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Clinical practice guidelines for safe performance of endoscopic ultrasound/ultrasonography‐guided biliary drainage: 2018
- Source :
- Journal of Hepato-Biliary-Pancreatic Sciences
- Publication Year :
- 2019
- Publisher :
- Wiley, 2019.
-
Abstract
- Endoscopic ultrasound/ultrasonography‐guided biliary drainage (EUS‐BD) is a relatively new modality for biliary drainage after failed or difficult transpapillary biliary cannulation. Despite its clinical utility, EUS‐BD can be complicated by severe adverse events such as bleeding, perforation, and peritonitis. The aim of this paper is to provide practice guidelines for safe performance of EUS‐BD as well as safe introduction of the procedure to non‐expert centers. The guidelines comprised patient–intervention–comparison–outcome‐formatted clinical questions (CQs) and questions (Qs), which are background statements to facilitate understanding of the CQs. A literature search was performed using the PubMed and Cochrane Library databases. Statement, evidence level, and strength of recommendation were created according to the GRADE system. Four committees were organized: guideline creation, expert panelist, evaluation, and external evaluation committees. We developed 13 CQs (methods, device selection, supportive treatment, management of adverse events, education and ethics) and six Qs (definition, indication, outcomes and adverse events) with statements, evidence levels, and strengths of recommendation. The guidelines explain the technical aspects, management of adverse events, and ethics of EUS‐BD and its introduction to non‐expert institutions.<br />Highlight Isayama and colleagues present the first clinical practice guidelines for endoscopic ultrasound‐guided biliary drainage (EUS‐BD), including indications, clinical results, procedures, devices and education. Their primary purpose is to improve the outcomes of EUS‐BD for biliary tract diseases by facilitating the safe introduction and performance of the procedure at non‐expert centers.
- Subjects :
- Endoscopic ultrasound
Interventional EUS
medicine.medical_specialty
Cholangitis
Perforation (oil well)
Guideline
Cochrane Library
Endosonography
03 medical and health sciences
0302 clinical medicine
medicine
Humans
Intensive care medicine
Adverse effect
Ultrasonography, Interventional
EUS‐guided biliary drainage
Biliary drainage
Hepatology
medicine.diagnostic_test
Endoscopic ultrasonography
business.industry
Clinical Practice
Jaundice, Obstructive
030220 oncology & carcinogenesis
Practice Guidelines as Topic
Drainage
030211 gastroenterology & hepatology
Surgery
Biliary stricture
Ultrasonography
business
Subjects
Details
- ISSN :
- 18686982 and 18686974
- Volume :
- 26
- Database :
- OpenAIRE
- Journal :
- Journal of Hepato-Biliary-Pancreatic Sciences
- Accession number :
- edsair.doi.dedup.....11398ccccab25c76bfda4e963b5ed389