| アイテムタイプ |
学術雑誌論文 / Journal Article(1) |
| 公開日 |
2026-01-27 |
| タイトル |
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|
タイトル |
Clinical Practice Guidelines for Peroral Cholangioscopy |
|
言語 |
en |
| 言語 |
|
|
言語 |
eng |
| キーワード |
|
|
言語 |
en |
|
キーワード |
biliary strictures |
| キーワード |
|
|
言語 |
en |
|
キーワード |
cholangioscopy‐guided lithotripsy |
| キーワード |
|
|
言語 |
en |
|
キーワード |
clinical practice guidelines |
| キーワード |
|
|
言語 |
en |
|
キーワード |
endoscopic retrograde cholangiopancreatography |
| キーワード |
|
|
言語 |
en |
|
キーワード |
peroral cholangioscopy (POCS) |
| 資源タイプ |
|
|
資源タイプ |
journal article |
| アクセス権 |
|
|
アクセス権 |
open access |
| 著者 |
Nagai, Kazumasa
Katanuma, Akio
| en |
Katanuma, Akio（Personal）
Sapporo Medical University School of Medicine
|
Search repository
Ryozawa, Shomei
Okabe, Yoshinobu
Okano, Naoki
Kawashima, Hiroki
河上, 洋
WEKO
34902
e-Rad_Researcher
80399823
| ja |
河上, 洋
宮崎大学
|
| ja-Kana |
カワカミ, ヒロシ
|
| en |
Kawakami, Hiroshi
University of Miyazaki
|
Search repository
Kato, Hironari
Hayashi, Nobuhiko
Irisawa, Atsushi
| en |
Irisawa, Atsushi（Personal）
Dokkyo Medical University School of Medicine
|
Search repository
Hatano, Etsuro
Yasuda, Ichiro
| en |
Yasuda, Ichiro（Personal）
Third Department of Internal Medicine, University of Toyama, Toyama, Japan.
|
Search repository
Igarashi, Yoshinori
Itoi, Takao
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| 抄録 |
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内容記述タイプ |
Abstract |
|
内容記述 |
Background/Purpose
Peroral cholangioscopy (POCS) has emerged as a valuable endoscopic modality for the diagnosis and treatment of biliary tract diseases. Despite its growing clinical application, no standardized clinical practice guidelines have previously been established in Japan. In response, here we describe how the Japan Biliary Association (JBA) developed evidence-based guidelines to support the safe and effective implementation of POCS.
Methods
Following the Minds 2020 methodology, a multidisciplinary committee formulated 31 key clinical, background, and future research questions across six domains: definitions, indications and roles, procedures, special cases, adverse events, and diagnostic/therapeutic outcomes. Recommendations were based on a systematic review of literature, supplemented by expert consensus where evidence was limited.
Results
Key topics include appropriate indications, management of antithrombotic therapy, necessity of papillary intervention, antibiotic prophylaxis, procedural risks, and the role of POCS-guided biopsy and lithotripsy. Notably, the guidelines highlight the utility of POCS in evaluating indeterminate biliary strictures, papillary cholangiocarcinoma, and difficult bile duct stones, while addressing adverse events such as cholangitis and perforation.
Conclusions
These guidelines are intended to serve as a practical reference for clinicians and endoscopists involved in biliary endoscopy, with the flexibility of their adaptation based on institutional practices and patient characteristics. |
|
言語 |
en |
| 書誌情報 |
en : Journal of hepato-biliary-pancreatic sciences
巻 33,
号 1,
p. 58-71,
発行日 2025-12-16
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| 出版者 |
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|
出版者 |
Wiley |
|
言語 |
en |
| ISSN |
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|
収録物識別子タイプ |
EISSN |
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収録物識別子 |
18686982 |
| DOI |
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|
関連タイプ |
isVersionOf |
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|
識別子タイプ |
DOI |
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|
関連識別子 |
https://doi.org/10.1002/jhbp.70036 |
| 権利 |
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|
権利情報 |
© 2025 The Author(s). |
|
言語 |
en |
| 著者版フラグ |
|
|
出版タイプ |
VoR |
Fulltext (507 KB)
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