|
ナカイ ヨウスケ
NAKAI Yousuke
中井 陽介 所属 医学部 医学科（東京女子医科大学病院） 職種 教授・基幹分野長 |
|
| 論文種別 | その他 |
| 言語種別 | 英語 |
| 査読の有無 | 査読なし |
| 表題 | The updated Asia-Pacific consensus statement on the role of endoscopic management in malignant hilar biliary obstruction |
| 掲載誌名 | 正式名：Endoscopy international open 略 称：Endosc Int Open ISSNコード：23643722/21969736 |
| 掲載区分 | 国外 |
| 巻・号・頁 | 12(9),pp.E1065-E1074 |
| 著者・共著者 | Angsuwatcharakon Phonthep, Kulpatcharapong Santi, Chuncharunee Alan, Khor Christopher, Devereaux Benedict, Moon Jong Ho, Ratanachu-Ek Thawee, Wang Hsiu Po, Pausawasdi Nonthalee, Maydeo Amit, ITOI Takao, Ponnudurai Ryan, Ramchandani Mohan, NAKAI Yosuke, Seo Dong Wan, OGURA Takeshi, Tang Raymond Sy, Kongkam Pradermchai, Makmun Dadang, Dy Frederick, Ridtitid Wiriyaporn, Kuo Yu Ting, Pham Khanh Cong, Oung Borathchakra, Lee Jeffrey, Rerknimitr Rungsun |
| 発行年月 | 2024/09 |
| 概要 | The first Asia-Pacific consensus recommendations for endoscopic and interventional management of hilar cholangiocarcinoma were published in 2013. Since then, new evidence on the role of endoscopy for management of malignant hilar biliary obstruction (MHBO) has emerged. To update the recommendation, we reviewed the literature using a PICO (population/intervention/comparison/outcomes) framework and created consensus statements. The expert panel voted anonymously using the modified Delphi method and all final statements were evaluated for the quality of evidence and strength of recommendation. The important points with inadequate supporting evidence were classified as key concepts. There were seven statements and five key concepts that reached consensus. The statements and key concepts dealt with multiple aspects of endoscopy-based management in MHBO starting from diagnosis, strategies and options for biliary drainage, management of recurrent biliary obstruction, management of cholecystitis after biliary stenting, and adjunctive treatment before stenting. Although the recommendations may assist physicians in planning the treatment for MHBO patients, they should not replace the decision of a multidisciplinary team in the management of individual patients. |
| DOI | 10.1055/a-2366-7302 |
| PMID | 39285860 |