International consensus statements for endoscopic management of distal biliary stricture

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Abstract

Distal biliary strictures (DBS) are common and may be caused by both malignant and benign pathologies. While endoscopic procedures play a major role in their management, a comprehensive review of the subject is still lacking. Our consensus statements were formulated by a group of expert Asian pancreatico‐biliary interventional endoscopists, following a proposal from the Digestive Endoscopy Society of Taiwan, the Thai Association for Gastrointestinal Endoscopy, and the Tokyo Conference of Asian Pancreato‐biliary Interventional Endoscopy. Based on a literature review utilizing Medline, Cochrane library, and Embase databases, a total of 19 consensus statements on DBS were made on diagnosis, endoscopic drainage, benign biliary stricture, malignant biliary stricture, and management of recurrent biliary obstruction and other complications. Our consensus statements provide comprehensive guidance for the endoscopic management of DBS.

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Most cited references 111

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Efficacy and safety of EUS-guided biliary drainage in comparison with percutaneous biliary drainage when ERCP fails: a systematic review and meta-analysis.

Reem Z. Sharaiha, Muhammad Khan, Faisal Kamal … (2017)

EUS-guided biliary drainage (EUS-BD) is increasingly used as an alternate therapeutic modality to percutaneous transhepatic biliary drainage (PTBD) for biliary obstruction in patients who fail ERCP. We conducted a systematic review and meta-analysis to compare the efficacy and safety of these 2 procedures.

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How good is endoscopic ultrasound-guided fine-needle aspiration in diagnosing the correct etiology for a solid pancreatic mass?: A meta-analysis and systematic review.

Srinivas Puli, Matthew L. Bechtold, James L. Buxbaum … (2012)

The objective of this study was to evaluate the accuracy of endoscopic ultrasound-guided fine-needle aspiration (EUS-FNA) in diagnosing the correct etiology for a solid pancreatic mass. Data extracted from EUS-FNA studies with a criterion standard (either confirmed by surgery or appropriate follow-up) were selected. Articles were searched in MEDLINE, CINAHL, and Cochrane Central Register of Controlled Trials & Database of Systematic Reviews. Pooling was conducted by both fixed- and random-effects models. Initial search identified 3610 reference articles, of these 360 relevant articles were selected and reviewed. Data were extracted from 41 studies (N = 4766) which met the inclusion criteria. Pooled sensitivity of EUS-FNA in diagnosing the correct etiology for solid pancreatic mass was 86.8% (95% confidence interval [CI], 85.5-87.9). Endoscopic ultrasound-guided FNA had a pooled specificity of 95.8% (95% CI, 94.6-96.7). Positive likelihood ratio of EUS was 15.2 (95% CI, 8.5-27.3), and the negative likelihood ratio was 0.17 (95% CI, 0.13-0.21). Endoscopic ultrasound-guided FNA is an excellent diagnostic tool to detect the correct etiology for solid pancreatic masses. When available, EUS-FNA should be strongly considered as the first diagnostic tool for sampling these lesions to optimize patient management.

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Biliary stenting: indications, choice of stents and results: European Society of Gastrointestinal Endoscopy (ESGE) clinical guideline.

M Tringali, R Laugiers, D Heresbach … (2012)

This article is part of a combined publication that expresses the current view of the European Society of Gastrointestinal Endoscopy about endoscopic biliary stenting. The present Clinical Guideline describes short-term and long-term results of biliary stenting depending on indications and stent models; it makes recommendations on when, how, and with which stent to perform biliary drainage in most common clinical settings, including in patients with a potentially resectable malignant biliary obstruction and in those who require palliative drainage of common bile duct or hilar strictures. Treatment of benign conditions (strictures related to chronic pancreatitis, liver transplantation, or cholecystectomy, and leaks and failed biliary stone extraction) and management of complications (including stent revision) are also discussed. A two-page executive summary of evidence statements and recommendations is provided. A separate Technology Review describes the models of biliary stents available and the stenting techniques, including advanced techniques such as insertion of multiple plastic stents, drainage of hilar strictures, retrieval of migrated stents and combined stenting in malignant biliary and duodenal obstructions.The target readership for the Clinical Guideline mostly includes digestive endoscopists, gastroenterologists, oncologists, radiologists, internists, and surgeons while the Technology Review should be most useful to endoscopists who perform biliary drainage. © Georg Thieme Verlag KG Stuttgart · New York.

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Author and article information

Contributors

Hiroyuki Isayama: h-isayama@juntendo.ac.jp

Journal

Journal ID (nlm-ta): J Gastroenterol Hepatol

Journal ID (iso-abbrev): J. Gastroenterol. Hepatol

Journal ID (doi): 10.1111/(ISSN)1440-1746

Journal ID (publisher-id): JGH

Title: Journal of Gastroenterology and Hepatology

Publisher: John Wiley and Sons Inc. (Hoboken )

ISSN (Print): 0815-9319

ISSN (Electronic): 1440-1746

Publication date (Electronic): 10 January 2020

Publication date (Print): June 2020

Volume: 35

Issue: 6 ( doiID: 10.1111/jgh.v35.6 )

Pages: 967-979

Affiliations

[ ¹ ] Department of Gastroenterology, Graduate School of Medicine The University of Tokyo Tokyo Japan

[ ² ] Department of Endoscopy and Endoscopic Surgery, Graduate School of Medicine The University of Tokyo Tokyo Japan

