Table 1. Characteristics of the stone studies included in a systematic review and meta-analysis of the efficacy of peroral cholangioscopy for difficult bile duct stones and indeterminate strictures.
First author | Year | Setting | Study design | Type of POC | Sample size, n | Technical success rate | Patients undergoing stone removal, n | Stone clearance rate | Stones per patient, mean, n | Stone size, mean, mm | Location of > 75 % of stones | Stone removal method | Stone recurrence rate | Complication/adverse event rate | Patients lost to follow-up, n | NOS score |
Akerman | 2012 | Single | Retrospective | Catheter-based | 34 | 0.97 | 11 | 0.64 | NR | NR | NR | EHL | NR | 0 | NR | 4 |
Alameel | 2013 | Single | Prospective | Catheter-based | 30 | NR | 10 | 0.9 | NR | NR | NR | EHL | NR | 0.05 | 0 | 4 |
Arya | 2004 | Multicenter | Retrospective | Mother – daughter | 94 | NR | 94 | 0.9 | 1.92 | 0 | Mixed | EHL | 0.04 | 0.18 | NR | 4 |
Awadallah | 2006 | Single | Prospective | Mother – daughter | 41 | NR | 9 | 0.78 | NR | NR | Mixed | EHL | NR | 0.05 | 1 | 4 |
Chen | 2011 | Multicenter | Prospective | Catheter-based | 297 | 0.983 | 66 | 0.92 | NR | NR | Extrahepatic | Laser lithotripsy | NR | 0.075 | 20 | 4 |
Chen | 2007 | Multicenter | Prospective | Catheter-based | 35 | NR | 9 | 1 | NR | NR | NR | Multiple methods | NR | 0.06 | 0 | 4 |
Draganov | 2011 | Single | Prospective | Catheter-based | 75 | 0.933 | 26 | 0.923 | 3.55 | 16.52 | NR | EHL | NR | 0.048 | 0 | 4 |
Farnik | 2014 | Multicenter | Retrospective | Ultraslim endoscope | 89 | 0.885 | 23 | NR | NR | NR | NR | Multiple methods | NR | 0.077 | NR | 3 |
Farrell | 2005 | Single | Prospective | Catheter-based | 75 | NR | 26 | 1 | NR | 20 | Mixed | EHL | NR | 0 | NR | 4 |
Fishman | 2009 | Single | Retrospective | Catheter-based | 128 | NR | 41 | 0.87 | NR | NR | NR | EHL | NR | 0 | NR | 4 |
Huang | 2013 | Single | Prospective | Ultraslim endoscope | 22 | 0.82 | 5 | 1 | NR | 13.4 | NR | POC-assisted basket | 0.182 | 0 | 0 | 4 |
Itoi | 2012 | Single | Retrospective | Ultraslim endoscope | 24 | NR | 8 | 1 | NR | 12 | Intrahepatic | POC-assisted basket | NR | 0 | 0 | 4 |
Itoi | 2010 | Single | Retrospective | Mother – daughter | 108 | NR | 26 | 1 | 2.4 | 14.6 | NR | Multiple methods | NR | 0 | NR | 4 |
Itoi | 2014 | Multicenter | Prospective | Ultraslim endoscope | 41 | 0.83 | 8 | 1 | NR | NR | NR | Multiple methods | NR | 0.048 | NR | 4 |
Jakobs | 2007 | Single | Prospective | Mother – daughter | 89 | NR | 17 | 0.824 | NR | 22 | NR | Laser lithotripsy | NR | 0 | NR | 3 |
Jakobs | 1996 | Single | Prospective | Mother – daughter | 30 | NR | 10 | 0.83 | 2.7 | 18 | Mixed | Laser lithotripsy | NR | NR | NR | 4 |
Kalaitzakis | 2012 | Multicenter | Retrospective | Catheter-based | 165 | 0.95 | 33 | 0.73 | NR | 18 | Extrahepatic | Multiple methods | NR | 0.09 | 4 | 4 |
Kim | 2011 | Single | Prospective | Ultraslim endoscope | 13 | 0.923 | 13 | 0.923 | 2.4 | 20.9 | NR | Laser lithotripsy | NR | 0.077 | 0 | 4 |
Lee TY | 2012 | Single | Prospective | Ultraslim endoscope | 10 | NR | 10 | 0.9 | 2.3 | 19 | Extrahepatic | Laser lithotripsy | NR | 0.1 | 0 | 4 |
Lee YN | 2012 | Single | Prospective | Ultraslim endoscope | 48 | 0.958 | 13 | 0.846 | 2.6 | 16.7 | Extrahepatic | POC-assisted basket | NR | 0 | 0 | 4 |
Maydeo | 2011 | Single | Prospective | Catheter-based | 64 | NR | 60 | 1 | 1.5 | 23.4 | Extrahepatic | Laser lithotripsy | NR | 0.133 | 0 | 4 |
Meves | 2014 | Single | Prospective | Ultraslim endoscope | 84 | 0.87 | 11 | 1 | NR | NR | NR | Multiple methods | NR | 0.12 | NR | 4 |
Moon | 2009 | Single | Prospective | Ultraslim endoscope | 18 | 0.944 | 18 | 0.89 | 2.3 | 23.2 | Extrahepatic | Multiple methods | NR | 0 | 0 | 4 |
Moon | 2009 | Single | Prospective | Ultraslim endoscope | 29 | 0.78 | 4 | 1 | NR | NR | NR | Multiple methods | NR | 0 | NR | 4 |
Mori | 2012 | Single | Prospective | Ultraslim endoscope | 40 | 0.925 | 13 | 1 | NR | NR | NR | Multiple methods | NR | 0 | NR | 4 |
Neuhaus | 1993 | Single | Prospective | Mother – daughter | 35 | NR | 12 | 0.83 | NR | 20 | Extrahepatic | Laser lithotripsy | NR | 0 | NR | 4 |
Patel | 2014 | Multicenter | Prospective | Catheter-based | 69 | NR | 69 | 0.97 | NR | NR | Extrahepatic | Laser lithotripsy | NR | 0.041 | 0 | 4 |
Piraka | 2007 | Single | Prospective | Mother – daughter | 32 | NR | 32 | 0.81 | NR | 12 | Mixed | EHL | 0.18 | 0.038 | 4 | 4 |
Pohl | 2013 | Single | RCT | Mixed | 60 | 0.88 | NR | NR | NR | NR | NR | Multiple methods | NR | 0.117 | 0 | 3 |
Sauer | 2013 | Single | Retrospective | Mixed | 20 | NR | 20 | 0.9 | 2.2 | 22 | Extrahepatic | Laser lithotripsy | NR | 0.25 | NR | 4 |
Sepe | 2012 | Single | Retrospective | Catheter-based | 13 | NR | 13 | 0.769 | NR | 8 | Cystic | EHL | 0.077 | 0 | NR | 4 |
Tsuyuguchi | 2011 | Single | Prospective | Mother – daughter | 122 | NR | 122 | 0.959 | 2.9 | 17 | NR | Multiple methods | 0.161 | NR | 6 | 3 |
Tsuyuguchi | 2000 | Single | Retrospective | Mother – daughter | 25 | 0.92 | 22 | 0.82 | NR | 20 | NR | Multiple methods | 0.18 | 0.16 | 1 | 4 |
POC, peroral cholangioscopy; NR, not reported; EHL, electrohydraulic lithotripsy; NOS, Newcastle – Ottawa Scale.