Review Article

Submucosal Injection Solution for Endoscopic Resection in Gastrointestinal Tract: A Traditional and Network Meta-Analysis

Table 3

Network meta-analysis comparing different classes of injection solutions.

InterventionsEn bloc resectionComplete resection
Odds ratios (95% CI)GRADEOdds ratios (95% CI)GRADE

Fibrinogen mixture
 Dextrose0.18 (0.04, 0.89)High0.73 (0.11, 4.96)Moderate
 Hyaluronic acid0.27 (0.06, 1.21)Moderate0.63 (0.15, 2.60)Moderate
 Succinylated gelatin 0.23 (0.04, 1.27)Moderate1.41 (0.21, 9.63)Moderate
 Hydroxyethyl starch0.43 (0.07, 2.84)Moderate1.44 (0.06, 31.99)Low
 MesnaNANA0.48 (0.02, 15.42)Low
Dextrose
 Hyaluronic acid1.47 (0.47, 4.59)Moderate0.85 (0.18, 3.96)Moderate
 Succinylated gelatin 1.26 (0.31, 5.11)Moderate1.93 (0.25, 15.08)Low
 Hydroxyethyl starch2.39 (0.48, 11.94)Low1.97 (0.08, 47.96)Very low
 MesnaNANA0.66 (0.02, 22.72)Low
Hyaluronic acid
 Succinylated gelatin 0.85 (0.23, 3.19)Moderate2.26 (0.49, 10.52)Low
 Hydroxyethyl starch1.62 (0.35, 7.52)Moderate2.31 (0.13, 41.29)Very low
 MesnaNANA0.77 (0.03, 20.39)Low
Succinylated gelatin
 Hydroxyethyl starch1.90 (0.33, 10.81)Low1.02 (0.04, 24.72)Low
 MesnaNANA0.34 (0.01, 11.56)Low
Hydroxyethyl starch
 MesnaNANA0.33 (0.00, 27.72)Very low

GRADE: Grading of Recommendations, Assessment, Development, and Evaluation.