ACR Appropriateness Criteria® Radiologic Management of Biliary Obstruction. J Am Coll Radiol 2019 May;16(5S):S196-S213
Date
05/06/2019Pubmed ID
31054746DOI
10.1016/j.jacr.2019.02.020Scopus ID
2-s2.0-85064491334 (requires institutional sign-in at Scopus site) 19 CitationsAbstract
Biliary obstruction is a serious condition that can occur in the setting of both benign and malignant pathologies. In the setting of acute cholangitis, biliary decompression can be lifesaving; for patients with cancer who are receiving chemotherapy, untreated obstructive jaundice may lead to biochemical derangements that often preclude continuation of therapy unless biliary decompression is performed (see the ACR Appropriateness Criteria® topic on "Jaundice"). Recommended therapy including percutaneous decompression, endoscopic decompression, and/or surgical decompression is based on the etiology of the obstruction and patient factors including the individual's anatomy. The American College of Radiology Appropriateness Criteria are evidence-based guidelines for specific clinical conditions that are reviewed annually by a multidisciplinary expert panel. The guideline development and revision include an extensive analysis of current medical literature from peer reviewed journals and the application of well-established methodologies (RAND/UCLA Appropriateness Method and Grading of Recommendations Assessment, Development, and Evaluation or GRADE) to rate the appropriateness of imaging and treatment procedures for specific clinical scenarios. In those instances where evidence is lacking or equivocal, expert opinion may supplement the available evidence to recommend imaging or treatment.
Author List
Expert Panel on Interventional Radiology:, Fairchild AH, Hohenwalter EJ, Gipson MG, Al-Refaie WB, Braun AR, Cash BD, Kim CY, Pinchot JW, Scheidt MJ, Schramm K, Sella DM, Weiss CR, Lorenz JMAuthors
Eric J. Hohenwalter MD Chief, Professor in the Radiology department at Medical College of WisconsinMatthew J. Scheidt MD Associate Professor in the Radiology department at Medical College of Wisconsin
MESH terms used to index this publication - Major topics in bold
CholestasisContrast Media
Diagnosis, Differential
Evidence-Based Medicine
Humans
Societies, Medical
United States
