Informed Consent for Endoscopic Biliary Drainage: Time for a New Paradigm
Authors:
- Marco SpadacciniMarco Spadaccini
- Cecilia BindaCBCecilia Binda
- Alessandro FugazzaAlessandro Fugazza
- Alessandro RepiciARAlessandro Repici
- Ilaria TarantinoITIlaria Tarantino
- Carlo FabbriCFCarlo Fabbri
- Luigi CugiaLCLuigi Cugia
- Andrea AnderloniAAAndrea Anderloni
- on behalf of the Interventional Endoscopy & Ultra Sound (I-EUS) GroupOGon behalf of the Interventional Endoscopy & Ultra Sound (I-EUS) Group
Open Access
Abstract
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.Keywords
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