What does this research mean for the field?

The European Society of Gastrointestinal Endoscopy (ESGE) recommends specific endoscopic stenting and drainage strategies, such as temporary multiple plastic stents for benign strictures and self-expandable metal stents for malignant strictures, tailored to stricture etiology and location. Novelty: ClaimNovelty.SYNTHESIS. Consensus alignment: ConsensusAlignment.NEUTRAL.

What question did this study set out to answer?

To establish comprehensive, evidence-based recommendations for the endoscopic evaluation and therapeutic management of benign and malignant biliary strictures.

September 5, 2026Endoscopy

Biliary stricture management: European Society of Gastrointestinal Endoscopy (ESGE) Guideline

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To establish comprehensive, evidence-based recommendations for the endoscopic evaluation and therapeutic management of benign and malignant biliary strictures.
Clinical practice guideline developed by the European Society of Gastrointestinal Endoscopy (ESGE).
Synthesis of clinical evidence evaluating endoscopic retrograde cholangiopancreatography (ERCP), endoscopic ultrasound-guided biliary drainage (EUS-BD), and percutaneous transhepatic biliary drainage (PTBD) for benign, distal malignant, and hilar biliary strictures.
For benign strictures, temporary multiple plastic stents or fully covered self-expandable metal stents (FCSEMS) are suggested post-surgery or post-transplantation, while balloon dilation alone without stenting is suggested for primary sclerosing cholangitis.
For distal malignant biliary obstructions, endoscopic placement of 10-mm self-expandable metal stents is recommended for preoperative and neoadjuvant drainage over surgical or percutaneous interventions.
For hilar malignant obstructions and cases with failed ERCP, ERCP or combined EUS-BD is preferred over primary PTBD, reserving PTBD as a secondary or salvage approach.

Discussion

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Implication

Clinical practice guideline demonstrates tailored endoscopic drainage strategies across benign and malignant biliary strictures, highlighting preferred stenting and salvage approaches.

Cite This Study

Lemmers et al. (2026) studied this question.

synapsesocial.com/papers/6a9bd4536b95aff0620ebf34 https://doi.org/10.1055/a-2921-6492

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Implication

Clinical practice guideline demonstrates tailored endoscopic drainage strategies across benign and malignant biliary strictures, highlighting preferred stenting and salvage approaches.

Biliary stricture management: European Society of Gastrointestinal Endoscopy (ESGE) Guideline

Key Points

Discussion

Implication

Cite This Study

Biliary stricture management: European Society of Gastrointestinal Endoscopy (ESGE) Guideline

Key Points

Discussion

Implication

Cite This Study

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