Informed Consent for Endoscopic Biliary Drainage: Time for a New Paradigm
Endoscopic retrograde cholangiopancreatography (ERCP) is considered as the first option in the management of malignant biliary obstruction. In case of ERCP failure, percutaneous transhepatic biliary drainage (PTBD) has been conventionally considered as the preferred rescue strategy. However, the use...
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| Format: | Article |
| Language: | English |
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MDPI AG
2022-02-01
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| Series: | Medicina |
| Subjects: | |
| Online Access: | https://www.mdpi.com/1648-9144/58/3/331 |
| _version_ | 1797445374023041024 |
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| author | Marco Spadaccini Cecilia Binda Alessandro Fugazza Alessandro Repici Ilaria Tarantino Carlo Fabbri Luigi Cugia Andrea Anderloni on behalf of the Interventional Endoscopy & Ultra Sound (I-EUS) Group |
| author_facet | Marco Spadaccini Cecilia Binda Alessandro Fugazza Alessandro Repici Ilaria Tarantino Carlo Fabbri Luigi Cugia Andrea Anderloni on behalf of the Interventional Endoscopy & Ultra Sound (I-EUS) Group |
| author_sort | Marco Spadaccini |
| collection | DOAJ |
| description | Endoscopic retrograde cholangiopancreatography (ERCP) is considered as the first option in the management of malignant biliary obstruction. In case of ERCP failure, percutaneous transhepatic biliary drainage (PTBD) has been conventionally considered as the preferred rescue strategy. However, the use of endoscopic ultrasound (EUS) for biliary drainage (EUS-BD) has proved similarly high rates of technical success, when compared to PTBD. As a matter of fact, biliary drainage is maybe the most evident paradigm of the increasing interconnection between ERCP and EUS, and obtaining an adequate informed consent (IC) is an emerging issue. The aim of this commentary is to discuss the reciprocal roles of ERCP and EUS for malignant biliary obstruction, in order to provide a guide to help in developing an appropriate informed consent reflecting the new biliopancreatic paradigm. |
| first_indexed | 2024-03-09T13:24:54Z |
| format | Article |
| id | doaj.art-fb1055257e18436d9bae1e45f21f7268 |
| institution | Directory Open Access Journal |
| issn | 1010-660X 1648-9144 |
| language | English |
| last_indexed | 2024-03-09T13:24:54Z |
| publishDate | 2022-02-01 |
| publisher | MDPI AG |
| record_format | Article |
| series | Medicina |
| spelling | doaj.art-fb1055257e18436d9bae1e45f21f72682023-11-30T21:25:25ZengMDPI AGMedicina1010-660X1648-91442022-02-0158333110.3390/medicina58030331Informed Consent for Endoscopic Biliary Drainage: Time for a New ParadigmMarco Spadaccini0Cecilia Binda1Alessandro Fugazza2Alessandro Repici3Ilaria Tarantino4Carlo Fabbri5Luigi Cugia6Andrea Anderloni7on behalf of the Interventional Endoscopy & Ultra Sound (I-EUS) GroupDigestive Endoscopy Unit, Department of Gastroenterology, Humanitas Clinical and Research Center, IRCCS, 20089 Rozzano, Milan, ItalyDigestive Endoscopy and Gastroenterology Unit, Department of Gastroenterology, AUSL Romagna, Morgagni-Pierantoni Hospital and Bufalini Hospital, 47100 Forli, Forlì-Cesena, ItalyDigestive Endoscopy Unit, Department of Gastroenterology, Humanitas Clinical and Research Center, IRCCS, 20089 Rozzano, Milan, ItalyDigestive Endoscopy Unit, Department of Gastroenterology, Humanitas Clinical and Research Center, IRCCS, 20089 Rozzano, Milan, ItalyDigestive Endoscopy and Gastroenterology Unit, Department of Gastroenterology, Istituto Mediterraneo per i Trapianti e Terapie ad Alta Specializzazione (IsMeTT/UPMC), 90127 Palermo, ItalyDigestive Endoscopy and Gastroenterology Unit, Department of Gastroenterology, AUSL Romagna, Morgagni-Pierantoni Hospital and Bufalini Hospital, 47100 Forli, Forlì-Cesena, ItalyGastroenterology and Digestive Endoscopy Department, Azienda Ospedaliero Universitaria Sassari, 07100 Sassari, ItalyDigestive Endoscopy Unit, Department of Gastroenterology, Humanitas Clinical and Research Center, IRCCS, 20089 Rozzano, Milan, ItalyEndoscopic retrograde cholangiopancreatography (ERCP) is considered as the first option in the management of malignant biliary obstruction. In case of ERCP failure, percutaneous transhepatic biliary drainage (PTBD) has been conventionally considered as the preferred rescue strategy. However, the use of endoscopic ultrasound (EUS) for biliary drainage (EUS-BD) has proved similarly high rates of technical success, when compared to PTBD. As a matter of fact, biliary drainage is maybe the most evident paradigm of the increasing interconnection between ERCP and EUS, and obtaining an adequate informed consent (IC) is an emerging issue. The aim of this commentary is to discuss the reciprocal roles of ERCP and EUS for malignant biliary obstruction, in order to provide a guide to help in developing an appropriate informed consent reflecting the new biliopancreatic paradigm.https://www.mdpi.com/1648-9144/58/3/331biliary tractpancreatobiliaryintervention EUS |
| spellingShingle | Marco Spadaccini Cecilia Binda Alessandro Fugazza Alessandro Repici Ilaria Tarantino Carlo Fabbri Luigi Cugia Andrea Anderloni on behalf of the Interventional Endoscopy & Ultra Sound (I-EUS) Group Informed Consent for Endoscopic Biliary Drainage: Time for a New Paradigm Medicina biliary tract pancreatobiliary intervention EUS |
| title | Informed Consent for Endoscopic Biliary Drainage: Time for a New Paradigm |
| title_full | Informed Consent for Endoscopic Biliary Drainage: Time for a New Paradigm |
| title_fullStr | Informed Consent for Endoscopic Biliary Drainage: Time for a New Paradigm |
| title_full_unstemmed | Informed Consent for Endoscopic Biliary Drainage: Time for a New Paradigm |
| title_short | Informed Consent for Endoscopic Biliary Drainage: Time for a New Paradigm |
| title_sort | informed consent for endoscopic biliary drainage time for a new paradigm |
| topic | biliary tract pancreatobiliary intervention EUS |
| url | https://www.mdpi.com/1648-9144/58/3/331 |
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