{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,8]],"date-time":"2026-05-08T08:10:56Z","timestamp":1778227856094,"version":"3.51.4"},"reference-count":35,"publisher":"Georg Thieme Verlag KG","issue":"CP","license":[{"start":{"date-parts":[[2025,12,22]],"date-time":"2025-12-22T00:00:00Z","timestamp":1766361600000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Endosc Int Open"],"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:p>Distal malignant biliary strictures (dMBSs) are a common indication for endoscopic retrograde cholangiopancreatography (ERCP). The present study aimed to evaluate adherence of Italian endoscopic centers to European Society of Gastrointestinal Endoscopy (ESGE) guidelines on management of dMBS.<\/jats:p>\n                  <jats:p>This prospective cohort, observational, multicenter study was promoted by the Italian Society of Digestive Endoscopy. All consecutive patients with dMBS were included in the registry. Clinical and technical data were recorded. Clinical follow-up was performed at 7 and 30 days, and then every 3 months. Adherence to the eight ESGE recommendations (defined as full-, intermediate- and poor-adherence if &gt; 85%, \u2265 65% to \u226485%, and &lt; 65%, respectively) was considered the primary outcome.<\/jats:p>\n                  <jats:p>Seventeen Italian endoscopy centers were included. Between January 2020 and January 2022, 827 patients were included. Full adherence to the guidelines was reported for post-ERCP acute pancreatitis prophylaxis, retreatments, and preoperative biliary drainage. Intermediate adherence was reported for type of stent used in palliative drainage (85% SEMS and 15% plastic stents). Poor adherence was reported for type of stent used in preoperative drainage (56% self-expandable metal stents [SEMSs]), availability of pathological diagnosis in case of U-SEMS placement (45% of U-SEMSs placed without pathologically diagnosis), antibiotic prophylaxis (70.6%), and sphincterotomy (88%).<\/jats:p>\n                  <jats:p>Adherence to ESGE guidelines needs to be improved in specific areas, including excessive use of plastic stents, use of U-SEMS without pathological diagnosis, and routine performance of sphincterotomy and use of antibiotic prophylaxis. (ClinicalTrials.gov ID: NCT05761496)<\/jats:p>","DOI":"10.1055\/a-2777-9199","type":"journal-article","created":{"date-parts":[[2025,12,22]],"date-time":"2025-12-22T23:47:06Z","timestamp":1766447226000},"source":"Crossref","is-referenced-by-count":0,"special_numbering":"S","title":["Adherence to ESGE guidelines on biliary stenting in malignant distal strictures: Results from a prospective Italian registry"],"prefix":"10.1055","volume":"14","clinical-trial-number":[{"clinical-trial-number":"nct05761496","registry":"10.18810\/clinical-trials-gov"}],"author":[{"given":"Tommaso","family":"Schepis","sequence":"additional","affiliation":[{"name":"Digestive Endoscopy Unit, Fondazione Policlinico Gemelli IRCCS \u2013 Catholic University, Rome, Italy"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-9949-8619","authenticated-orcid":false,"given":"Rocco Maurizio","family":"Zagari","sequence":"additional","affiliation":[{"name":"Department of Medical and Surgical Sciences, University of Bologna, Bologna, Italy"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-4560-8741","authenticated-orcid":false,"given":"Stefano Francesco","family":"Crin\u00f3","sequence":"additional","affiliation":[{"name":"Pancreatic Diagnostic and Interventional Endoscopy Unit, University of Verona, Verona, Italy"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-0975-5584","authenticated-orcid":false,"given":"Marco","family":"Sacco","sequence":"additional","affiliation":[{"name":"Endoscopy Unit, Gastroenterology Department, Azienda Ospedaliero-Universitaria Citt\u00e0 della Salute e della Scienza di Torino, Torino, Italy"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Enrico","family":"Palmeri","sequence":"additional","affiliation":[{"name":"Pancreatic Diagnostic and Interventional Endoscopy Unit, University of Verona, Verona, Italy"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Roberto","family":"Grassia","sequence":"additional","affiliation":[{"name":"UOSD Endoscopia Digestiva e Gastroenterologia, ASST di Cremona, Cremona, Italy"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Alessio","family":"Santagati","sequence":"additional","affiliation":[{"name":"Dipartimento di Medicina, UOSD Gastroenterologia ed Endoscopia, P. 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