TY - JOUR
T1 - A multi-institution consensus on how to perform EUS-guided biliary drainage for malignant biliary obstruction
AU - Guo, Jintao
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
N1 - Funding Information:
This study was supported by the Natural Science Foundation of Liaoning Province (Grant No. MS0038), and Shengjing Free Researcher Project Foundation (Grant No. MF73). We thank all doctors who participated in this study.
Publisher Copyright:
© 2018 SPRING MEDIA PUBLISHING CO. LTD
PY - 2018/11/1
Y1 - 2018/11/1
N2 - 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.
AB - 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.
KW - Consensus
KW - EUS-guided biliary drainage
KW - Questionnaire survey
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U2 - 10.4103/eus.eus_53_18
DO - 10.4103/eus.eus_53_18
M3 - Article
AN - SCOPUS:85058474020
SN - 2303-9027
VL - 7
SP - 356
EP - 365
JO - Endoscopic Ultrasound
JF - Endoscopic Ultrasound
IS - 6
ER -