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Title: Consensus guidelines on the optimal management in interventional EUS procedures: Results from the Asian EUS group RAND/UCLA expert panel
Authors: Anthony Y.B. Teoh
Vinay Dhir
Mitsuhiro Kida
Ichiro Yasuda
Zhen Dong Jin
Dong Wan Seo
Majid Almadi
Tiing Leong Ang
Kazuo Hara
Ida Hilmi
Takao Itoi
Sundeep Lakhtakia
Koji Matsuda
Nonthalee Pausawasdi
Rajesh Puri
Raymond S. Tang
Hsiu Po Wang
Ai Ming Yang
Robert Hawes
Shyam Varadarajulu
Kenjiro Yasuda
Lawrence Khek Yu Ho
Medanta Institute of Digestive & Hepatobiliary Sciences
Changhai Hospital
Asan Medical Center
King Khalid University Hospital
University of Malaya
Aichi Cancer Center Hospital and Research Institute
Teikyo University
National Taiwan University College of Medicine
Prince of Wales Hospital Hong Kong
Kitasato University Hospital
National University of Singapore
Asian Institute of Gastroenterology India
Florida Hospital
Changi General Hospital
St. Marianna University School of Medicine
Faculty of Medicine, Siriraj Hospital, Mahidol University
Peking Union Medical College
Kyoto Daini Sekijyuji Byoin
Tokyo Medical University
Baldota Institute of Digestive Sciences
Keywords: Medicine
Issue Date: 1-Jan-2018
Citation: Gut. Vol.67, No.7 (2018), 1209-1228
Abstract: © Article author(s) (or their employer(s) unless otherwise stated in the text of the article) 2018. All rights reserved. Objectives: Interventional 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 EUSguided celiac plexus ablation. The aim of this paper is to formulate a set of practice guidelines addressing various aspects of the above procedures. Methods: Formulation 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. Results: A total of 15 statements on EUS-guided drainage of pancreatic pseudocyst, 15 statements on EUS-guided biliary drainage, 12 statements on EUSguided 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. Conclusions: The 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.
ISSN: 14683288
Appears in Collections:Scopus 2018

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