A multi-institution consensus on how to perform EUS-guided biliary drainage for malignant biliary obstruction.

Authors

• Jintao Guo, Shengjing Hospital of China Medical University
• Marc Giovannini, Institute Paoli-Calmettes
• Anand V. Sahai, Université de Montréal
• Adrian Saftoiu, University of Medicine and Pharmacy, Craiova
• Christoph F. Dietrich, Caritas Hospital, Bad Mergentheim
• Erwin Santo, Tel-Aviv Sourasky Medical Center
• Pietro Fusaroli, University of Bologna
• Ali Siddiqui, Thomas Jefferson UniversityFollow
• Manoop S. Bhutani, The University of Texas MD Anderson Cancer Center
• Anthony Yuen Bun Teoh, Chinese University of Hong Kong
• Atsushi Irisawa, Dokkyo Medical University
• Brenda Lucia Arturo Arias, Universidad de Caldas
• Chalapathi Rao Achanta, Queen's NRI Hospital, Visakhapatnam
• Christian Jenssen, Krankenhaus Märkisch Oderland Strausberg
• Dong-Wan Seo, University of Ulsan College of Medicine
• Douglas G. Adler, University of Utah School of Medicine
• Evangelos Kalaitzakis, Copenhagen University Hospital Herlev
• Everson Artifon, University of Sao Paulo, Brazil
• Fumihide Itokawa, Tokyo Adventist Hospital
• Jan Werner Poley, Erasmus MC University Medical Center Rotterdam
• Girish Mishra, Wake Forest Baptist Health
• Khek Yu Ho, National University of Singapore
• Hsiu-Po Wang, National Taiwan University Hospital
• Hussein Hassan Okasha, Cairo University
• Jesse Lachter, Rambam Health Care Campus, Haifa
• Juan J. Vila, Complejo Hospitalario de Navarra
• Julio Iglesias-Garcia, University Hospital of Santiago de Compostela
• Kenji Yamao, Aichi Cancer Center Hospital
• Kenjiro Yasuda, Kyoto Second Red Cross Hospital
• Kensuke Kubota, Yokohama City University School of Medicine
• Laurent Palazzo, Trocadero Clinic, Paris
• Luis Carlos Sabbagh, Clinica Reina Sofia, Bogota
• Malay Sharma, Jaswant Rai Specialty Hospital, Meerut, India
• Mitsuhiro Kida, Kitasato University East Hospital
• Mohamed El-Nady, Cairo University
• Nam Q. Nguyen, Royal Adelaide Hospital
• Peter Vilmann, Copenhagen University Hospital Herlev
• Pramod Kumar Garg, All India Institute of Medical Sciences, New Delhi
• Praveer Rai, All India Institute of Medical Sciences, New Delhi
• Shuntaro Mukai, Tokyo Medical University
• Silvia Carrara, Humanitas Research Hospital, Milan
• Sreeram Parupudi, Texas Tech University Health Sciences Center
• Subbaramiah Sridhar, Augusta University
• Sundeep Lakhtakia, Asian Institute of Gastroenterology
• Surinder S Rana, Postgraduate Institute of Medical Education and Research, Chandigarh
• Takeshi Ogura, Osaka Medical College
• Todd H. Baron, University of North Carolina at Chapel Hill
• Vinay Dhir, SL Raheja Hospital, Mumbai
• Siyu Sun, Shengjing Hospital of China Medical University

Document Type

Article

Publication Date

11-1-2018

Comments

This article has been peer reviewed. It is the author’s final published version in Endoscopic Ultrasound, Volume 7, Issue 6, November-December 2018, Pages 356-365.

The published version is available at https://doi.org/10.4103/eus.eus_53_18. Copyright © Guo et al.

Abstract

Background and Objectives: EUS-guided biliary drainage (EUS-BD) was shown to be useful for malignant biliary obstruction (MBO). However, there is lack of consensus on how EUS-BD should be performed.

Methods: This was a worldwide multi-institutional survey among members of the International Society of EUS conducted in February 2018. The survey consisted of 10 questions related to the practice of EUS-BD.

Results: Forty-six endoscopists of them completed the survey. The majority of endoscopists felt that EUS-BD could replace percutaneous transhepatic biliary drainage after failure of ERCP. Among all EUS-BD methods, the rendezvous stenting technique should be the first choice. Self-expandable metal stents (SEMSs) were recommended by most endoscopists. For EUS-guided hepaticogastrostomy (HGS), superiority of partially-covered SEMS over fully-covered SEMS was not in agreement. 6-Fr cystotomes were recommended for fistula creation. During the HGS approach, longer SEMS (8 or 10 cm) was recommended. During the choledochoduodenostomy approach, 6-cm SEMS was recommended. During the intrahepatic (IH) approach, the IH segment 3 was recommended.

Conclusion: This is the first worldwide survey on the practice of EUS-BD for MBO. There were wide variations in practice, and randomized studies are urgently needed to establish the best approach for the management of this condition.

Recommended Citation

Guo, Jintao; Giovannini, Marc; Sahai, Anand V.; Saftoiu, Adrian; Dietrich, Christoph F.; Santo, Erwin; Fusaroli, Pietro; Siddiqui, Ali; Bhutani, Manoop S.; Bun Teoh, Anthony Yuen; Irisawa, Atsushi; Arturo Arias, Brenda Lucia; Achanta, Chalapathi Rao; Jenssen, Christian; Seo, Dong-Wan; Adler, Douglas G.; Kalaitzakis, Evangelos; Artifon, Everson; Itokawa, Fumihide; Poley, Jan Werner; Mishra, Girish; Ho, Khek Yu; Wang, Hsiu-Po; Okasha, Hussein Hassan; Lachter, Jesse; Vila, Juan J.; Iglesias-Garcia, Julio; Yamao, Kenji; Yasuda, Kenjiro; Kubota, Kensuke; Palazzo, Laurent; Sabbagh, Luis Carlos; Sharma, Malay; Kida, Mitsuhiro; El-Nady, Mohamed; Nguyen, Nam Q.; Vilmann, Peter; Garg, Pramod Kumar; Rai, Praveer; Mukai, Shuntaro; Carrara, Silvia; Parupudi, Sreeram; Sridhar, Subbaramiah; Lakhtakia, Sundeep; Rana, Surinder S; Ogura, Takeshi; Baron, Todd H.; Dhir, Vinay; and Sun, Siyu, "A multi-institution consensus on how to perform EUS-guided biliary drainage for malignant biliary obstruction." (2018). Division of Gastroenterology and Hepatology Faculty Papers. Paper 53.
https://jdc.jefferson.edu/gastro_hepfp/53

Creative Commons License

This work is licensed under a Creative Commons Attribution-Noncommercial-Share Alike 4.0 License.

PubMed ID

30531022

Language

English