Zeng J, Li LQ, Cheng J, Wang S, Chen X, Jiang Z. Meta-analysis of effectiveness and safety of octreotide combined with alprostadil for acute pancreatitis.
Shijie Huaren Xiaohua Zazhi 2016;
24:3119-3127. [DOI:
10.11569/wcjd.v24.i20.3119]
[Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 02/06/2023] Open
Abstract
AIM: To systematically evaluate the effectiveness and safety of octreotide combined with alprostadil in the treatment of acute pancreatitis (AP).
METHODS: Relevant randomized controlled trials (RCTs) were searched via databases including PubMed, CBM, VIP, CNKI and WanFang Data from their inception to October 2015, and the references of the included studies were also screened. Two reviewers screened the literature, assessed the quality of studies and extracted the data. RevMan 5.2 software was used to complete the meta-analysis.
RESULTS: Eighteen trials involving 1277 participants were included. The results of the systematic review showed that compared with the control group, the experimental group was superior with regard to clinical effective rate (RR = 1.20, 95%CI: 1.15-1.26), time to relief of bellyache [SMD = -2.68, 95%CI: -3.11-(-2.25)], time to relief of signs of abdominal tenderness [SMD = -2.54, 95%CI: -2.79-(-2.30)], time to recovery of blood amylase [SMD = -1.95, 95%CI: -2.15-(-1.76)], incidence of AP complications (RR = 0.30, 95%CI: 0.13-0.69), and average length of hospital stay [SMD = -8.95, 95%CI: -13.61-(-4.29)].
CONCLUSION: Octreotide combined with alprostadil for treating AP is superior to octreotide alone. Due to the limited quality of the included studies, our conclusion needs to be verified by more high quality studies.
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