Evidence map›Paper›PMID 37307900›Full record

GuidelineGastrointestinal endoscopy2023

American Society for Gastrointestinal Endoscopy guideline on the role of endoscopy in the diagnosis of malignancy in biliary strictures of undetermined etiology: summary and recommendations.

Larissa L Fujii-Lau, Nirav C Thosani, Mohammad Al-Haddad, Jared Acoba, Curtis J Wray, Rodrick Zvavanjanja, Stuart K Amateau, James L Buxbaum, Audrey H Calderwood, Jean M Chalhoub and 21 more

Registry-linked trialOpen access · bronzeAbstract readPractice Guideline
PubMed Publisher
In one paragraph

Guideline in Gastrointestinal endoscopy, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT06614452 (Endoscopic Ultrasound-guided Fine-needle Biopsy for Tissue Sampling of Biliary Strictures), which is not on this map. Cited by 21 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
21citing papers in PubMed, 2 pooled it
7.8field-weighted citation impact, top 2% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT06614452 narecruitingnot on this mapstarted 2024, after this paper: background citation

Endoscopic Ultrasound-guided Fine-needle Biopsy for Tissue Sampling of Biliary Strictures: a Multicenter Prospective Study

TypeinterventionalSponsorOspedali Riuniti di FoggiaRan2024 to 2025Enrolled45ConditionsBiliary StricturesArmsEUS-FNB
3 · Its place in the literature

Who cites it

21 citing papers in PubMed, 2 syntheses or guidelines pooled it, 30 citations in OpenAlex.

  1. Pooled it
  2. Guideline
  3. Observational
  4. Usability of a novel cholangiopancreatoscope for tumor detection and stone management.VideoGIE : an official video journal of the American Society for Gastrointestinal Endoscopy · 2026
    Review
  5. Article
  6. Review
  7. Article
  8. Article
  9. Review
  10. Article
  11. Review
  12. Review
  13. Article
  14. Diagnostic Approach to Biliary Strictures.Diagnostics (Basel, Switzerland) · 2025
    Review
  15. Review
  16. Article
  17. Article
  18. Review
  19. Article
  20. Article
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

31 authors at 20 institutions in 2 countries.

