Clinical Practice Guidelines for Safe Performance of Endoscopic Ultrasound/Ultrasonography-Guided Biliary Drainage: 2018
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- Isayama Hiroyuki
- Department of Gastroenterology, Graduate School of Medicine, Juntendo University Department of Gastroenterology, Graduate School of Medicine, The University of Tokyo
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- Nakai Yousuke
- Department of Gastroenterology, Graduate School of Medicine, The University of Tokyo
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- Itoi Takao
- Department of Gastroenterology and Hepatology, Tokyo Medical University
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- Yasuda Ichiro
- Third Department of Internal Medicine, University of Toyama
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- Kawakami Hiroshi
- Division of Gastroenterology and Hepatology, Department of Internal Medicine, Faculty of Medicine, University of Miyazaki
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- Ryozawa Shomei
- Department of Gastroenterology, Saitama Medical University International Medical Center
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- Kitano Masayuki
- Second Department of Internal Medicine, Wakayama Medical University
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- Irisawa Atsushi
- Department of Gastroenterology, Dokkyo Medical University
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- Katanuma Akio
- Center for Gastroenterology, Teine-Keijinkai Hospital
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- Hara Kazuo
- Department of Gastroenterology, Aichi Cancer Center Hospital
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- Iwashita Takuji
- First Department of Internal Medicine, Gifu University Hospital
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- Fujita Naotaka
- Miyagi Health Check-up Plaza
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- Yamao Kenji
- Department of Gastroenterology, Narita Memorial Hospital
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- Yoshida Masahiro
- Department of Hepato-Biliary-Pancreatic and Gastrointestinal Surgery, School of Medicine, International University of Health and Welfare
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- Inui Kazuo
- Department of Gastroenterology, Fujita Health University Bantane Hospital
Bibliographic Information
- Other Title
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- 超音波内視鏡下胆道ドレナージの安全施行への診療ガイドライン:2018
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Abstract
<p>Endoscopic ultrasound/ultrasonography-guided biliary drainage (EUS-BD) is a relatively new modality for biliary drainage after failed or difficult transpapillary biliary cannulation. Despite its clinical utility, EUS-BD can be complicated by severe adverse events such as bleeding, perforation, and peritonitis. The aim of this paper is to provide practice guidelines for safe performance of EUS-BD as well as safe introduction of the procedure to non-expert centers. The guidelines comprised patient-intervention-comparison-outcome-formatted clinical questions (CQs) and questions (Qs), which are background statements to facilitate understanding of the CQs. A literature search was performed using the PubMed and Cochrane Library databases. Statement, evidence level, and strength of recommendation were created according to the GRADE system. Four committees were organized: guideline creation, expert panelist, evaluation, and external evaluation committees. We developed 13 CQs (methods, device selection, supportive treatment, management of adverse events, education and ethics) and six Qs (definition, indication, outcomes and adverse events) with statements, evidence levels, and strengths of recommendation. The guidelines explain the technical aspects, management of adverse events, and ethics of EUS-BD and its introduction to non-expert institutions.</p>
Journal
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- Tando
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Tando 33 (5), 793-816, 2019-12-31
Japan Biliary Association
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Keywords
Details 詳細情報について
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- CRID
- 1390283659836801536
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- NII Article ID
- 130007777869
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- ISSN
- 18836879
- 09140077
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- Text Lang
- ja
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- Data Source
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- JaLC
- CiNii Articles
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- Abstract License Flag
- Disallowed