TOKYO criteria 2024 for the assessment of clinical outcomes of endoscopic biliary drainage

Hiroyuki Isayama¹, Tsuyoshi Hamada^{2

3}, Toshio Fujisawa¹, Mitsuharu Fukasawa⁴, Kazuo Hara⁵, Atsushi Irisawa⁶, Shigeto Ishii¹, Ken Ito⁷, Takao Itoi⁸, Yoshihide Kanno⁹, Akio Katanuma¹⁰, Hironari Kato¹¹, Hiroshi Kawakami¹², Hirofumi Kawamoto¹³, Masayuki Kitano¹⁴, Hirofumi Kogure¹⁵, Saburo Matsubara¹⁶, Tsuyoshi Mukai¹⁷, Itaru Naitoh¹⁸, Takeshi Ogura^{19

20}, Shomei Ryozawa²¹, Takashi Sasaki³, Masaaki Shimatani²², Hideyuki Shiomi²³, Kazuya Sugimori²⁴, Mamoru Takenaka²⁵, Ichiro Yasuda²⁶, Yousuke Nakai^{2

27}, Naotaka Fujita²⁸, Kazuo Inui²⁹; Research Group of Evaluation Criteria for Endoscopic Biliary Drainage

Affiliations

¹ Department of Gastroenterology, Graduate School of Medicine, Juntendo University, Tokyo, Japan.
² Department of Gastroenterology, Graduate School of Medicine, The University of Tokyo, Tokyo, Japan.
³ Department of Hepato-Biliary-Pancreatic Medicine, Cancer Institute Hospital, Japanese Foundation for Cancer Research, Tokyo, Japan.
⁴ Department of Gastroenterology, Japan Community Health Care Organization Yamanashi Hospital, Yamanashi, Japan.
⁵ Department of Gastroenterology, Aichi Cancer Center Hospital, Aichi, Japan.
⁶ Department of Gastroenterology, Dokkyo Medical University School of Medicine, Tochigi, Japan.
⁷ Division of Gastroenterology and Hepatology, Department of Internal Medicine, Toho University Ohashi Medical Center, Tokyo, Japan.
⁸ Department of Gastroenterology and Hepatology, Tokyo Medical University, Tokyo, Japan.
⁹ Department of Gastroenterology, Sendai City Medical Center, Miyagi, Japan.
¹⁰ Center for Gastroenterology, Teine Keijinkai Hospital, Hokkaido, Japan.
¹¹ Department of Gastroenterology and Hepatology, Okayama University Graduate School of Medicine, Dentistry, and Pharmaceutical Sciences, Okayama, Japan.
¹² Division of Gastroenterology and Hepatology, Department of Internal Medicine, Faculty of Medicine, University of Miyazaki, Miyazaki, Japan.
¹³ Department of General Internal Medicine 2, Kawasaki Medical School General Medical Center, Okayama, Japan.
¹⁴ Second Department of Internal Medicine, Wakayama Medical University, Wakayama, Japan.
¹⁵ Division of Gastroenterology and Hepatology, Department of Medicine, Nihon University School of Medicine, Tokyo, Japan.
¹⁶ Department of Gastroenterology and Hepatology, Saitama Medical Center, Saitama Medical University, Saitama, Japan.
¹⁷ Department of Gastroenterological Endoscopy, Kanazawa Medical University, Ishikawa, Japan.
¹⁸ Department of Gastroenterology and Metabolism, Nagoya City University Graduate School of Medical Sciences, Aichi, Japan.
¹⁹ Endoscopy Center, Osaka Medical and Pharmaceutical University, Osaka, Japan.
²⁰ Second Department of Internal Medicine, Osaka Medical and Pharmaceutical University, Osaka, Japan.
²¹ Department of Gastroenterology, Saitama Medical University International Medical Center, Saitama, Japan.
²² Division of Gastroenterology and Hepatology, Kansai Medical University Medical Center, Osaka, Japan.
²³ Division of Hepatobiliary and Pancreatic Diseases, Department of Gastroenterology, Hyogo Medical University, Hyogo, Japan.
²⁴ Gastroenterological Center, Yokohama City University Medical Center, Kanagawa, Japan.
²⁵ Department of Gastroenterology and Hepatology, Faculty of Medicine, Kindai University, Osaka, Japan.
²⁶ Third Department of Internal Medicine, University of Toyama, Toyama, Japan.
²⁷ Department of Endoscopy and Endoscopic Surgery, The University of Tokyo Hospital, Tokyo, Japan.
²⁸ Miyagi Medical Check-up Plaza, Miyagi, Japan.
²⁹ Department of Gastroenterology, Yamashita Hospital, Aichi, Japan.

PMID: 38845085
DOI: 10.1111/den.14825

Review

TOKYO criteria 2024 for the assessment of clinical outcomes of endoscopic biliary drainage

Hiroyuki Isayama et al. Dig Endosc. 2024 Nov.

. 2024 Nov;36(11):1195-1210.

doi: 10.1111/den.14825. Epub 2024 Jun 6.

