Biliary Drainage in Patients with Malignant Distal Biliary Obstruction: Results of an Italian Consensus Conference

Overview

Journal Surg Endosc

Publisher Springer

Specialties Gastroenterology
General Surgery
Radiology

Date 2024 Sep 24

PMID 39317905

Authors

Marco Marzioni

Stefano Francesco Crino

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

Affiliations

Soon will be listed here.

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.

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