Clinical practice guidelines for safe performance of endoscopic ultrasound/ultrasonography‐guided biliary drainage: 2018
Open Access
- 26 April 2019
- journal article
- research article
- Published by Wiley in Journal of Hepato-Biliary-Pancreatic Sciences
- Vol. 26 (7), 249-269
- https://doi.org/10.1002/jhbp.631
Abstract
Background 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. Methods The guidelines comprised Patient–Intervention–Comparison–Outcome‐formatted clinical questions (CQ) and questions (Q), 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. Results We developed 13 CQs (methods, device selection, supportive treatment, management of adverse events, education and ethics) and 6 Qs (definition, indication, outcomes and adverse events) with statements, evidence levels, and strengths of recommendation. Conclusion The guidelines explain the technical aspects, management of adverse events, and ethics of EUS‐BD and its introduction to non‐expert institutions.Keywords
This publication has 122 references indexed in Scilit:
- Multicenter retrospective study of endoscopic ultrasound-guided biliary drainage for malignant biliary obstruction in JapanJournal of Hepato-Biliary-Pancreatic Sciences, 2013
- Clinical utility of an endoscopic ultrasound-guided rendezvous technique via various approach routesSurgical Endoscopy, 2013
- Biliary Drainage in Patients With Unresectable, Malignant Obstruction Where ERCP FailsJournal of Clinical Gastroenterology, 2012
- The Spectrum of Endoscopic Ultrasound Intervention in Biliary Diseases: A Single Center’s Experience in 31 CasesGastroenterology Research and Practice, 2012
- Endoscopic ultrasound-guided biliary drainage with placement of a fully covered metal stent for malignant biliary obstructionWorld Journal of Gastroenterology, 2012
- EUS-guided biliary rendezvous using a short hydrophilic guidewireJournal of Interventional Gastroenterology, 2011
- Prospective Clinical Study of EUS-Guided Choledochoduodenostomy for Malignant Lower Biliary Tract ObstructionThe American Journal of Gastroenterology, 2011
- Endosonography-Guided Biliary Drainage with One-Step Placement of a Newly Developed Fully Covered Metal Stent Followed by Duodenal Stenting for Pancreatic Head CancerDiagnostic and Therapeutic Endoscopy, 2010
- What is “quality of evidence” and why is it important to clinicians?BMJ, 2008
- GRADE: an emerging consensus on rating quality of evidence and strength of recommendationsBMJ, 2008