TY - JOUR
T1 - American Society for Gastrointestinal Endoscopy guideline on role of endoscopy in the diagnosis of malignancy in biliary strictures of undetermined etiology
T2 - methodology and review of evidence
AU - (ASGE Standards of Practice Committee Chair [2020-2023])
AU - Fujii-Lau, Larissa L.
AU - Thosani, Nirav C.
AU - Al-Haddad, Mohammad
AU - Acoba, Jared
AU - Wray, Curtis J.
AU - Zvavanjanja, Rodrick
AU - Amateau, Stuart K.
AU - Buxbaum, James L.
AU - Wani, Sachin
AU - Calderwood, Audrey H.
AU - Chalhoub, Jean M.
AU - Coelho-Prabhu, Nayantara
AU - Desai, Madhav
AU - Elhanafi, Sherif E.
AU - Fishman, Douglas S.
AU - Forbes, Nauzer
AU - Jamil, Laith H.
AU - Jue, Terry L.
AU - Kohli, Divyanshoo R.
AU - Kwon, Richard S.
AU - Law, Joanna K.
AU - Lee, Jeffrey K.
AU - Machicado, Jorge D.
AU - Marya, Neil B.
AU - Pawa, Swati
AU - Ruan, Wenly
AU - Sawhney, Mandeep S.
AU - Sheth, Sunil G.
AU - Storm, Andrew
AU - Thiruvengadam, Nikhil R.
AU - Qumseya, Bashar J.
N1 - Publisher Copyright:
© 2023
PY - 2023/11
Y1 - 2023/11
N2 - Biliary strictures of undetermined etiology pose a diagnostic challenge for endoscopists. Despite advances in technology, diagnosing malignancy in biliary strictures often requires multiple procedures. The Grading of Recommendations Assessment, Development and Evaluation (GRADE) framework was used to rigorously review and synthesize the available literature on strategies used to diagnose undetermined biliary strictures. Using a systematic review and meta-analysis of each diagnostic modality, including fluoroscopic-guided biopsy sampling, brush cytology, cholangioscopy, and EUS-guided FNA or fine-needle biopsy sampling, the American Society for Gastrointestinal Endoscopy Standards of Practice Committee provides this guideline on modalities used to diagnose biliary strictures of undetermined etiology. This document summarizes the methods used in the GRADE analysis to make recommendations, whereas the accompanying article subtitled “Summary and Recommendations” contains a concise summary of our findings and final recommendations.
AB - Biliary strictures of undetermined etiology pose a diagnostic challenge for endoscopists. Despite advances in technology, diagnosing malignancy in biliary strictures often requires multiple procedures. The Grading of Recommendations Assessment, Development and Evaluation (GRADE) framework was used to rigorously review and synthesize the available literature on strategies used to diagnose undetermined biliary strictures. Using a systematic review and meta-analysis of each diagnostic modality, including fluoroscopic-guided biopsy sampling, brush cytology, cholangioscopy, and EUS-guided FNA or fine-needle biopsy sampling, the American Society for Gastrointestinal Endoscopy Standards of Practice Committee provides this guideline on modalities used to diagnose biliary strictures of undetermined etiology. This document summarizes the methods used in the GRADE analysis to make recommendations, whereas the accompanying article subtitled “Summary and Recommendations” contains a concise summary of our findings and final recommendations.
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U2 - 10.1016/j.gie.2023.06.007
DO - 10.1016/j.gie.2023.06.007
M3 - Article
C2 - 37307901
AN - SCOPUS:85174522884
SN - 0016-5107
VL - 98
SP - 694-712.e8
JO - Gastrointestinal endoscopy
JF - Gastrointestinal endoscopy
IS - 5
ER -