Larissa L Fujii-LauDepartment of Gastroenterology, University of Hawaii, Honolulu, Hawaii, USA.
Nirav C ThosaniCenter for Interventional Gastroenterology.
Mohammad Al-HaddadDivision of Gastroenterology and Hepatology, Indiana University School of Medicine, Indianapolis, Indiana, USA.
Jared AcobaDepartment of Hematology and Medical Oncology, University of Hawaii Cancer Center, Honolulu, Hawaii, USA.
Curtis J WrayDepartment of Surgery.
Rodrick ZvavanjanjaDepartment of Diagnostic and Interventional Imaging, UTHealth, McGovern Medical School, Houston, Texas, USA.
Stuart K AmateauDivision of Gastroenterology Hepatology and Nutrition, University of Minnesota Medical Center, Minneapolis, Minnesota, USA.
James L BuxbaumDivision of Gastrointestinal and Liver Diseases, Keck School of Medicine of the University of Southern California, Los Angeles, California, USA.
Audrey H CalderwoodSection of Gastroenterology and Hepatology, Dartmouth-Hitchcock Medical Center, Dartmouth Geisel School of Medicine, Lebanon, New Hampshire, USA.
Jean M ChalhoubDepartment of Gastroenterology and Internal Medicine, Staten Island University Hospital, Northwell Health, Staten Island, New York, USA.
Nayantara Coelho-PrabhuDivision of Gastroenterology and Hepatology, Mayo Clinic, Rochester, Minnesota, USA.
Madhav DesaiDivision of Gastroenterology, Hepatology and Nutrition, University of Minnesota Medical Center, Minneapolis, Minnesota, USA.
Sherif E ElhanafiDivision of Gastroenterology, Texas Tech University Health Sciences Center, El Paso, Texas, USA.
Douglas S FishmanDivision of Pediatric Gastroenterology, Hepatology and Nutrition, Baylor College of Medicine, Texas Children's Hospital, Houston, Texas, USA.
Nauzer ForbesDepartment of Medicine, Cumming School of Medicine, University of Calgary, Calgary, Alberta, Canada.
Laith H JamilSection of Gastroenterology and Hepatology, Beaumont Health, Royal Oak, and Oakland University William Beaumont School of Medicine, Rochester, Michigan, USA.
Terry L JueDivision of Gastroenterology and Hepatology, Mayo Clinic, Scottsdale, Arizona, USA.
Divyanshoo R KohliPancreas and Liver Clinic, Providence Sacred Heart Medical Center, Spokane, Washington, USA.
Richard S KwonDivision of Gastroenterology, Michigan Medicine, University of Michigan, Ann Arbor, Michigan, USA.
Joanna K LawDepartment of Gastroenterology and Hepatology, Digestive Disease Institute, Virginia Mason Medical Center, Seattle, Washington, USA.
Jeffrey K LeeDepartment of Gastroenterology, Kaiser Permanente San Francisco Medical Center, San Francisco, California, USA.
Jorge D MachicadoDivision of Gastroenterology, Michigan Medicine, University of Michigan, Ann Arbor, Michigan, USA.
Neil B MaryaDivision of Gastroenterology and Hepatology, UMass Chan Medical School, Worcester, Massachusetts, USA.
Swati PawaDepartment of Gastroenterology, Wake Forest School of Medicine, Winston Salem, North Carolina, USA.
Wenly RuanDivision of Pediatric Gastroenterology, Hepatology and Nutrition, Baylor College of Medicine, Texas Children's Hospital, Houston, Texas, USA.
Mandeep S SawhneyDivision of Gastroenterology, Beth Israel Deaconess Medical Center, Harvard Medical School, Boston, Massachusetts, USA.
Sunil G ShethDivision of Gastroenterology, Beth Israel Deaconess Medical Center, Harvard Medical School, Boston, Massachusetts, USA.
Andrew StormDivision of Gastroenterology and Hepatology, Mayo Clinic, Rochester, Minnesota, USA.
Nikhil R ThiruvengadamDivision of Gastroenterology and Hepatology, Loma Linda University, Loma Linda, California, USA.
Bashar J QumseyaDepartment of Gastroenterology, Hepatology, and Nutrition, University of Florida, Gainesville, Florida, USA.
(ASGE Standards of Practice Committee Chair, 2020-2023)
Beth Israel Deaconess Medical Center · USMichigan Medicine · USUniversity of Minnesota Medical Center · USWinnMed · USBaylor College of Medicine · USDartmouth–Hitchcock Medical Center · USIndiana University School of MedicineKaiser Permanente San Francisco Medical Center · USLoma Linda University · USMayo Clinic in Arizona · USOakland University · USProvidence Sacred Heart Medical Center · USStaten Island University Hospital · USTexas Children's Hospital · USTexas Tech University · USThe University of Texas Health Science Center at Houston · USUniversity of Calgary · CAUniversity of Florida · USUniversity of Hawaiʻi at Mānoa · USUniversity of Hawaii System · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

This clinical practice guideline from the American Society for Gastrointestinal Endoscopy provides an evidence-based approach for the diagnosis of malignancy in patients with biliary strictures of undetermined etiology. This document was developed using the Grading of Recommendations Assessment, Development and Evaluation framework and addresses the role of fluoroscopic-guided biopsy sampling, brush cytology, cholangioscopy, and EUS in the diagnosis of malignancy in patients with biliary strictures. In the endoscopic workup of these patients, we suggest the use of fluoroscopic-guided biopsy sampling in addition to brush cytology over brush cytology alone, especially for hilar strictures. We suggest the use of cholangioscopic and EUS-guided biopsy sampling especially for patients who undergo nondiagnostic sampling, cholangioscopic biopsy sampling for nondistal strictures and EUS-guided biopsy sampling distal strictures or those with suspected spread to surrounding lymph nodes and other structures.

Indexed as

CholestasisEndosonographyBile Duct NeoplasmsCholangiocarcinomaConstriction, PathologicEndoscopy, Digestive SystemFluoroscopyHumansImage-Guided Biopsy

Identifiers

PMID37307900
OpenAlexW4380149922

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.