The updated Asia-Pacific consensus statement on the role of endoscopic management in malignant hilar biliary obstruction.

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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 7 statements and 5 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.

Location
Deutsche Nationalbibliothek Frankfurt am Main
Extent
Online-Ressource
Language
Englisch

Bibliographic citation
The updated Asia-Pacific consensus statement on the role of endoscopic management in malignant hilar biliary obstruction. ; day:16 ; month:07 ; year:2024
Endoscopy International Open ; (16.07.2024)

Contributor
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

DOI
10.1055/a-2366-7302
URN
urn:nbn:de:101:1-2408291048136.582506637217
Rights
Open Access; Der Zugriff auf das Objekt ist unbeschränkt möglich.
Last update
15.08.2025, 7:24 AM CEST

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Associated

  • 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

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