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. 2024 Nov;38(11):6207-6226.
doi: 10.1007/s00464-024-11245-4. Epub 2024 Sep 25.

Biliary drainage in patients with malignant distal biliary obstruction: results of an Italian consensus conference

Marco Marzioni  1 , Stefano Francesco Crinò  2 , Andrea Lisotti  3 , Lorenzo Fuccio  4 , Giuseppe Vanella  5 , Arnaldo Amato  6 , Helga Bertani  7 , Cecilia Binda  8 , Chiara Coluccio  8 , Edoardo Forti  9 , Alessandro Fugazza  10 , Dario Ligresti  11 , Marcello Maida  12 , Giovanni Marchegiani  13 , Aurelio Mauro  14 , Vincenzo Giorgio Mirante  15 , Claudio Ricci  16 , Giacomo Emanuele Maria Rizzo  11 , Daniela Scimeca  17 , Marco Spadaccini  10 , Marianna Arvanitakis  18   2   3   4   5   6   7   8   9   10   11   12   13   14   15   16   17 , Andrea Anderloni  14 , Carlo Fabbri  8 , Ilaria Tarantino  11 , Paolo Giorgio Arcidiacono  5 ; i-EUS Group
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Biliary drainage in patients with malignant distal biliary obstruction: results of an Italian consensus conference

Marco Marzioni et al. Surg Endosc. 2024 Nov.

Abstract

Background: Malignant Distal Biliary Obstruction (MBDO) is a common event occurring along the natural history of both pancreatic cancer and cholangiocarcinoma. Epidemiological and biological features make MBDO one of the key elements of the clinical management of patients suffering for of pancreatic cancer or cholangiocarcinoma. The development of dedicated biliary lumen-apposing metal stents (LAMS) is changing the clinical work up of patients with MBDO. i-EUS is an Italian network of clinicians and scientists with a special interest in biliopancreatic endoscopy, EUS in particular.

Methods: The scientific methodology was chosen in line with international guidance and in a fashion similar to those applied by broader scientific associations. PICO questions were elaborated and subsequently voted by a broad panel of experts within a simplified Delphi process.

Results and conclusions: The manuscripts describes the results of a consensus conference organized by i-EUS with the aim of providing an evidence based-guidance for the appropriate use of the techniques in patients with MBDO.

Keywords: Cholangiocarcinoma; Endoscopic ultrasonography; Lumen apposing metal stent; Malignant distal biliary obstruction; Pancreatic cancer.

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