JGES guidelines for endoscopic sphincterotomy

Abstract

The Japan Gastroenterological Endoscopy Society (JGES) has recently compiled guidelines for endoscopic sphincterotomy (EST) using evidence-based methods. Content regarding actual clinical practice, including detailed endoscopic procedures, instruments, device types and usages, has already been published by the JGES postgraduate education committee in May 2015, and thus in these guidelines we avoided duplicating such content as much as possible. The guidelines do not address pancreatic sphincterotomy, endoscopic papillary balloon dilation (EPBD), and endoscopic papillary large balloon dilation (EPLBD). The guidelines for EPLBD are planned to be developed separately. The evidence level in this field is often low, and in many instances strong recommendation has to be determined on the basis of expert consensus. At this point in time, the guidelines are divided into 6 items including indications, techniques, specific cases, adverse events, outcomes, and postoperative follow up.

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