Dominant strictures in primary sclerosing cholangitis: A multicenter survey of clinical definitions and practices

Hepatology Communications
Moira B HilscherK D Lindor

Abstract

Dominant strictures (DSs) of the biliary tree occur in approximately 50% of patients with primary sclerosing cholangitis (PSC) and may cause significant morbidity. Nevertheless, the definition and management of DSs lacks consensus. We aimed to better understand current perceptions and practices regarding PSC-associated DSs. We conducted an anonymous, 23-question, survey-based study wherein electronic surveys were distributed to 131 faculty in the Division of Gastroenterology and Hepatology at the three Mayo Clinic campuses (Rochester, Scottsdale, and Jacksonville) as well as the affiliated practice network. Responses were aggregated and compared, where applicable, to practice guidelines of the American Association for the Study of Liver Diseases and European Association for the Study of the Liver. A total of 54 faculty (41.2%) completed the survey, of whom 24 (44.4%) were hepatologists, 21 (38.9%) gastroenterologists, and 9 (16.7%) advanced endoscopists. One of the major study findings was that there was heterogeneity among participants' definition, evaluation, management, and follow-up of DSs in PSC. The majority of participant responses were in accordance with societal practice guidelines, although considerable variation was ...Continue Reading

References

Sep 1, 1992·Hepatology : Official Journal of the American Association for the Study of Liver Diseases·U BeuersG Paumgartner
Nov 1, 1991·AJR. American Journal of Roentgenology·D A CraigN F LaRusso
Feb 1, 1991·Seminars in Liver Disease·P B Cotton, N Nickl
Oct 1, 1989·Hepatology : Official Journal of the American Association for the Study of Liver Diseases·R H WiesnerN F LaRusso
Aug 1, 1987·Scandinavian Journal of Gastroenterology·E AadlandE Gjone
Nov 1, 1985·AJR. American Journal of Roentgenology·G R MayR H Wiesner
Oct 1, 1995·Journal of Clinical Pathology·R OlssonS Wallerstedt
Sep 1, 1996·Gastrointestinal Endoscopy·A W van Milligen de WitK Huibregtse
Apr 4, 1998·Annals of Surgery·S A AhrendtJ L Cameron
Sep 14, 1999·The American Journal of Gastroenterology·C Y PonsioenG N Tytgat
Mar 7, 2001·Gastrointestinal Endoscopy·A R BaluyutN Chalasani
Jun 27, 2002·Gastrointestinal Endoscopy·Eduardo SiqueiraJohn Martini
Apr 2, 2004·The American Journal of Gastroenterology·Einar BjörnssonRolf Olsson
Apr 2, 2004·The American Journal of Gastroenterology·Kelly BurakKeith D Lindor
Sep 1, 2005·Digestive Diseases and Sciences·Cynthia LevyKeith D Lindor
Aug 2, 2006·Journal of Hepatology·Kirsten Muri BobergErik Schrumpf
Oct 13, 2006·Gastroenterology·Laura E Moreno LunaGregory J Gores
Oct 14, 2006·The American Journal of Gastroenterology·Jens J W TischendorfPeter N Meier
Apr 9, 2008·Gastroenterology·Einar BjörnssonPaul Angulo
Jun 27, 2008·Journal of Clinical Gastroenterology·Michael GluckRichard A Kozarek
Sep 13, 2008·Hepatology : Official Journal of the American Association for the Study of Liver Diseases·Phunchai CharatcharoenwitthayaKeith D Lindor
Nov 18, 2008·Journal of Hepatology·Marian M H ClaessenHenk R van Buuren
Jun 9, 2009·Journal of Hepatology·UNKNOWN European Association for the Study of the Liver
Jan 27, 2010·Hepatology : Official Journal of the American Association for the Study of Liver Diseases·Roger ChapmanUNKNOWN American Association for the Study of Liver Diseases
Jun 19, 2013·Hepatology : Official Journal of the American Association for the Study of Liver Diseases·Kirsten BoonstraUNKNOWN EpiPSCPBC Study Group
Jan 28, 2015·The American Journal of Gastroenterology·John E EatonKonstantinos N Lazaridis
Sep 1, 2015·World Journal of Gastrointestinal Endoscopy·Kavel H VisrodiaTodd H Baron
Dec 18, 2015·World Journal of Gastrointestinal Endoscopy·James H TabibianChristopher J Gostout
Dec 29, 2016·Current Opinion in Gastroenterology·Will R TakakuraChristopher L Bowlus
Apr 22, 2017·Journal of Hepatology·UNKNOWN European Society of Gastrointestinal EndoscopyUNKNOWN European Association for the Study of the Liver
Oct 23, 2017·Annals of Hepatology·Jodie A BarkinEnrico O Souto
Dec 16, 2017·Hepatology : Official Journal of the American Association for the Study of Liver Diseases·Ahmad Hassan AliKeith D Lindor
Jan 1, 2017·Annals of Hepatology·Jodie A BarkinEnrico O Souto

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Citations

Dec 19, 2019·Current Opinion in Gastroenterology·Brian M Fung, James H Tabibian
Jun 22, 2019·Minerva gastroenterologica e dietologica·David M Chascsa, Keith D Lindor
Feb 23, 2019·World Journal of Gastrointestinal Endoscopy·Neil Bharat Marya, James H Tabibian
Feb 21, 2019·World Journal of Gastroenterology : WJG·Brian M FungJames H Tabibian
Mar 9, 2021·Expert Review of Gastroenterology & Hepatology·Brian M Fung, James H Tabibian
Apr 28, 2021·European Journal of Medical Genetics·A WaldthalerA Bergquist
Jul 11, 2021·Cancer Epidemiology, Biomarkers & Prevention : a Publication of the American Association for Cancer Research, Cosponsored by the American Society of Preventive Oncology·Taylor D EllingtonA Blythe Ryerson

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Methods Mentioned

BETA
biopsy
Fluorescence

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