The updated Asia-Pacific consensus statement on the role of endoscopic management in malignant hilar biliary obstruction

被引：3

作者：

Angsuwatcharakon, Phonthep ^{[1
,2
,3
,4
]}

Kulpatcharapong, Santi ^{[1
,2
]}

Chuncharunee, Alan ^{[5
]}

Khor, Christopher ^{[6
,7
]}

Devereaux, Benedict ^{[8
]}

Moon, Jong Ho ^{[9
]}

Ratanachu-ek, Thawee ^{[10
]}

Wang, Hsiu Po ^{[11
]}

Pausawasdi, Nonthalee ^{[12
]}

Maydeo, Amit ^{[13
]}

Itoi, Takao ^{[14
]}

Ponnudurai, Ryan ^{[15
]}

Ramchandani, Mohan ^{[16
]}

Nakai, Yousuke ^{[17
]}

Seo, Dong Wan ^{[18
]}

Ogura, Takeshi ^{[19
]}

Tang, Raymond S. Y. ^{[20
]}

Kongkam, Pradermchai ^{[1
,2
]}

Makmun, Dadang ^{[21
]}

Dy, Frederick ^{[22
]}

Ridtitid, Wiriyaporn ^{[1
,2
]}

Kuo, Yu Ting ^{[11
]}

Pham, Khanh Cong ^{[23
]}

Oung, Borathchakra ^{[24
]}

Lee, Jeffrey ^{[25
]}

Rerknimitr, Rungsun ^{[1
,2
,26
]}

机构：

[1] Chulalongkorn Univ, Fac Med, Dept Med, Div Gastroenterol, Bangkok, Thailand

[2] King Chulalongkorn Mem Hosp, Excellence Ctr Gastrointestinal Endoscopy, Bangkok, Thailand

[3] Chulalongkorn Univ, Fac Med, Dept Anat, Bangkok, Thailand

[4] King Chulalongkorn Mem Hosp, Bangkok, Thailand

[5] Mahidol Univ, Ramathibodi Hosp, Dept Med, Div Gastroenterol & Hepatol, Bangkok, Thailand

[6] Singapore Gen Hosp, Dept Gastroenterol & Hepatol, Singapore, Singapore

[7] Duke NUS Med Sch, Singapore, Singapore

[8] Univ Queensland, Royal Brisbane & Womens Hosp, Brisbane, Qld, Australia

[9] SoonChunHyang Univ, Sch Med, Dept Gastroenterol, Bucheon, South Korea

[10] Rajavithi Hosp, Surg, Bangkok, Thailand

[11] Natl Taiwan Univ & Hosp, Coll Med, Dept Internal Med, Div Gastroenterol & Hepatol, Taipei, Taiwan

[12] Mahidol Univ, Fac Med, Dept Med, Div Gastroenterol,Siriraj Hosp, Bangkok, Thailand

[13] Gleneagles Global Hosp, Baldota Inst Digest Sci, Mumbai, Maharashtra, India

[14] Tokyo Med Univ, Dept Gastroenterol & Hepatol, Tokyo, Japan

[15] Prince Court Med Ctr, Dept Pathol, Kuala Lumpur, Malaysia

[16] Asian Inst Gastroenterol, Hyderabad, India

[17] Tokyo Womens Med Univ, Inst Gastroenterol, Dept Internal Med, Tokyo, Japan

[18] Univ Ulsan, Coll Med, Dept Internal Med, Seoul, South Korea

[19] Osaka Med & Pharmaceut Univ, Endoscopy Ctr, Osaka, Japan

[20] Chinese Univ Hong Kong, Dept Med & Therapeut, Hong Kong, Peoples R China

[21] Univ Indonesia, Cipto Mangunkusumo Natl Gen Hosp, Fac Med, Div Gastroenterol,Dept Internal Med, Jakarta, Indonesia

[22] Univ Santo Tomas Hosp, Manila, Philippines

[23] Univ Med Ctr Ho Chi Minh City, Ho Chi Minh City, Vietnam

[24] Calmette Hosp, Dept Gastroenterol, Phnom Penh, Cambodia

[25] Univ Texas MD Anderson Canc Ctr, Dept Gastroenterol Hepatol & Nutr, Houston, TX USA

[26] Chulalongkorn Univ, Ctr Excellence Innovat & Endoscopy Gastrointestina, Bangkok, Thailand

来源：

ENDOSCOPY INTERNATIONAL OPEN | 2024年 / 12卷 / 09期

关键词：

Pancreatobiliary (ERCP/PTCD); Strictures; ERC topics; Tissue diagnosis; Endoscopic ultrasonography; Biliary tract; Intervention EUS; PHOTODYNAMIC THERAPY; STENT PLACEMENT; METALLIC STENTS; DRAINAGE; STRICTURES; OUTCOMES; GRADE;

D O I：

10.1055/a-2366-7302

中图分类号：

R57 [消化系及腹部疾病];

学科分类号：

摘要：

The first Asia-Pacific consensus recommendations for endoscopic and interventional management of hilar cholangiocarcinoma were published in 2013. Since then, new evidence on the role of endoscopy for management of malignant hilar biliary obstruction (MHBO) has emerged. To update the recommendation, we reviewed the literature using a PICO (population/intervention/comparison/outcomes) framework and created consensus statements. The expert panel voted anonymously using the modified Delphi method and all final statements were evaluated for the quality of evidence and strength of recommendation. The important points with inadequate supporting evidence were classified as key concepts. There were seven statements and five key concepts that reached consensus. The statements and key concepts dealt with multiple aspects of endoscopy-based management in MHBO starting from diagnosis, strategies and options for biliary drainage, management of recurrent biliary obstruction, management of cholecystitis after biliary stenting, and adjunctive treatment before stenting. Although the recommendations may assist physicians in planning the treatment for MHBO patients, they should not replace the decision of a multidisciplinary team in the management of individual patients.

引用

页码：E1065 / E1074

页数：10

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