Clinical practice guidelines for safe performance of endoscopic ultrasound/ultrasonography-guided biliary drainage: 2018.
J Hepatobiliary Pancreat Sci
; 26(7): 249-269, 2019 Jul.
Article
em En
| MEDLINE
| ID: mdl-31025816
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.
Palavras-chave
Texto completo:
1
Coleções:
01-internacional
Base de dados:
MEDLINE
Assunto principal:
Drenagem
/
Colangite
/
Guias de Prática Clínica como Assunto
/
Ultrassonografia de Intervenção
/
Endossonografia
/
Icterícia Obstrutiva
Tipo de estudo:
Guideline
Aspecto:
Ethics
Limite:
Humans
Idioma:
En
Revista:
J Hepatobiliary Pancreat Sci
Ano de publicação:
2019
Tipo de documento:
Article
País de afiliação:
Japão