Biliary drainage in patients with malignant distal biliary obstruction: results of an Italian consensus conference

被引：9

作者：

Marzioni, Marco ^{[1
]}

Crino, Stefano Francesco ^{[2
]}

Lisotti, Andrea ^{[3
]}

Fuccio, Lorenzo ^{[4
]}

Vanella, Giuseppe ^{[5
]}

Amato, Arnaldo ^{[6
]}

Bertani, Helga ^{[7
]}

Binda, Cecilia ^{[8
]}

Coluccio, Chiara ^{[8
]}

Forti, Edoardo ^{[9
]}

Fugazza, Alessandro ^{[10
]}

Ligresti, Dario ^{[11
]}

Maida, Marcello ^{[12
]}

Marchegiani, Giovanni ^{[13
]}

Mauro, Aurelio ^{[14
]}

Mirante, Vincenzo Giorgio ^{[15
]}

Ricci, Claudio ^{[16
]}

Rizzo, Giacomo Emanuele Maria ^{[11
]}

Scimeca, Daniela ^{[17
]}

Spadaccini, Marco ^{[10
]}

Arvanitakis, Marianna ^{[1
,2
,3
,4
,5
,6
,7
,8
,9
,10
,11
,12
,13
,14
,15
,16
,17
]}

Anderloni, Andrea ^{[14
]}

Fabbri, Carlo ^{[8
]}

Tarantino, Ilaria ^{[11
]}

Arcidiacono, Paolo Giorgio ^{[5
]}

机构：

[1] Univ Politecn Marche Azienda Osped Univ Marche, Clin Gastroenterol & Hepatol, Ancona, Italy

[2] GB Rossi Univ Hosp, Pancreas Inst, Diagnost & Intervent Endoscopy Pancreas, I-37134 Verona, Italy

[3] Univ Bologna, Hosp Imola, Gastroenterol Unit, Imola, Italy

[4] Univ Bologna, S Orsola Hosp, Dept Med & Surg Sci, IRCCS Azienda Osped Univ Bologna,Gastroenterol Uni, Bologna, Italy

[5] IRCCS San Raffaele Inst, Pancreas Translat & Clin Res Ctr, Pancreatobiliary Endoscopy & Endosonog Div, Milan, Italy

[6] ASST, Digest Endoscopy & Gastroenterol Dept, Lecce, Italy

[7] Gastroenterol Endoscopia Digestiva Azienda Osped U, Modena, Italy

[8] Forli Cesena Hosp, Gastroenterol & Digest Endoscopy Unit, Ausl Romagna, Cesena, Forli, Italy

[9] ASST Niguarda Hosp, Digest & Intervent Endoscopy Unit, Milan, Italy

[10] IRCCS, Human Res Hosp, Div Gastroenterol & Digest Endoscopy, I-20089 Milan, Italy

[11] IRCCS ISMETT, Dept Diagnost & Therapeut Serv, Endoscopy Serv, Palermo, Italy

[12] Univ Enna Kore, Umberto I Hosp, Dept Med & Surg, Gastroenterol Unit, Enna, Italy

[13] Padua Univ Hosp, Dept Surg Oncol & Gastroenterol Sci, Padua, Italy

[14] IRCCS Fdn Policlin San Matteo, Gastroenterol & Digest Endoscopy Unit, Viale Camillo Golgi 19, I-27100 Pavia, Italy

[15] AUSL IRCCS Reggio Emilia, Dipartimento Oncol & Tecnol Avanzate, Gastroenterol Endoscopia Digestiva, Reggio Emilia, Italy

[16] Univ Bologna, Dept Med & Surg Sci, Div Pancreat Surg, IRCCS Azienda Osped Univ Bologna, Bologna, Italy

[17] ARNAS Civ Di Cristina Benfratelli Hosp, Gastroenterol & Endoscopy Unit, Palermo, Italy

来源：

SURGICAL ENDOSCOPY AND OTHER INTERVENTIONAL TECHNIQUES | 2024年

关键词：

Malignant distal biliary obstruction; Cholangiocarcinoma; Pancreatic cancer; Endoscopic ultrasonography; Lumen apposing metal stent; ENDOSCOPIC RETROGRADE CHOLANGIOPANCREATOGRAPHY; EUS-GUIDED CHOLEDOCHODUODENOSTOMY; ANTIBIOTIC-PROPHYLAXIS; FAILED ERCP; LEARNING-CURVE; TEAM MEETINGS; METAL STENT; HEPATICOGASTROSTOMY; METAANALYSIS; MULTICENTER;

D O I：

10.1007/s00464-024-11245-4

中图分类号：

R61 [外科手术学];

学科分类号：

摘要：

BackgroundMalignant Distal Biliary Obstruction (MBDO) is a common event occurring along the natural history of both pancreatic cancer and cholangiocarcinoma. Epidemiological and biological features make MBDO one of the key elements of the clinical management of patients suffering for of pancreatic cancer or cholangiocarcinoma. The development of dedicated biliary lumen-apposing metal stents (LAMS) is changing the clinical work up of patients with MBDO. i-EUS is an Italian network of clinicians and scientists with a special interest in biliopancreatic endoscopy, EUS in particular.MethodsThe scientific methodology was chosen in line with international guidance and in a fashion similar to those applied by broader scientific associations. PICO questions were elaborated and subsequently voted by a broad panel of experts within a simplified Delphi process.Results and conclusionsThe manuscripts describes the results of a consensus conference organized by i-EUS with the aim of providing an evidence based-guidance for the appropriate use of the techniques in patients with MBDO.

引用

页码：6207 / 6226

页数：20

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