TY - JOUR
T1 - American Society for Gastrointestinal Endoscopy guideline on management of post–liver transplant biliary strictures
T2 - methodology and review of evidence
AU - (ASGE Standards of Practice Committee Chair)
AU - Amateau, Stuart K.
AU - Kohli, Divyanshoo R.
AU - Desai, Madhav
AU - Chinnakotla, Srinath
AU - Harrison, M. Edwyn
AU - Chalhoub, Jean M.
AU - Coelho-Prabhu, Nayantara
AU - Elhanafi, Sherif E.
AU - Forbes, Nauzer
AU - Fujii-Lau, Larissa L.
AU - Kwon, Richard S.
AU - Machicado, Jorge D.
AU - Marya, Neil B.
AU - Pawa, Swati
AU - Ruan, Wenly
AU - Sheth, Sunil G.
AU - Thiruvengadam, Nikhil R.
AU - Thosani, Nirav C.
AU - Qumseya, Bashar J.
N1 - Publisher Copyright:
© 2023 American Society for Gastrointestinal Endoscopy
PY - 2023/4
Y1 - 2023/4
N2 - This clinical practice guideline from the American Society for Gastrointestinal Endoscopy provides an evidence-based approach for strategies to manage biliary strictures in liver transplant recipients. This document was developed using the Grading of Recommendations Assessment, Development and Evaluation framework. The guideline addresses the role of ERCP versus percutaneous transhepatic biliary drainage and covered self-expandable metal stents (cSEMSs) versus multiple plastic stents for therapy of strictures, use of MRCP for diagnosing post-transplant biliary strictures, and administration of antibiotics versus no antibiotics during ERCP. In patients with post-transplant biliary strictures, we suggest ERCP as the initial intervention and cSEMSs as the preferred stent. In patients with unclear diagnosis or intermediate probability of a stricture, we suggest MRCP as the diagnostic modality. We suggest that antibiotics should be administered during ERCP when biliary drainage cannot be assured.
AB - This clinical practice guideline from the American Society for Gastrointestinal Endoscopy provides an evidence-based approach for strategies to manage biliary strictures in liver transplant recipients. This document was developed using the Grading of Recommendations Assessment, Development and Evaluation framework. The guideline addresses the role of ERCP versus percutaneous transhepatic biliary drainage and covered self-expandable metal stents (cSEMSs) versus multiple plastic stents for therapy of strictures, use of MRCP for diagnosing post-transplant biliary strictures, and administration of antibiotics versus no antibiotics during ERCP. In patients with post-transplant biliary strictures, we suggest ERCP as the initial intervention and cSEMSs as the preferred stent. In patients with unclear diagnosis or intermediate probability of a stricture, we suggest MRCP as the diagnostic modality. We suggest that antibiotics should be administered during ERCP when biliary drainage cannot be assured.
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U2 - 10.1016/j.gie.2022.10.006
DO - 10.1016/j.gie.2022.10.006
M3 - Article
C2 - 36792483
AN - SCOPUS:85149684807
SN - 0016-5107
VL - 97
SP - 615-637.e11
JO - Gastrointestinal endoscopy
JF - Gastrointestinal endoscopy
IS - 4
ER -