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American Society for Gastrointestinal Endoscopy guideline on the role of therapeutic EUS in the management of biliary tract disorders: summary and recommendations - 04/12/24

Doi : 10.1016/j.gie.2024.03.027 
Prepared by

ASGE Standards of Practice Committee

Swati Pawa, MD, FASGE 1, ∗, Neil B. Marya, MD 2, ∗, Nikhil R. Thiruvengadam, MD 3, ∗, Saowanee Ngamruengphong, MD, FASGE 4, Todd H. Baron, MD, MASGE 5, Anthony Yuen Bun Teoh, FRCSEd (Gen) 6, Christopher K. Bent, MD 7, Wasif Abidi, MD, PhD 8, Omeed Alipour, MD 9, Stuart K. Amateau, MD, PhD, FASGE 10, Madhav Desai, MD, MPH 10, Jean M. Chalhoub, MD 11, Nayantara Coelho-Prabhu, MD, FASGE 12, Natalie Cosgrove, MD 13, Sherif E. Elhanafi, MD 14, Nauzer Forbes, MD, MSc, FASGE 15, Larissa L. Fujii-Lau, MD 16, Divyanshoo R. Kohli, MD 17, Jorge D. Machicado, MD, MPH 18, Udayakumar Navaneethan, MD, FASGE 19, Wenly Ruan, MD 20, Sunil G. Sheth, MD, FASGE 21, Nirav C. Thosani, MD, MHA 22, Bashar J. Qumseya, MD, MPH, FASGE 23, ⁎

(ASGE Standards of Practice Committee Chair)

1 Department of Gastroenterology, Wake Forest School of Medicine, Winston Salem, North Carolina, USA 
2 Division of Gastroenterology and Hepatology, University of Massachusetts Medical Center, Worcester, Massachusetts, USA 
3 Division of Gastroenterology and Hepatology, Loma Linda University, Loma Linda, California, USA 
4 Division of Gastroenterology and Hepatology, The Johns Hopkins University, Baltimore, Maryland, USA 
5 Division of Gastroenterology and Hepatology, University of North Carolina, Chapel Hill, North Carolina, USA 
6 Department of Surgery, The Chinese University of Hong Kong, Prince of Wales Hospital, Shatin, China 
7 Department of Radiology, Loma Linda University, Loma Linda, California, USA 
8 Division of Gastroenterology, Baylor College of Medicine, Houston, Texas, USA 
9 Division of Gastroenterology, University of Washington Medical Center, Seattle, Washington, USA 
10 Division of Gastroenterology Hepatology and Nutrition, University of Minnesota Medical Center, Minneapolis, Minnesota, USA 
11 Division of Gastroenterology and Hepatology, Staten Island University Hospital, Northwell Health, Staten Island, New York, USA 
12 Department of Gastroenterology and Hepatology, Mayo Clinic, Rochester, Minnesota, USA 
13 Center for Interventional Endoscopy, AdventHealth, Orlando, Florida, USA 
14 Division of Gastroenterology, Texas Tech University Health Sciences Center, El Paso, Texas, USA 
15 Department of Medicine, Cumming School of Medicine, University of Calgary, Calgary, Alberta, Canada 
16 Department of Gastroenterology, University of Hawaii, Honolulu, Hawaii, USA 
17 Pancreas and Liver Clinic, Providence Sacred Medical Center, Elon Floyd School of Medicine, Washington State University, Spokane, Washington, USA 
18 Division of Gastroenterology, Michigan Medicine, University of Michigan, Ann Arbor, Michigan, USA 
19 Center for IBD and Interventional IBD, Orlando Health Digestive Health Institute, Orlando, Florida, USA 
20 Division of Pediatric Gastroenterology, Hepatology and Nutrition, Baylor College of Medicine, Texas Children's Hospital, Houston, Texas, USA 
21 Division of Gastroenterology, Beth Israel Deaconess Medical Center, Harvard Medical School, Boston, Massachusetts, USA 
22 Center for Interventional Gastroenterology at UTHealth, McGovern Medical School, Houston, Texas, USA 
23 Department of Gastroenterology, Hepatology, and Nutrition, University of Florida, Gainesville, Florida, USA 

∗Reprint requests: Bashar J. Qumseya, MD, MPH, FASGE, Department of Gastroenterology, Hepatology and Nutrition, University of Florida, PO Box 100214, 1329 SW 16th St, Ste 5251, Gainesville, FL 32610-0214.Department of GastroenterologyHepatology and NutritionUniversity of FloridaPO Box 1002141329 SW 16th StSte 5251GainesvilleFL32610-0214

Abstract

This clinical practice guideline from the American Society for Gastrointestinal Endoscopy provides an evidence-based approach for the role of therapeutic EUS in the management of biliary tract disorders. This guideline was developed using the Grading of Recommendations Assessment, Development and Evaluation framework and addresses the following:

1

The role of EUS-guided biliary drainage (EUS-BD) versus percutaneous transhepatic biliary drainage (PTBD) in resolving biliary obstruction in patients after failed ERCP.

2

The role of EUS-guided hepaticogastrostomy versus EUS-guided choledochoduodenostomy in resolving distal malignant biliary obstruction after failed ERCP.

3

The role of EUS-directed transgastric ERCP (EDGE) versus laparoscopic-assisted ERCP and enteroscopy-assisted ERCP (E-ERCP) in resolving biliary obstruction in patients with Roux-en-Y gastric bypass (RYGB) anatomy.

4

The role of EUS-BD versus E-ERCP and PTBD in resolving biliary obstruction in patients with surgically altered anatomy other than RYGB.

5

The role of EUS-guided gallbladder drainage (EUS-GBD) versus percutaneous gallbladder drainage and endoscopic transpapillary transcystic gallbladder drainage in resolving acute cholecystitis in patients who are not candidates for cholecystectomy.

Il testo completo di questo articolo è disponibile in PDF.

Abbreviations : AE, ASGE, CI, E-ERCP, EDGE, ET-GBD, EUS-BD, EUS-CDS, EUS-GBD, EUS-HGS, GRADE, LA-ERCP, LAMS, OR, PTBD, PT-GBD, RCT, RYGB


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© 2024  American Society for Gastrointestinal Endoscopy. Pubblicato da Elsevier Masson SAS. Tutti i diritti riservati.
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Vol 100 - N° 6

P. 967-979 - dicembre 2024 Ritorno al numero
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  • American Society for Gastrointestinal Endoscopy guideline on the role of therapeutic EUS in the management of biliary tract disorders: methodology and review of evidence
  • American Society for Gastrointestinal Endoscopy Standards of Practice Committee, Neil B. Marya, Swati Pawa, Nikhil R. Thiruvengadam, Saowanee Ngamruengphong, Todd H. Baron, Anthony Yuen Bun Teoh, Christopher K. Bent, Wasif Abidi, Omeed Alipour, Stuart K. Amateau, Madhav Desai, Jean M. Chalhoub, Nayantara Coelho-Prabhu, Natalie Cosgrove, Sherif E. Elhanafi, Nauzer Forbes, Larissa L. Fujii-Lau, Divyanshoo R. Kohli, Jorge D. Machicado, Udayakumar Navaneethan, Wenly Ruan, Sunil G. Sheth, Nirav C. Thosani, Bashar J. Qumseya, (ASGE Standards of Practice Committee Chair)

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