A multi-institution consensus on how to perform EUS-guided biliary drainage for malignant biliary obstruction

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 & 29 others 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

Research output: Contribution to journalArticle

1 Citation (Scopus)

Abstract

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.

Original languageEnglish (US)
Pages (from-to)356-365
Number of pages10
JournalEndoscopic Ultrasound
Volume7
Issue number6
DOIs
StatePublished - Nov 1 2018
Externally publishedYes

Fingerprint

Drainage
Choledochostomy
Endoscopic Retrograde Cholangiopancreatography
Fistula
Self Expandable Metallic Stents
Surveys and Questionnaires

Keywords

  • Consensus
  • EUS-guided biliary drainage
  • Questionnaire survey

ASJC Scopus subject areas

  • Hepatology
  • Radiology Nuclear Medicine and imaging
  • Gastroenterology

Cite this

Guo, J., Giovannini, M., Sahai, A. V., Saftoiu, A., Dietrich, C. F., Santo, E., ... Sun, S. (2018). A multi-institution consensus on how to perform EUS-guided biliary drainage for malignant biliary obstruction. Endoscopic Ultrasound, 7(6), 356-365. https://doi.org/10.4103/eus.eus_53_18

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

In: Endoscopic Ultrasound, Vol. 7, No. 6, 01.11.2018, p. 356-365.

Research output: Contribution to journalArticle

Guo, J, Giovannini, M, Sahai, AV, Saftoiu, A, Dietrich, CF, Santo, E, Fusaroli, P, Siddiqui, AA, Bhutani, MS, Teoh, AYB, Irisawa, A, Arias, BLA, Achanta, CR, Jenssen, C, Seo, DW, Adler, DG, Kalaitzakis, E, Artifon, E, Itokawa, F, Poley, JW, Mishra, G, Ho, KY, Wang, HP, Okasha, HH, Lachter, J, Vila, JJ, Iglesias-Garcia, J, Yamao, K, Yasuda, K, Kubota, K, Palazzo, L, Sabbagh, LC, Sharma, M, Kida, M, El-Nady, M, Nguyen, NQ, Vilmann, P, Garg, PK, Rai, P, Mukai, S, Carrara, S, Parupudi, S, Sridhar, S, Lakhtakia, S, Rana, SS, Ogura, T, Baron, TH, Dhir, V & Sun, S 2018, 'A multi-institution consensus on how to perform EUS-guided biliary drainage for malignant biliary obstruction', Endoscopic Ultrasound, vol. 7, no. 6, pp. 356-365. https://doi.org/10.4103/eus.eus_53_18
Guo, Jintao ; Giovannini, Marc ; Sahai, Anand V. ; Saftoiu, Adrian ; Dietrich, Christoph F. ; Santo, Erwin ; Fusaroli, Pietro ; Siddiqui, Ali A. ; Bhutani, Manoop S. ; Teoh, Anthony Yuen Bun ; Irisawa, Atsushi ; Arias, Brenda Lucia Arturo ; Achanta, Chalapathi Rao ; Jenssen, Christian ; Seo, Dong Wan ; Adler, Douglas G. ; Kalaitzakis, Evangelos ; Artifon, Everson ; Itokawa, Fumihide ; Poley, Jan Werner ; Mishra, Girish ; Ho, Khek Yu ; Wang, Hsiu Po ; Okasha, Hussein Hassan ; Lachter, Jesse ; Vila, Juan J. ; Iglesias-Garcia, Julio ; Yamao, Kenji ; Yasuda, Kenjiro ; Kubota, Kensuke ; Palazzo, Laurent ; Sabbagh, Luis Carlos ; Sharma, Malay ; Kida, Mitsuhiro ; El-Nady, Mohamed ; Nguyen, Nam Q. ; Vilmann, Peter ; Garg, Pramod Kumar ; Rai, Praveer ; Mukai, Shuntaro ; Carrara, Silvia ; Parupudi, Sreeram ; Sridhar, Subbaramiah ; Lakhtakia, Sundeep ; Rana, Surinder S. ; Ogura, Takeshi ; Baron, Todd H. ; Dhir, Vinay ; Sun, Siyu. / A multi-institution consensus on how to perform EUS-guided biliary drainage for malignant biliary obstruction. In: Endoscopic Ultrasound. 2018 ; Vol. 7, No. 6. pp. 356-365.
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AU - Giovannini, Marc

AU - Sahai, Anand V.

AU - Saftoiu, Adrian

AU - Dietrich, Christoph F.

AU - Santo, Erwin

AU - Fusaroli, Pietro

AU - Siddiqui, Ali A.

AU - Bhutani, Manoop S.

AU - Teoh, Anthony Yuen Bun

AU - Irisawa, Atsushi

AU - Arias, Brenda Lucia Arturo

AU - Achanta, Chalapathi Rao

AU - Jenssen, Christian

AU - Seo, Dong Wan

AU - Adler, Douglas G.

AU - Kalaitzakis, Evangelos

AU - Artifon, Everson

AU - Itokawa, Fumihide

AU - Poley, Jan Werner

AU - Mishra, Girish

AU - Ho, Khek Yu

AU - Wang, Hsiu Po

AU - Okasha, Hussein Hassan

AU - Lachter, Jesse

AU - Vila, Juan J.

AU - Iglesias-Garcia, Julio

AU - Yamao, Kenji

AU - Yasuda, Kenjiro

AU - Kubota, Kensuke

AU - Palazzo, Laurent

AU - Sabbagh, Luis Carlos

AU - Sharma, Malay

AU - Kida, Mitsuhiro

AU - El-Nady, Mohamed

AU - Nguyen, Nam Q.

AU - Vilmann, Peter

AU - Garg, Pramod Kumar

AU - Rai, Praveer

AU - Mukai, Shuntaro

AU - Carrara, Silvia

AU - Parupudi, Sreeram

AU - Sridhar, Subbaramiah

AU - Lakhtakia, Sundeep

AU - Rana, Surinder S.

AU - Ogura, Takeshi

AU - Baron, Todd H.

AU - Dhir, Vinay

AU - Sun, Siyu

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KW - EUS-guided biliary drainage

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