[ ³ ] Department of Gastroenterology, Graduate School of Medicine Juntendo University Tokyo Japan

[ ⁴ ] Department of Internal Medicine, College of Medicine National Taiwan University Taipei Taiwan

[ ⁵ ] Division of Gastroenterology, Department of Medicine Chulalongkorn University Bangkok Thailand

[ ⁶ ] Department of Gastroenterology and Hepatology Singapore General Hospital and Duke‐NUS Medical School Singapore Singapore

[ ⁷ ] Third Department of Internal Medicine, Graduate School of Medicine University of Toyama Toyama Japan

[ ⁸ ] Digestive Disease Center and Research Institute, Department of Internal Medicine SoonChunHyang University School of Medicine Bucheon/Seoul South Korea

[ ⁹ ] Department of Surgery, Endoscopic Center, Prince of Wales Hospital The Chinese University of Hong Kong Hong Kong, China

[ ¹⁰ ] Asian Institute of Gastroenterology Hyderabad India

[ ¹¹ ] Department of Surgery Rajavithi Hospital Bangkok Thailand

[ ¹² ] Department of Internal Medicine University of Ulsan College of Medicine, Asan Medical Center Seoul South Korea

[ ¹³ ] Department of Internal Medicine, Gangnam Severance Hospital Yonsei University College of Medicine Seoul South Korea

[ ¹⁴ ] Division of Gastroenterology, Department of Internal Medicine, Faculty of Medicine Universitas Indonesia/Cipto Mangunkusumo National General Hospital Jakarta Indonesia

[ ¹⁵ ] Section of Gastroenterology, Department of Internal Medicine, Faculty of Medicine and Surgery University of Santo Tomas Hospital Manila Philippines

[ ¹⁶ ] Department of Medicine University of Florida Gainesville Florida USA

[ ¹⁷ ] Division of Gastroenterology, King Khalid University Hospital King Saud University Riyadh Saudi Arabia

[ ¹⁸ ] Department of Gastroenterology Dokkyo Medical University Tochigi Japan

[ ¹⁹ ] Center for Gastroenterology Teine‐Keijinkai Hospital Sapporo Japan

[ ²⁰ ] Second Department of Internal Medicine Wakayama Medical University Wakayama Japan

[ ²¹ ] Department of Gastroenterology Saitama Medical University International Medical Center Saitama Japan

[ ²² ] Department of Gastroenterology and Hepatology Mayo Clinic Florida USA

[ ²³ ] Department of Gastroenterology and Hepatology Tokyo Medical University Tokyo Japan

[ ²⁴ ] University of Queensland Royal Brisbane and Women's Hospital Brisbane Queensland Australia

Author notes

[*] [* ] Correspondence

Hiroyuki Isayama, Department of Gastroenterology, Graduate School of Medicine, Juntendo University, 3‐1‐3 Hongo Bunkyo‐ku. Tokyo, Japan 113‐8431.

Email: h-isayama@ 123456juntendo.ac.jp

Author information

Yousuke Nakai https://orcid.org/0000-0001-7411-1385

Rungsun Rerknimitr https://orcid.org/0000-0001-6866-6886

Ichiro Yasuda https://orcid.org/0000-0002-6888-0310

James Lau https://orcid.org/0000-0003-0122-4068

Sundeep Lakhtakia https://orcid.org/0000-0001-7562-8060

Masayuki Kitano https://orcid.org/0000-0001-6885-9223

Benedict Devereaux https://orcid.org/0000-0003-1795-5690

Article

Publisher ID: JGH14955 Other ID: JGH-01367-2019.R1

DOI: 10.1111/jgh.14955

PMC ID: 7318125

PubMed ID: 31802537

SO-VID: 4e7414bd-fa30-4ffb-9c13-84162e2b977e

License:

This is an open access article under the terms of the http://creativecommons.org/licenses/by-nc/4.0/ License, which permits use, distribution and reproduction in any medium, provided the original work is properly cited and is not used for commercial purposes.

History

Date received : 10 July 2019

Date revision received : 01 December 2019

Date accepted : 02 December 2019

Page count

Figures: 2, Tables: 2, Pages: 13, Words: 6174

Funding

Funded by: Tokyo Conference of Asian Pancreato‐biliary Interventional Endoscopy

Funded by: Boston Scientific Japan

Custom metadata

source-schema-version-number 2.0

cover-date June 2020

details-of-publishers-convertor Converter:WILEY_ML3GV2_TO_JATSPMC version:5.8.4 mode:remove_FC converted:26.06.2020

ScienceOpen disciplines: Gastroenterology & Hepatology

Keywords: distal biliary stricture,endoscopic retrograde cholangiopancreatography,endosonography,stents

Data availability:

ScienceOpen disciplines: Gastroenterology & Hepatology

Keywords: distal biliary stricture, endoscopic retrograde cholangiopancreatography, endosonography, stents

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International consensus statements for endoscopic management of distal biliary stricture

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Abstract

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International Journal of Management Studies

Most cited references 111

Efficacy and safety of EUS-guided biliary drainage in comparison with percutaneous biliary drainage when ERCP fails: a systematic review and meta-analysis.

How good is endoscopic ultrasound-guided fine-needle aspiration in diagnosing the correct etiology for a solid pancreatic mass?: A meta-analysis and systematic review.

Biliary stenting: indications, choice of stents and results: European Society of Gastrointestinal Endoscopy (ESGE) clinical guideline.

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