减肥手术前必须进行常规食管胃十二指肠镜检查吗?系统评价和荟萃分析方案。

Walid El Ansari , Ayman El-Menyar
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引用次数: 0

摘要

简介:减肥手术(BS)前的常规术前食管胃十二指肠镜检查(p-EGD)目前被广泛采用,因此是一个具有许多临床和经济影响的重要问题。然而,为什么所有肥胖患者都要常规接受p-EGD的真正原因仍不清楚。方法和分析:为了解决这个问题,我们将对来自世界各地的BS前常规p-EGD进行系统回顾和荟萃分析。本方案描述了将采用的方法学方法,并概述了用于识别和选择研究的检索策略和合格标准,以及从所选研究中提取数据进行分析的方法。从2000年1月1日至2019年4月30日,将检索PubMed、Cochrane中央对照试验注册中心(Central)、世卫组织国际临床试验注册平台、Cochrane图书馆、MEDLINE、Scopus、clinicaltrials.gov和谷歌scholar,以获取提供BS前常规p-EGD结果患病率估计的英文原始研究。STROBE标准将评估所选研究的方法学质量。使用固定或随机效应模型将取决于异质性统计检验的结果。发表偏倚将通过评估漏斗图进行视觉估计。将计算汇总估计。本方案符合系统评价和荟萃分析的首选报告项目(PRISMA)指南,并已提交普洛斯彼罗国际前瞻性系统评价注册。本研究不需要伦理许可。这篇综述将发表在同行评议的期刊上,并将在各种国内和国际会议上发表。
本文章由计算机程序翻译,如有差异,请以英文原文为准。

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Is routine preoperative esophagogastroduodenscopy prior to bariatric surgery mandatory? protocol for a systematic review and meta-analysis

Introduction

Routine preoperative esophagogastroduodenscopy (p-EGD) prior to bariatric surgery (BS) is currently widely undertaken, and hence an important issue with many clinical and financial repercussions. Yet, the true extent of why p-EGD is routinely undertaken for all bariatric patients remains not well understood.

Methods and analysis

To address this, we will undertake a systematic review and meta-analysis of routine p-EGD prior to BS from around the world. This protocol describes the methodological approach to be adopted and outlines the search strategies and eligibility criteria that will be employed to identify and select studies, and the way by which data from the selected studies will be extracted for analysis. PubMed, Cochrane Central Register of Controlled Trials (CENTRAL), WHO International Clinical Trials Registry Platform, Cochrane Library, MEDLINE, Scopus, clinicaltrials.gov and Google scholar will be searched from 01 January 2000 to 30 April 2019 for original studies written in English that provided prevalence estimates of the outcomes of routine p-EGD prior to BS. STROBE criteria will assess the methodological quality of the selected studies. The use of fixed or random effects model will depend on the results of statistical tests for heterogeneity. Publication bias will be visually estimated by assessing funnel plots. Pooled estimates will be calculated. This protocol conforms to the Preferred Reporting Items for Systematic reviews and Meta-Analysis (PRISMA) guidelines and has been submitted for registration at the PROSPERO International Prospective Register of systematic reviews. No ethical clearance is required for this study. This review will be published in a peer- reviewed journal and will be presented at various national and international conferences.

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期刊介绍: IJS Protocols is the first peer-reviewed, international, open access journal seeking to publish research protocols across across the full breadth of the surgical field. We are aim to provide rapid submission to decision times whilst maintaining a high quality peer-review process.
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