1. Adherence to the ESGE Guidelines on biliary stenting in malignant distal strictures: results from a prospective cohort study (PROTESIED) in Italy.
- Author
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Schepis, T., Zagari, R. M., Crinò, S. F., Sacco, M., Gabbrielli, A., Grassia, R., Santagati, A., Venezia, G., Olivari, N., Panarese, A., Bravo, M., Biviano, I., Bertani, H., Devani, M., De Minicis, S., De Roberto, G., Aucello, A., Pallio, S., Parodi, M. C., and Pasquale, L.
- Subjects
CHOLANGITIS ,COHORT analysis ,LONGITUDINAL method ,PANCREATIC cancer ,ENDOSCOPIC retrograde cholangiopancreatography - Abstract
This article discusses a study conducted in Italy to evaluate the adherence of Italian endoscopic centers to the European Society of Gastrointestinal Endoscopy (ESGE) guidelines on biliary stenting in malignant distal strictures. The study included 827 patients with distal malignant biliary strictures who underwent endoscopic retrograde cholangiopancreatography (ERCP) between January 2020 and January 2022. The results showed that while there was full adherence to the guidelines for certain aspects, such as post-ERCP acute pancreatitis prophylaxis and retreatments, there were areas where adherence was poor, such as the excessive use of plastic stents and the routine performance of sphincterotomy. The study concludes that there is a need to improve adherence to the ESGE guidelines in these specific areas. [Extracted from the article]
- Published
- 2024
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