Role of endoscopy in primary sclerosing cholangitis: European Society of Gastrointestinal Endoscopy (ESGE) and European Association for the Study of the Liver (EASL) Clinical Guideline
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This guideline is an official statement of the European Society of Gastrointestinal Endoscopy (ESGE) and of the European Association for the Study of the Liver (EASL) on the role of endoscopy in primary sclerosing cholangitis. The Grading of Recommendations Assessment, Development and Evaluation (GRADE) system was adopted to define the strength of recommendations and the quality of evidence. Main recommendations.
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ERCP, especially with stenting, is a major risk factor for bacterial cholangitis in PSC.
“ERCP (especially with stenting) is a major risk factor for bacterial cholangitis in PSC”
From EASL Clinical Practice Guidelines on sclerosing cholangitis (2022) · cites this paper as [215]
Stricture dilatation improves serum liver tests and symptoms associated with obstruction.
“Stricture dilatation improves serum liver tests and symptoms associated with obstruction 215”
From EASL Clinical Practice Guidelines on sclerosing cholangitis (2022) · cites this paper as [215]
ERCP in PSC is associated with risks, reported in up to 18%, such as perforation, cholangitis and pancreatitis, which are highest after first ERCP and sphincterotomy.
“ERCP in PSC is associated with risks, reported in up to 18%, such as perforation, cholangitis and pancreatitis, which are highest after first ERCP and sphincterotomy.215”
From EASL Clinical Practice Guidelines on sclerosing cholangitis (2022) · cites this paper as [215]
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References 128 · Cited by 107
Research works printed but not linked: 4
- MajoieCB,ReedersJW,SandersJBetal.Primarysclerosingcholangi- tis: a modified classification of cholangiographic findings. AJR Am J Roentgenol 1991; 157: 495 -497
- LevyC,LympJ,AnguloPetal.ThevalueofserumCA19-9inpredict- ing cholangiocarcinomas in patients with primary sclerosing cholan- gitis. Dig Dis Sci 2005; 50: 1734 -1740
- DeOliveira ML, Cunningham SC, Cameron JL et al. Cholangiocarcino- ma: thirty-one-year experience with 564 patients at a single institu- tion. Ann Surg 2007; 245: 755 -762
- Aabakken L et al. Role of endoscopy … Endoscopy 2017; 49: 588-608
- Authors
- Aabakken, L., Karlsen, T. H., Albert, J., Arvanitakis, M., Chazouilleres, O., Dumonceau, J.-M., Färkkilä, M., Fickert, P., Hirschfield, G. M., Laghi, A., Marzioni, M., Fernandez, M., Pereira, S. P., Pohl, J., Poley, J.-W., Ponsioen, C. Y., Schramm, C., Swahn, F., Tringali, A., & Hassan, C.
- Affiliations
- University of Oslo (NO)
- Oslo University Hospital (NO)
- University of Zurich (CH)
- Gastroenterología Diagnóstica Terapeútica (AR)
- Helsinki University Hospital (FI)
- Medical University of Graz (AT)
- NIHR Birmingham Liver Biomedical Research Unit (GB)
- Sapienza University of Rome (IT)
- The Royal Free Hospital (GB)
- Klinikum im Friedrichshain (DE)
- Erasmus MC (NL)
- Amsterdam UMC Location University of Amsterdam (NL)
- Karolinska University Hospital (SE)
- Università Cattolica del Sacro Cuore (IT)
- Corresponding author
- Aabakken, Lars
- ORCID
- Venue
- Journal of Hepatology
- Publisher
- Elsevier BV
- Published
- 2017-06
- Volume
- 66
- Issue
- 6
- Pages
- 1265-1281
- ISSN
- 0168-8278 (ISSN-L)
- OpenAlex
- W4231196144
- Cited by
- 107
- References
- 128
- Citations by year
- 2026: 4 · 2025: 8 · 2024: 8 · 2023: 8 · 2022: 15 · 2021: 18 · 2020: 13 · 2019: 15 · 2018: 14 · 2017: 4
- FWCI
- 7.77
- Type
- journal article
- Language
- en
- Open access
- bronze
- doi.org
- Locations
- Journal of Hepatology (publishedVersion)
- PubMed (publishedVersion)
- EUR Research Repository (Erasmus University Rotterdam) (publishedVersion)
- EUR Research Repository (Erasmus University Rotterdam) (submittedVersion)
- Università Politecnica delle Marche (Università Politecnica delle Marche) (submittedVersion)
- Topics
- Health Sciences › Medicine › Hepatology › Liver Diseases and Immunity
- Health Sciences › Medicine › Pulmonary and Respiratory Medicine › Gallbladder and Bile Duct Disorders
- Health Sciences › Medicine › Surgery › Pediatric Hepatobiliary Diseases and Treatments
- Keywords
- primary sclerosing cholangitis, endoscopic diagnosis, magnetic resonance cholangiography, endoscopic retrograde cholangiopancreatography, biliary strictures, endoscopic sphincterotomy, sphincterotomy, brush cytology, cholangiocarcinoma, CA19-9, antibiotic prophylaxis
- MeSH terms
- Bile Duct Neoplasms, Biopsy, Cholangiopancreatography, Endoscopic Retrograde, Dilatation, Humans, Magnetic Resonance Imaging, Cholangitis, Sclerosing, Inflammatory Bowel Diseases, Stents, Endoscopy, Digestive System, Sphincterotomy, Endoscopic, Cholangiocarcinoma, Antibiotic Prophylaxis, Cholangiopancreatography, Magnetic Resonance
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