Consensus guidelines on the optimal management in interventional EUS procedures: Results from the Asian EUS group RAND/UCLA expert panel
Journal
Gut
Journal Volume
67
Journal Issue
7
Pages
1209-1228
Date Issued
2018
Author(s)
Teoh A.Y.B.
Dhir V.
Kida M.
Yasuda I.
Jin Z.D.
Seo D.W.
Almadi M.
Ang T.L.
Hara K.
Hilmi I.
Itoi T.
Lakhtakia S.
Matsuda K.
Pausawasdi N.
Puri R.
Tang R.S.
Yang A.M.
Hawes R.
Varadarajulu S.
Yasuda K.
Ho L.K.Y.
Abstract
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. ? Article author(s) (or their employer(s) unless otherwise stated in the text of the article) 2018. All rights reserved.
SDGs
Other Subjects
ablation therapy; Asian; celiac plexus; consensus development; endoscopic surgery; endoscopic therapy; endoscopic ultrasonography; evidence based medicine; human; interventional radiology; medical expert; methodology; oncology; pancreas pseudocyst; pancreatic duct; postoperative care; practice guideline; priority journal; professional competence; Review; surgical drainage; treatment indication; Asia; clinical competence; diagnostic imaging; interventional ultrasonography; medical society; nerve block; pancreas disease; patient selection; practice guideline; stent; Asia; Celiac Plexus; Clinical Competence; Drainage; Endosonography; Humans; Nerve Block; Pancreatic Diseases; Patient Selection; Societies, Medical; Stents; Ultrasonography, Interventional
Publisher
BMJ Publishing Group
Type
review