Authors

Affiliations

¹ Department of Gastroenterology, Graduate School of Medicine, Juntendo University, Tokyo, Japan.
² Department of Gastroenterology, Graduate School of Medicine, The University of Tokyo, Tokyo, Japan.
³ Department of Hepato-Biliary-Pancreatic Medicine, Cancer Institute Hospital, Japanese Foundation for Cancer Research, Tokyo, Japan.
⁴ Department of Gastroenterology, Japan Community Health Care Organization Yamanashi Hospital, Yamanashi, Japan.
⁵ Department of Gastroenterology, Aichi Cancer Center Hospital, Aichi, Japan.
⁶ Department of Gastroenterology, Dokkyo Medical University School of Medicine, Tochigi, Japan.
⁷ Division of Gastroenterology and Hepatology, Department of Internal Medicine, Toho University Ohashi Medical Center, Tokyo, Japan.
⁸ Department of Gastroenterology and Hepatology, Tokyo Medical University, Tokyo, Japan.
⁹ Department of Gastroenterology, Sendai City Medical Center, Miyagi, Japan.
¹⁰ Center for Gastroenterology, Teine Keijinkai Hospital, Hokkaido, Japan.
¹¹ Department of Gastroenterology and Hepatology, Okayama University Graduate School of Medicine, Dentistry, and Pharmaceutical Sciences, Okayama, Japan.
¹² Division of Gastroenterology and Hepatology, Department of Internal Medicine, Faculty of Medicine, University of Miyazaki, Miyazaki, Japan.
¹³ Department of General Internal Medicine 2, Kawasaki Medical School General Medical Center, Okayama, Japan.
¹⁴ Second Department of Internal Medicine, Wakayama Medical University, Wakayama, Japan.
¹⁵ Division of Gastroenterology and Hepatology, Department of Medicine, Nihon University School of Medicine, Tokyo, Japan.
¹⁶ Department of Gastroenterology and Hepatology, Saitama Medical Center, Saitama Medical University, Saitama, Japan.
¹⁷ Department of Gastroenterological Endoscopy, Kanazawa Medical University, Ishikawa, Japan.
¹⁸ Department of Gastroenterology and Metabolism, Nagoya City University Graduate School of Medical Sciences, Aichi, Japan.
¹⁹ Endoscopy Center, Osaka Medical and Pharmaceutical University, Osaka, Japan.
²⁰ Second Department of Internal Medicine, Osaka Medical and Pharmaceutical University, Osaka, Japan.
²¹ Department of Gastroenterology, Saitama Medical University International Medical Center, Saitama, Japan.
²² Division of Gastroenterology and Hepatology, Kansai Medical University Medical Center, Osaka, Japan.
²³ Division of Hepatobiliary and Pancreatic Diseases, Department of Gastroenterology, Hyogo Medical University, Hyogo, Japan.
²⁴ Gastroenterological Center, Yokohama City University Medical Center, Kanagawa, Japan.
²⁵ Department of Gastroenterology and Hepatology, Faculty of Medicine, Kindai University, Osaka, Japan.
²⁶ Third Department of Internal Medicine, University of Toyama, Toyama, Japan.
²⁷ Department of Endoscopy and Endoscopic Surgery, The University of Tokyo Hospital, Tokyo, Japan.
²⁸ Miyagi Medical Check-up Plaza, Miyagi, Japan.
²⁹ Department of Gastroenterology, Yamashita Hospital, Aichi, Japan.

PMID: 38845085
DOI: 10.1111/den.14825

Abstract

The consensus-based TOKYO criteria were proposed as a standardized reporting system for endoscopic transpapillary biliary drainage. The primary objective was to address issues arising from the inconsistent reporting of stent outcomes across studies, which has complicated the comparability and interpretation of study results. However, the original TOKYO criteria were not readily applicable to recent modalities of endoscopic biliary drainage such as biliary drainage based on endoscopic ultrasound or device-assisted endoscopy. There are increasing opportunities for managing hilar biliary obstruction and benign biliary strictures through endoscopic drainage. Biliary ablation has been introduced to manage benign and malignant biliary strictures. In addition, the prolonged survival times of cancer patients have increased the importance of evaluating overall outcomes during the period requiring endoscopic biliary drainage rather than solely focusing on the patency of the initial stent. Recognizing these unmet needs, a committee has been established within the Japan Gastroenterological Endoscopy Society to revise the TOKYO criteria for current clinical practice. The revised criteria propose not only common reporting items for endoscopic biliary drainage overall, but also items specific to various conditions and interventions. The term "stent-demanding time" has been defined to encompass the entire duration of endoscopic biliary drainage, during which the overall stent-related outcomes are evaluated. The revised TOKYO criteria 2024 are expected to facilitate the design and reporting of clinical studies, providing a goal-oriented approach to the evaluation of endoscopic biliary drainage.

Keywords: endoscopic retrograde cholangiopancreatography; endosonography; obstructive jaundice; stent; treatment outcome.

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References

REFERENCES

1. Isayama H, Hamada T, Yasuda I et al. Tokyo criteria 2014 for transpapillary biliary stenting. Dig Endosc 2015; 27: 259–264.
1. Hamada T, Nakai Y, Isayama H. Two meta‐analyses with different conclusions: Stent outcomes should be standardized before their integration. Clin Gastroenterol Hepatol 2013; 11: 748–749.
1. Hamada T, Hakuta R, Nakai Y, Isayama H, Koike K. Lack in standardized reporting of biliary stents: A meta‐analysis complicated by the inconsistency. Am J Gastroenterol 2017; 112: 809–810.
1. Jang SI, Lee SJ, Jeong S et al. Efficacy of a multiplex paclitaxel emission stent using a pluronic® mixture membrane versus a covered metal stent in malignant biliary obstruction: A prospective randomized comparative study. Gut Liver 2017; 11: 567–573.
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TOKYO criteria 2024 for the assessment of clinical outcomes of endoscopic biliary drainage

Affiliations

TOKYO criteria 2024 for the assessment of clinical outcomes of endoscopic biliary drainage

Authors

Affiliations

Abstract

References

REFERENCES

Publication types

MeSH terms

Grants and funding

LinkOut - more resources

Full Text Sources