{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,5]],"date-time":"2026-10-05T16:02:23Z","timestamp":1791216143679,"version":"4.1.0"},"reference-count":52,"publisher":"Wiley","issue":"7","license":[{"start":{"date-parts":[[2026,7,10]],"date-time":"2026-07-10T00:00:00Z","timestamp":1783641600000},"content-version":"vor","delay-in-days":9,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"},{"start":{"date-parts":[[2026,7,1]],"date-time":"2026-07-01T00:00:00Z","timestamp":1782864000000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Digestive Endoscopy"],"published-print":{"date-parts":[[2026,7]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:sec>\n                    <jats:label\/>\n                    <jats:p>EUS\u2010guided biliary drainage (EUS\u2010BD) has evolved as an alternative to ERCP\u2010BD for biliary obstruction, but its role as a primary drainage and its terminology have not been standardized.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Aims<\/jats:title>\n                    <jats:p>To establish an international consensus on the indications, techniques, and standardized terminology of EUS\u2010BD.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>To 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\u2010BD indications, techniques, and terminology, particularly for unresectable malignant distal biliary obstruction (MDBO) and for biliary diseases in patients with surgically altered anatomy (SAA).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>For unresectable MDBO, EUS\u2010BD was recognized as a safe and effective alternative to ERCP\u2010BD, although it is not yet established as a standard first\u2010line 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\u2010BD showed higher technical success and shorter procedure time than balloon endoscopy\u2013assisted 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\u2010ESCR (endosonographically created route) procedures.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>This consensus highlights the need for standardized global terminology and further trials to define the optimal role of EUS\u2010BD for biliary diseases.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1111\/den.70194","type":"journal-article","created":{"date-parts":[[2026,7,10]],"date-time":"2026-07-10T10:41:37Z","timestamp":1783680097000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":5,"title":["International Consensus Statements on Endoscopic Ultrasound\u2010Guided Biliary Drainage: Results From the 1st\n                    <scp>JGES<\/scp>\n                    International in 2025"],"prefix":"10.1111","volume":"38","author":[{"given":"Takuji","family":"Iwashita","sequence":"first","affiliation":[{"name":"Department of Gastroenterolog Shiga University of Medical Science  Otsu Shiga Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Shuntaro","family":"Mukai","sequence":"additional","affiliation":[{"name":"Tokyo Medical University  Tokyo Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Yousuke","family":"Nakai","sequence":"additional","affiliation":[{"name":"Department of Internal Medicine, Institute of Gastroenterology Tokyo Women's Medical University  Tokyo Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Shomei","family":"Ryozawa","sequence":"additional","affiliation":[{"name":"Department of Gastroenterology Saitama Medical University International Medical Center  Saitama 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