par Facciorusso, Antonio;Crinò, Stefano Francesco;Gkolfakis, Paraskevas;Spadaccini, Marco;Arvanitakis, Marianna 
;Beyna, Torsten;Bronswijk, Michiel;Dhar, Jahnvi;Ellrichmann, Mark;Gincul, Rodica;Hritz, Istvan;Kylänpää, Leena;Martinez-Moreno, Belen;Pezzullo, Martina ;Rimbaś, Mihai;Samanta, Jayanta;van Wanrooij, Roy L J;Webster, George;Triantafyllou, Konstantinos
Référence Endoscopy, 57, 2, page (166-185)
Publication Publié, 2025-02-01
;Beyna, Torsten;Bronswijk, Michiel;Dhar, Jahnvi;Ellrichmann, Mark;Gincul, Rodica;Hritz, Istvan;Kylänpää, Leena;Martinez-Moreno, Belen;Pezzullo, Martina ;Rimbaś, Mihai;Samanta, Jayanta;van Wanrooij, Roy L J;Webster, George;Triantafyllou, KonstantinosRéférence Endoscopy, 57, 2, page (166-185)
Publication Publié, 2025-02-01
Article révisé par les pairs
| Résumé : | 1: ESGE recommends the combination of endoscopic ultrasound-guided tissue acquisition (EUS-TA) and endoscopic retrograde cholangiopancreatography (ERCP)-based tissue acquisition as the preferred diagnostic approach for tissue acquisition in patients with jaundice and distal extrahepatic biliary stricture in the absence of a pancreatic mass. 2: ESGE suggests that brushing cytology should be completed along with fluoroscopy-guided biopsies, wherever technically feasible, in patients with perihilar biliary strictures. 3: ESGE suggests EUS-TA for perihilar strictures when ERCP-based modalities yield insufficient results, provided that curative resection is not feasible and/or when cross-sectional imaging has shown accessible extraluminal disease. 4: ESGE suggests using standard ERCP diagnostic modalities at index ERCP. In the case of indeterminate biliary strictures, ESGE suggests cholangioscopy-guided biopsies, in addition to standard ERCP diagnostic modalities. Additional intraductal biliary imaging modalities can be selectively used, based on clinical context, local expertise, and resource availability. |
