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Surgical Endoscopy

Open Access 25-09-2024 | Endoscopic Retrograde Cholangiopancreatography | Consensus Statement

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

Authors: Marco Marzioni, Stefano Francesco Crinò, Andrea Lisotti, Lorenzo Fuccio, Giuseppe Vanella, Arnaldo Amato, Helga Bertani, Cecilia Binda, Chiara Coluccio, Edoardo Forti, Alessandro Fugazza, Dario Ligresti, Marcello Maida, Giovanni Marchegiani, Aurelio Mauro, Vincenzo Giorgio Mirante, Claudio Ricci, Giacomo Emanuele Maria Rizzo, Daniela Scimeca, Marco Spadaccini, Marianna Arvanitakis, Andrea Anderloni, Carlo Fabbri, Ilaria Tarantino, Paolo Giorgio Arcidiacono, i-EUS Group

Published in: Surgical Endoscopy

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Abstract

Background

Malignant 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.

Methods

The 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 conclusions

The 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.
Appendix
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Metadata
Title
Biliary drainage in patients with malignant distal biliary obstruction: results of an Italian consensus conference
Authors
Marco Marzioni
Stefano Francesco Crinò
Andrea Lisotti
Lorenzo Fuccio
Giuseppe Vanella
Arnaldo Amato
Helga Bertani
Cecilia Binda
Chiara Coluccio
Edoardo Forti
Alessandro Fugazza
Dario Ligresti
Marcello Maida
Giovanni Marchegiani
Aurelio Mauro
Vincenzo Giorgio Mirante
Claudio Ricci
Giacomo Emanuele Maria Rizzo
Daniela Scimeca
Marco Spadaccini
Marianna Arvanitakis
Andrea Anderloni
Carlo Fabbri
Ilaria Tarantino
Paolo Giorgio Arcidiacono
i-EUS Group
Publication date
25-09-2024
Publisher
Springer US
Published in
Surgical Endoscopy
Print ISSN: 0930-2794
Electronic ISSN: 1432-2218
DOI
https://doi.org/10.1007/s00464-024-11245-4
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