Background: Bile duct injury (BDI) is a devastating complication following cholecystectomy.
After initial management of BDI, patients stay at risk for late complications including …

Bile duct injury (BDI) is a dangerous complication of cholecystectomy, with significant
postoperative sequelae for the patient in terms of morbidity, mortality, and long-term quality …

1 ESGE recommends the use of endoscopic ultrasound-guided biliary drainage (EUS-BD)
over percutaneous transhepatic biliary drainage (PTBD) after failed endoscopic retrograde …

Prophylaxis 1 ESGE recommends routine rectal administration of 100 mg of diclofenac or
indomethacin immediately before endoscopic retrograde cholangiopancreatography …

ESGE suggests endoscopic therapy and/or extracorporeal shockwave lithotripsy (ESWL) as
the first-line therapy for painful uncomplicated chronic pancreatitis (CP) with an obstructed …

1 ESGE recommends against diagnostic/therapeutic papillectomy when adenoma is not
proven. Strong recommendation, low quality evidence. 2 ESGE recommends endoscopic …

Importance For patients with painful chronic pancreatitis, surgical treatment is postponed
until medical and endoscopic treatment have failed. Observational studies have suggested …

A biliary stricture is an abnormal narrowing in the ductal drainage system of the liver that can
result in clinically and physiologically relevant obstruction to the flow of bile. The most …

Background and Aims EUS-guided choledochoduodenostomy (EUS-CDS) with a lumen-
apposing metal stent (LAMS) has been proposed as an alternative procedure in patients …

Background & Aims Benign biliary strictures (BBS) are complications of chronic pancreatitis
(CP). Endotherapy using multiple plastic stents (MPS) or a fully covered self-expanding …