PMID- 36792483 OWN - NLM STAT- MEDLINE DCOM- 20230327 LR - 20230523 IS - 1097-6779 (Electronic) IS - 0016-5107 (Linking) VI - 97 IP - 4 DP - 2023 Apr TI - American Society for Gastrointestinal Endoscopy guideline on management of post-liver transplant biliary strictures: methodology and review of evidence. PG - 615-637.e11 LID - S0016-5107(22)02032-6 [pii] LID - 10.1016/j.gie.2022.10.006 [doi] AB - This clinical practice guideline from the American Society for Gastrointestinal Endoscopy provides an evidence-based approach for strategies to manage biliary strictures in liver transplant recipients. This document was developed using the Grading of Recommendations Assessment, Development and Evaluation framework. The guideline addresses the role of ERCP versus percutaneous transhepatic biliary drainage and covered self-expandable metal stents (cSEMSs) versus multiple plastic stents for therapy of strictures, use of MRCP for diagnosing post-transplant biliary strictures, and administration of antibiotics versus no antibiotics during ERCP. In patients with post-transplant biliary strictures, we suggest ERCP as the initial intervention and cSEMSs as the preferred stent. In patients with unclear diagnosis or intermediate probability of a stricture, we suggest MRCP as the diagnostic modality. We suggest that antibiotics should be administered during ERCP when biliary drainage cannot be assured. CI - Copyright (c) 2023 American Society for Gastrointestinal Endoscopy. Published by Elsevier Inc. All rights reserved. FAU - Amateau, Stuart K AU - Amateau SK AD - Division of Gastroenterology Hepatology and Nutrition, University of Minnesota Medical Center, Minneapolis, Minnesota, USA. FAU - Kohli, Divyanshoo R AU - Kohli DR AD - Pancreas and Liver Clinic, Providence Sacred Medical Center, Spokane, Washington, USA. FAU - Desai, Madhav AU - Desai M AD - Department of Gastroenterology, Kansas City VA Medical Center, Kansas City, Missouri, USA. FAU - Chinnakotla, Srinath AU - Chinnakotla S AD - Department of Surgery, University of Minnesota Medical Center, Minneapolis, Minnesota, USA. FAU - Harrison, M Edwyn AU - Harrison ME AD - Division of Gastroenterology and Hepatology, Mayo Clinic, Scottsdale, Arizona, USA. FAU - Chalhoub, Jean M AU - Chalhoub JM AD - Department of Gastroenterology and Internal Medicine, Staten Island University Hospital, Northwell Health, Staten Island, New York, USA. FAU - Coelho-Prabhu, Nayantara AU - Coelho-Prabhu N AD - Department of Gastroenterology and Hepatology, Mayo Clinic, Rochester, Minnesota, USA. FAU - Elhanafi, Sherif E AU - Elhanafi SE AD - Division of Gastroenterology, Texas Tech University Health Sciences Center, El Paso, Texas, USA. FAU - Forbes, Nauzer AU - Forbes N AD - Department of Medicine, Cumming School of Medicine, University of Calgary, Calgary, Alberta, Canada. FAU - Fujii-Lau, Larissa L AU - Fujii-Lau LL AD - Department of Gastroenterology, University of Hawaii, Honolulu, Hawaii, USA. FAU - Kwon, Richard S AU - Kwon RS AD - Division of Gastroenterology, Michigan Medicine, University of Michigan, Ann Arbor, Michigan, USA. FAU - Machicado, Jorge D AU - Machicado JD AD - Division of Gastroenterology, Michigan Medicine, University of Michigan, Ann Arbor, Michigan, USA. FAU - Marya, Neil B AU - Marya NB AD - Division of Gastroenterology and Hepatology, University of Massachusetts Medical Center, Worcester, Massachusetts, USA. FAU - Pawa, Swati AU - Pawa S AD - Department of Gastroenterology, Wake Forest School of Medicine, Winston Salem, North Carolina, USA. FAU - Ruan, Wenly AU - Ruan W AD - Division of Pediatric Gastroenterology, Hepatology and Nutrition, Baylor College of Medicine, Texas Children's Hospital, Houston, Texas, USA. FAU - Sheth, Sunil G AU - Sheth SG AD - Division of Gastroenterology, Beth Israel Deaconess Medical Center, Harvard Medical School, Boston, Massachusetts, USA. FAU - Thiruvengadam, Nikhil R AU - Thiruvengadam NR AD - Division of Gastroenterology and Hepatology, Loma Linda University, Loma Linda, California, USA. FAU - Thosani, Nirav C AU - Thosani NC AD - Center for Interventional Gastroenterology at UTHealth, McGovern Medical School, Houston, Texas, USA. FAU - Qumseya, Bashar J AU - Qumseya BJ AD - Department of Gastroenterology, Hepatology, and Nutrition, University of Florida, Gainesville, Florida, USA. CN - (ASGE Standards of Practice Committee Chair) LA - eng PT - Journal Article PT - Practice Guideline DEP - 20230213 PL - United States TA - Gastrointest Endosc JT - Gastrointestinal endoscopy JID - 0010505 SB - IM CIN - Gastrointest Endosc. 2023 Apr;97(4):607-614. PMID: 36797162 MH - Humans MH - Constriction, Pathologic/etiology/therapy MH - Cholangiopancreatography, Endoscopic Retrograde/methods MH - *Liver Transplantation/adverse effects MH - *Cholestasis/etiology/surgery MH - Stents MH - Endoscopy, Gastrointestinal EDAT- 2023/02/16 06:00 MHDA- 2023/03/28 06:00 CRDT- 2023/02/15 22:02 PHST- 2022/09/28 00:00 [received] PHST- 2022/10/04 00:00 [accepted] PHST- 2023/02/16 06:00 [pubmed] PHST- 2023/03/28 06:00 [medline] PHST- 2023/02/15 22:02 [entrez] AID - S0016-5107(22)02032-6 [pii] AID - 10.1016/j.gie.2022.10.006 [doi] PST - ppublish SO - Gastrointest Endosc. 2023 Apr;97(4):615-637.e11. doi: 10.1016/j.gie.2022.10.006. Epub 2023 Feb 13.