Your browser doesn't support javascript.
loading
The updated Asia-Pacific consensus statement on the role of endoscopic management in malignant hilar biliary obstruction.
Angsuwatcharakon, Phonthep; Kulpatcharapong, Santi; Chuncharunee, Alan; Khor, Christopher; Devereaux, Benedict; Moon, Jong Ho; Ratanachu-Ek, Thawee; Wang, Hsiu Po; Pausawasdi, Nonthalee; Maydeo, Amit; Itoi, Takao; Ponnudurai, Ryan; Ramchandani, Mohan; Nakai, Yousuke; Seo, Dong Wan; Ogura, Takeshi; Tang, Raymond Sy; Kongkam, Pradermchai; Makmun, Dadang; Dy, Frederick; Ridtitid, Wiriyaporn; Kuo, Yu Ting; Pham, Khanh Cong; Oung, Borathchakra; Lee, Jeffrey; Rerknimitr, Rungsun.
Afiliación
  • Angsuwatcharakon P; Division of Gastroenterology, Department of Medicine, Faculty of Medicine, Chulalongkorn University and Excellence Center for Gastrointestinal Endoscopy, King Chulalongkorn Memorial Hospital, Bangkok, Thailand.
  • Kulpatcharapong S; Department of Anatomy, Faculty of Medicine, Chulalongkorn University and King Chulalongkorn Memorial Hospital, Bangkok, Thailand.
  • Chuncharunee A; Division of Gastroenterology, Department of Medicine, Faculty of Medicine, Chulalongkorn University and Excellence Center for Gastrointestinal Endoscopy, King Chulalongkorn Memorial Hospital, Bangkok, Thailand.
  • Khor C; Division of Gastroenterology and Hepatology, Department of Medicine, Ramathibodi Hospital, Mahidol University, Bangkok, Thailand.
  • Devereaux B; Department of Gastroenterology and Hepatology, Singapore General Hospital, and Duke-NUS Medical School, Singapore, Singapore.
  • Moon JH; Royal Brisbane and Women's Hospital, University of Queensland, Brisbane, Australia.
  • Ratanachu-Ek T; Department of Gastroenterology, SoonChunHyang University School of Medicine, Bucheon, Korea.
  • Wang HP; Surgery, Rajavithi Hospital, Bangkok, Thailand.
  • Pausawasdi N; Division of Gastroenterology and Hepatology, Department of Internal Medicine, College of Medicine, National Taiwan University and Hospital, Taipei, Taiwan.
  • Maydeo A; Division of Gastroenterology, Department of Medicine, Faculty of Medicine, Siriraj Hospital, Mahidol University, Bangkok, Thailand.
  • Itoi T; Baldota Institute of Digestive Sciences, Gleneagles Global Hospital, Mumbai, Maharashtra, India.
  • Ponnudurai R; Department of Gastroenterology and Hepatology, Tokyo Medical University, Tokyo, Japan.
  • Ramchandani M; Department of Gastroenterology, Prince Court Medical Centre, Kuala Lumpur, Malaysia.
  • Nakai Y; Asian Institute of Gastroenterology, Hyderabad, India.
  • Seo DW; Department of Internal Medicine, Institute of Gastroenterology, Tokyo Women's Medical University, Tokyo, Japan.
  • Ogura T; Department of Internal Medicine, University of Ulsan College of Medicine, Seoul, Korea.
  • Tang RS; Endoscopy Center, Osaka Medical and Pharmaceutical University, Osaka, Japan.
  • Kongkam P; Department of Medicine and Therapeutics, The Chinese University of Hong Kong, Hong Kong, China.
  • Makmun D; Division of Gastroenterology, Department of Medicine, Faculty of Medicine, Chulalongkorn University and Excellence Center for Gastrointestinal Endoscopy, King Chulalongkorn Memorial Hospital, Bangkok, Thailand.
  • Dy F; Division of Gastroenterology, Department of Internal Medicine, Faculty of Medicine, University of Indonesia-Cipto Mangunkusumo National General Hospital, Jakarta, Indonesia.
  • Ridtitid W; University of Santo Tomas Hospital, Manila, Philippines.
  • Kuo YT; Division of Gastroenterology, Department of Medicine, Faculty of Medicine, Chulalongkorn University and Excellence Center for Gastrointestinal Endoscopy, King Chulalongkorn Memorial Hospital, Bangkok, Thailand.
  • Pham KC; Division of Gastroenterology and Hepatology, Department of Internal Medicine, College of Medicine, National Taiwan University and Hospital, Taipei, Taiwan.
  • Oung B; University Medical Center at Ho Chi Minh city, Ho Chi Minh, Viet Nam.
  • Lee J; Department of Gastroenterology, Calmette Hospital, Phnom Penh, Cambodia.
  • Rerknimitr R; Department of Gastroenterology, Hepatology, and Nutrition, The University of Texas MD Anderson Cancer Center, Texas, USA.
Endosc Int Open ; 12(9): E1065-E1074, 2024 Sep.
Article en En | MEDLINE | ID: mdl-39285860
ABSTRACT
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.
Palabras clave
Texto completo
Añadir a Mi BVS
Imprimir
XML
PubMed Links
Buscar en Google

Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Idioma: En Revista: Endosc Int Open Año: 2024 Tipo del documento: Article País de afiliación: Tailandia Pais de publicación: Alemania
Texto completo
Añadir a Mi BVS
Imprimir
XML
PubMed Links
Buscar en Google

Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Idioma: En Revista: Endosc Int Open Año: 2024 Tipo del documento: Article País de afiliación: Tailandia Pais de publicación: Alemania