American Society for Gastrointestinal Endoscopy guideline on the role of therapeutic EUS in the management of biliary tract disorders: summary and recommendations

ASGE Standards of Practice Committee; Swati Pawa; Neil B Marya; Nikhil R Thiruvengadam; Saowanee Ngamruengphong; Todd H Baron; Anthony Yuen Bun Teoh; Christopher K Bent; Wasif Abidi; Omeed Alipour; Stuart K Amateau; Madhav Desai; Jean M Chalhoub; Nayantara Coelho-Prabhu; Natalie Cosgrove; Sherif E Elhanafi; Nauzer Forbes; Larissa L Fujii-Lau; Divyanshoo R Kohli; Jorge D Machicado; Udayakumar Navaneethan; Wenly Ruan; Sunil G Sheth; Nirav C Thosani; Bashar J Qumseya; (ASGE Standards of Practice Committee Chair)

doi:10.1016/j.gie.2024.03.027

American Society for Gastrointestinal Endoscopy guideline on the role of therapeutic EUS in the management of biliary tract disorders: summary and recommendations

Gastrointest Endosc. 2024 Dec;100(6):967-979. doi: 10.1016/j.gie.2024.03.027. Epub 2024 Jul 29.

Authors

ASGE Standards of Practice Committee; Swati Pawa¹, Neil B Marya², Nikhil R Thiruvengadam³, Saowanee Ngamruengphong⁴, Todd H Baron⁵, Anthony Yuen Bun Teoh⁶, Christopher K Bent⁷, Wasif Abidi⁸, Omeed Alipour⁹, Stuart K Amateau¹⁰, Madhav Desai¹⁰, Jean M Chalhoub¹¹, Nayantara Coelho-Prabhu¹², Natalie Cosgrove¹³, Sherif E Elhanafi¹⁴, Nauzer Forbes¹⁵, Larissa L Fujii-Lau¹⁶, Divyanshoo R Kohli¹⁷, Jorge D Machicado¹⁸, Udayakumar Navaneethan¹⁹, Wenly Ruan²⁰, Sunil G Sheth²¹, Nirav C Thosani²², Bashar J Qumseya²³; (ASGE Standards of Practice Committee Chair)

Affiliations

¹ Department of Gastroenterology, Wake Forest School of Medicine, Winston Salem, North Carolina, USA.
² Division of Gastroenterology and Hepatology, University of Massachusetts Medical Center, Worcester, Massachusetts, USA.
³ Division of Gastroenterology and Hepatology, Loma Linda University, Loma Linda, California, USA.
⁴ Division of Gastroenterology and Hepatology, The Johns Hopkins University, Baltimore, Maryland, USA.
⁵ Division of Gastroenterology and Hepatology, University of North Carolina, Chapel Hill, North Carolina, USA.
⁶ Department of Surgery, The Chinese University of Hong Kong, Prince of Wales Hospital, Shatin, China.
⁷ Department of Radiology, Loma Linda University, Loma Linda, California, USA.
⁸ Division of Gastroenterology, Baylor College of Medicine, Houston, Texas, USA.
⁹ Division of Gastroenterology, University of Washington Medical Center, Seattle, Washington, USA.
¹⁰ Division of Gastroenterology Hepatology and Nutrition, University of Minnesota Medical Center, Minneapolis, Minnesota, USA.
¹¹ Division of Gastroenterology and Hepatology, Staten Island University Hospital, Northwell Health, Staten Island, New York, USA.
¹² Department of Gastroenterology and Hepatology, Mayo Clinic, Rochester, Minnesota, USA.
¹³ Center for Interventional Endoscopy, AdventHealth, Orlando, Florida, USA.
¹⁴ Division of Gastroenterology, Texas Tech University Health Sciences Center, El Paso, Texas, USA.
¹⁵ Department of Medicine, Cumming School of Medicine, University of Calgary, Calgary, Alberta, Canada.
¹⁶ Department of Gastroenterology, University of Hawaii, Honolulu, Hawaii, USA.
¹⁷ Pancreas and Liver Clinic, Providence Sacred Medical Center, Elon Floyd School of Medicine, Washington State University, Spokane, Washington, USA.
¹⁸ Division of Gastroenterology, Michigan Medicine, University of Michigan, Ann Arbor, Michigan, USA.
¹⁹ Center for IBD and Interventional IBD, Orlando Health Digestive Health Institute, Orlando, Florida, USA.
²⁰ Division of Pediatric Gastroenterology, Hepatology and Nutrition, Baylor College of Medicine, Texas Children's Hospital, Houston, Texas, USA.
²¹ Division of Gastroenterology, Beth Israel Deaconess Medical Center, Harvard Medical School, Boston, Massachusetts, USA.
²² Center for Interventional Gastroenterology at UTHealth, McGovern Medical School, Houston, Texas, USA.
²³ Department of Gastroenterology, Hepatology, and Nutrition, University of Florida, Gainesville, Florida, USA.

PMID: 39078360
DOI: 10.1016/j.gie.2024.03.027

Abstract

This clinical practice guideline from the American Society for Gastrointestinal Endoscopy provides an evidence-based approach for the role of therapeutic EUS in the management of biliary tract disorders. This guideline was developed using the Grading of Recommendations Assessment, Development and Evaluation framework and addresses the following: 1: The role of EUS-guided biliary drainage (EUS-BD) versus percutaneous transhepatic biliary drainage (PTBD) in resolving biliary obstruction in patients after failed ERCP. 2: The role of EUS-guided hepaticogastrostomy versus EUS-guided choledochoduodenostomy in resolving distal malignant biliary obstruction after failed ERCP. 3: The role of EUS-directed transgastric ERCP (EDGE) versus laparoscopic-assisted ERCP and enteroscopy-assisted ERCP (E-ERCP) in resolving biliary obstruction in patients with Roux-en-Y gastric bypass (RYGB) anatomy. 4: The role of EUS-BD versus E-ERCP and PTBD in resolving biliary obstruction in patients with surgically altered anatomy other than RYGB. 5: The role of EUS-guided gallbladder drainage (EUS-GBD) versus percutaneous gallbladder drainage and endoscopic transpapillary transcystic gallbladder drainage in resolving acute cholecystitis in patients who are not candidates for cholecystectomy.

Publication types

Practice Guideline

MeSH terms

Biliary Tract Diseases / diagnostic imaging
Biliary Tract Diseases / surgery
Biliary Tract Neoplasms / complications
Biliary Tract Neoplasms / diagnostic imaging
Cholangiopancreatography, Endoscopic Retrograde / methods
Cholecystitis, Acute / diagnostic imaging
Cholecystitis, Acute / surgery
Choledochostomy / methods
Cholestasis / diagnostic imaging
Cholestasis / etiology
Cholestasis / surgery
Cholestasis / therapy
Drainage* / methods
Endoscopy, Gastrointestinal / methods
Endosonography* / methods
Gastric Bypass / methods
Gastrostomy / methods
Humans
Ultrasonography, Interventional / methods