups favoring nones 755 95 ci 246 2321 p 00004 i2 0 analysis occurrence cholangitis 125 95 ci 058 269 p 056 i2 67 perforation 195 95 ci 007 5573 p 070 i2 58 stentcatheter migration 195 95 ci 007 5573 p 023 i2 6 stentcatheter occlusion 090 95 ci 037 219 p 081 i2 0 favor either group performing es biliary drainage impact pep rate associated increased postprocedure bleeding rate