Consensus guidelines on the optimal management in interventional EUS procedures: results from the Asian EUS group RAND/UCLA expert panel
| Autor: | Majid A Almadi, Takao Itoi, Raymond S. Tang, Mitsuhiro Kida, Rajesh Puri, Nonthalee Pausawasdi, Kazuo Hara, Shyam Varadarajulu, Z. Jin, Sundeep Lakhtakia, Hsiu-Po Wang, Ichiro Yasuda, Ai Ming Yang, Kenjiro Yasuda, Ida Hilmi, Dong Wan Seo, Lawrence Khek Yu Ho, Tiing Leong Ang, Koji Matsuda, Vinay Dhir, Robert H. Hawes, Anthony Yuen Bun Teoh |
|---|---|
| Rok vydání: | 2017 |
| Předmět: |
medicine.medical_specialty
Asia Pancreatic pseudocyst Celiac plexus Endoscopic ultrasonography Celiac Plexus Endosonography 03 medical and health sciences 0302 clinical medicine Pancreatic duct drainage medicine Humans Societies Medical Ultrasonography Interventional Biliary drainage medicine.diagnostic_test business.industry General surgery Patient Selection Gastroenterology Pancreatic Diseases Interventional radiology Nerve Block medicine.disease digestive system diseases Optimal management medicine.anatomical_structure 030220 oncology & carcinogenesis Drainage 030211 gastroenterology & hepatology Stents Clinical Competence Clinical competence business |
| Zdroj: | Gut. 67(7) |
| ISSN: | 1468-3288 |
| Popis: | ObjectivesInterventional endoscopic ultrasonography (EUS) procedures are gaining popularity and the most commonly performed procedures include EUS-guided drainage of pancreatic pseudocyst, EUS-guided biliary drainage, EUS-guided pancreatic duct drainage and EUS-guided celiac plexus ablation. The aim of this paper is to formulate a set of practice guidelines addressing various aspects of the above procedures.MethodsFormulation of the guidelines was based on the best scientific evidence available. The RAND/UCLA appropriateness methodology (RAM) was used. Panellists recruited comprised experts in surgery, interventional EUS, interventional radiology and oncology from 11 countries. Between June 2014 and October 2016, the panellists met in meetings to discuss and vote on the clinical scenarios for each of the interventional EUS procedures in question.ResultsA total of 15 statements on EUS-guided drainage of pancreatic pseudocyst, 15 statements on EUS-guided biliary drainage, 12 statements on EUS-guided pancreatic duct drainage and 14 statements on EUS-guided celiac plexus ablation were formulated. The statements addressed the indications for the procedures, technical aspects, pre- and post-procedural management, management of complications, and competency and training in the procedures. All statements except one were found to be appropriate. Randomised studies to address clinical questions in a number of aspects of the procedures are urgently required.ConclusionsThe current guidelines on interventional EUS procedures are the first published by an endoscopic society. These guidelines provide an in-depth review of the current evidence and standardise the management of the procedures. |
| Databáze: | OpenAIRE |
| Externí odkaz: |
|