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Consenso i-EUS sobre drenaje de vesícula biliar guiado por ultrasonido endoscópico: un enfoque Delphi modificado de 3
Antonio Facciorusso1, Cecilia Binda2, Stefano Francesco Crinò3
1Gastroenterology Unit, Department of Experimental Medicine, University of Salento, Lecce, Italy.
Endoscopic ultrasound
|January 26, 2026
Resumen
El drenaje de vesícula biliar guiado por ultrasonido endoscópico (EUS-GBD) ofrece una alternativa segura para la colecistitis aguda. Este estudio proporciona directrices basadas en evidencia para EUS-GBD, estandarizando la atención y mejorando los resultados de los pacientes.
Área de la Ciencia:
- Gastroenterología
- Endoscopia Intervencionista
- Imagenología Médica
Sus antecedentes:
- El drenaje de vesícula biliar guiado por ultrasonido endoscópico (EUS-GBD) es una alternativa clave para la colecistitis aguda en pacientes no candidatos a cirugía.
- Las directrices actuales para indicaciones, técnicas y manejo de EUS-GBD son limitadas.
- Se necesita estandarización para optimizar la toma de decisiones clínicas y los resultados de los pacientes.
Objetivo del estudio:
- Desarrollar recomendaciones de consenso basadas en evidencia para EUS-GBD.
- Guiar la práctica clínica tanto en condiciones benignas como malignas.
- Mejorar los resultados de los pacientes a través de procedimientos estandarizados de EUS-GBD.
Principales métodos:
- Un proceso Delphi modificado de 3 pasos que involucra a expertos multidisciplinarios.
- Revisiones sistemáticas de la literatura y preguntas clínicas formateadas PICO.
- Sistema GRADE para la calificación de evidencia y acuerdo de ≥80% para el consenso.
Principales resultados:
- Veintidós preguntas clínicas abordaron indicaciones, técnicas y cuidados posteriores al procedimiento.
- Se recomienda EUS-GBD sobre enfoques percutáneos/transpapilares para pacientes de alto riesgo.
- Se aconsejan stents metálicos autoexpandibles y estrategias posteriores al procedimiento personalizadas.
Conclusiones:
- Se establece una guía integral y multidisciplinaria para EUS-GBD.
- Las recomendaciones tienen como objetivo estandarizar la atención y mejorar la seguridad y la eficacia.
- Este consenso apoya la investigación futura en EUS-GBD.
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