Evidence map›Paper›PMID 42429199›Full record

ArticleDigestive endoscopy : official journal of the Japan Gastroenterological Endoscopy Society2026

International Consensus Statements on Endoscopic Ultrasound-Guided Biliary Drainage: Results From the 1st JGES International in 2025.

Takuji Iwashita, Shuntaro Mukai, Yousuke Nakai, Shomei Ryozawa, Akio Katanuma, Ichiro Yasuda, Atsushi Irisawa, Sang-Soo Lee, Jong Ho Moon, Hsui-Po Wang and 4 more

Abstract readConsensus Statement
PubMed Full text at PMC Publisher
In one paragraph

Article in Digestive endoscopy : official journal of the Japan Gastroenterological Endoscopy Society, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact
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.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

  1. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

14 authors.

Takuji IwashitaDepartment of Gastroenterolog, Shiga University of Medical Science, Otsu, Shiga, Japan.
Shuntaro MukaiTokyo Medical University, Tokyo, Japan.
Yousuke NakaiDepartment of Internal Medicine, Institute of Gastroenterology, Tokyo Women's Medical University, Tokyo, Japan.
Shomei RyozawaDepartment of Gastroenterology, Saitama Medical University International Medical Center, Saitama, Japan.
Akio KatanumaDepartment of Gastroenterology, Sapporo Medical University, Sapporo, Hokkaido, Japan.ORCID https://orcid.org/0000-0003-3548-5215
Ichiro YasudaThird Department of Internal Medicine, University of Toyama, Toyama, Japan.
Atsushi IrisawaDepartment of Gastroenterology, Dokkyo Medical University School of Medicine, Shimotsuga, Tochigi, Japan.ORCID https://orcid.org/0000-0002-2271-2717
Sang-Soo LeeDepartment of Gastroenterology, Good Gang-An Hospital, Busan, Korea.
Jong Ho MoonDepartment of Internal Medicine, SoonChunHyang University College of Medicine, Bucheon, Korea.
Hsui-Po WangDepartment of Internal Medicine, National Taiwan University Hospital, National Taiwan University College of Medicine, Taipei, Taiwan.
Sundeep LakhtakiaDepartment of Gastroenterology, AIG Hospitals, Hyderabad, India.
Marc GiovanniniDepartment of Gastroenterology, IRCAD, Strasbourg, France.
Todd H BaronDepartment of Gastroenterology and Hepatology, University of North Carolina, Chapel Hill, North Carolina, USA.
Takao ItoiTokyo Medical University, Tokyo, Japan.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

EUS-guided biliary drainage (EUS-BD) has evolved as an alternative to ERCP-BD for biliary obstruction, but its role as a primary drainage and its terminology have not been standardized.

aimsTo establish an international consensus on the indications, techniques, and standardized terminology of EUS-BD.

methodsTo address these, an international consensus meeting was held during the 1st JGES International. Fourteen expert endoscopists from six countries participated in a structured Delphi process, reviewing evidence and voting on clinical questions related to EUS-BD indications, techniques, and terminology, particularly for unresectable malignant distal biliary obstruction (MDBO) and for biliary diseases in patients with surgically altered anatomy (SAA).

resultsFor unresectable MDBO, EUS-BD was recognized as a safe and effective alternative to ERCP-BD, although it is not yet established as a standard first-line approach. It is an established salvage option after failed ERCP and may be considered as an upfront option in selected patients such as those with duodenal obstruction preventing access to the papilla. The choice between choledochoduodenostomy and hepaticogastrostomy varies among countries depending on device availability and expertise. In patients with SAA, EUS-BD showed higher technical success and shorter procedure time than balloon endoscopy-assisted ERCP, though either approach may be selected based on institutional and endoscopist experience. A unified terminology for interventional EUS is also proposed, including the concepts of anastomosis versus drainage and trans-ESCR (endosonographically created route) procedures.

conclusionsThis consensus highlights the need for standardized global terminology and further trials to define the optimal role of EUS-BD for biliary diseases.

Indexed as

CholestasisDrainageEndosonographyUltrasonography, InterventionalHumansantegrade treatmentcholedochoduodenostomyhepaticogastrostomysurgically altered anatomyterminology

Identifiers

PMID42429199
PMCPMC13352452

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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.