Publication: Association Between Juxtapapillary Duodenal Diverticula and Risk of Choledocholithiasis: a Systematic Review and Meta-analysis
Issued Date
2018-12-01
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ISSN
1091255X
Other identifier(s)
2-s2.0-85050221348
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Mahidol University
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SCOPUS
Bibliographic Citation
Journal of Gastrointestinal Surgery. Vol.22, No.12 (2018), 2167-2176
Suggested Citation
Karn Wijarnpreecha, Panadeekarn Panjawatanan, Wuttiporn Manatsathit, Wisit Cheungpasitporn, Surakit Pungpapong, Frank J. Lukens, Patompong Ungprasert Association Between Juxtapapillary Duodenal Diverticula and Risk of Choledocholithiasis: a Systematic Review and Meta-analysis. Journal of Gastrointestinal Surgery. Vol.22, No.12 (2018), 2167-2176. doi:10.1007/s11605-018-3865-z Retrieved from: https://repository.li.mahidol.ac.th/handle/20.500.14594/46165
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Title
Association Between Juxtapapillary Duodenal Diverticula and Risk of Choledocholithiasis: a Systematic Review and Meta-analysis
Abstract
© 2018, The Society for Surgery of the Alimentary Tract. Background/Objectives: Studies have suggested that the presence of juxtapapillary duodenal diverticula (JDD) could be a predisposing factor for choledocholithiasis. This systematic review and meta-analysis was conducted with the aims to summarize all available evidence to better characterize the risk. Methods: A literature search was performed using MEDLINE and EMBASE database from inception to January 2018. Cross-sectional studies that reported odd ratios (OR) comparing the risk of choledocholithiasis among individuals with JDD versus individuals without JDD were included. Pooled OR and 95% confidence interval (CI) were calculated using a random-effect, generic inverse variance method. Results: Of 527 retrieved articles, 11 studies met our eligibility criteria and were included in analysis. We found a significant association between the presence of JDD and choledocholithiasis with the pooled OR of 2.30 (95% CI, 1.84–2.86). The statistical heterogeneity was moderate with an I 2 of 60%. Conclusions: A significantly increased risk of choledocholithiasis among individuals with JDD was observed in this study.