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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Published inMedicina (Kaunas, Lithuania) Vol. 58; no. 3; p. 331
Main Authors Spadaccini, Marco, Binda, Cecilia, Fugazza, Alessandro, Repici, Alessandro, Tarantino, Ilaria, Fabbri, Carlo, Cugia, Luigi, Anderloni, Andrea, On Behalf Of The Interventional Endoscopy Amp Ultra Sound I-Eus Group
Format Journal Article
LanguageEnglish
Published Switzerland MDPI AG 22.02.2022
MDPI
Subjects
Bile ducts
biliary tract
Cholangiopancreatography, Endoscopic Retrograde
Cholestasis
Drainage
Endoscopy
Endosonography
Gallbladder
Humans
Informed Consent
intervention EUS
pancreatobiliary
Patients
Small intestine
Stents
Success
intervention EUS
pancreatobiliary
biliary tract
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Summary: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.
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Collaborators of Interventional Endoscopy & Ultra Sound (I-EUS) Group is provided in the Acknowledgments.
ISSN:1648-9144
1010-660X
1648-9144
DOI:10.3390/medicina58030331