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Region Hovedstaden - en del af Københavns Universitetshospital
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A multi-institution consensus on how to perform EUS-guided biliary drainage for malignant biliary obstruction

Publikation: Bidrag til tidsskriftTidsskriftartikelForskningpeer review

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  • Jintao Guo
  • Marc Giovannini
  • Anand V Sahai
  • Adrian Saftoiu
  • Christoph F Dietrich
  • Erwin Santo
  • Pietro Fusaroli
  • Ali A Siddiqui
  • Manoop S Bhutani
  • Anthony Yuen Bun Teoh
  • Atsushi Irisawa
  • Brenda Lucia Arturo Arias
  • Chalapathi Rao Achanta
  • Christian Jenssen
  • Dong-Wan Seo
  • Douglas G Adler
  • Evangelos Kalaitzakis
  • Everson Artifon
  • Fumihide Itokawa
  • Jan Werner Poley
  • Girish Mishra
  • Khek Yu Ho
  • Hsiu-Po Wang
  • Hussein Hassan Okasha
  • Jesse Lachter
  • Juan J Vila
  • Julio Iglesias-Garcia
  • Kenji Yamao
  • Kenjiro Yasuda
  • Kensuke Kubota
  • Laurent Palazzo
  • Luis Carlos Sabbagh
  • Malay Sharma
  • Mitsuhiro Kida
  • Mohamed El-Nady
  • Nam Q Nguyen
  • Peter Vilmann
  • Pramod Kumar Garg
  • Praveer Rai
  • Shuntaro Mukai
  • Silvia Carrara
  • Sreeram Parupudi
  • Subbaramiah Sridhar
  • Sundeep Lakhtakia
  • Surinder S Rana
  • Takeshi Ogura
  • Todd H Baron
  • Vinay Dhir
  • Siyu Sun
Vis graf over relationer

Background and Objectives: EUS-guided biliary drainage (EUS-BD) was shown to be useful for malignant biliary obstruction (MBO). However, there is lack of consensus on how EUS-BD should be performed.

Methods: This was a worldwide multi-institutional survey among members of the International Society of EUS conducted in February 2018. The survey consisted of 10 questions related to the practice of EUS-BD.

Results: Forty-six endoscopists of them completed the survey. The majority of endoscopists felt that EUS-BD could replace percutaneous transhepatic biliary drainage after failure of ERCP. Among all EUS-BD methods, the rendezvous stenting technique should be the first choice. Self-expandable metal stents (SEMSs) were recommended by most endoscopists. For EUS-guided hepaticogastrostomy (HGS), superiority of partially-covered SEMS over fully-covered SEMS was not in agreement. 6-Fr cystotomes were recommended for fistula creation. During the HGS approach, longer SEMS (8 or 10 cm) was recommended. During the choledochoduodenostomy approach, 6-cm SEMS was recommended. During the intrahepatic (IH) approach, the IH segment 3 was recommended.

Conclusion: This is the first worldwide survey on the practice of EUS-BD for MBO. There were wide variations in practice, and randomized studies are urgently needed to establish the best approach for the management of this condition.

OriginalsprogEngelsk
TidsskriftEndoscopic Ultrasound
Vol/bind7
Udgave nummer6
Sider (fra-til)356-365
Antal sider10
ISSN2303-9027
DOI
StatusUdgivet - 12 dec. 2018

ID: 56501414