scholarly journals International consensus statements for endoscopic management of distal biliary stricture

2020 ◽  
Vol 35 (6) ◽  
pp. 967-979 ◽  
Author(s):  
Yousuke Nakai ◽  
Hiroyuki Isayama ◽  
Hsiu‐Po Wang ◽  
Rungsun Rerknimitr ◽  
Christopher Khor ◽  
...  
Keyword(s):  
Biliary Stricture ◽  
Endoscopic Management ◽  
International Consensus ◽  
Consensus Statements

Diagnosis: History, Physical Examination, Imaging, and Arthroscopy: Proceedings of the International Consensus Meeting on Cartilage Repair of the Ankle

2018 ◽  
Vol 39 (1_suppl) ◽  
pp. 3S-8S ◽  
Author(s):  
Christiaan J. A. van Bergen ◽  
Onno L. Baur ◽  
Christopher D. Murawski ◽  
Pietro Spennacchio ◽  
Dominic S. Carreira ◽  
...  
Keyword(s):  
Physical Examination ◽  
Cartilage Repair ◽  
Best Practice ◽  
Consensus Meeting ◽  
International Consensus ◽  
Best Practice Guidelines ◽  
Consensus Statements ◽  
Cartilage Injuries ◽  
Working Groups ◽  
Strong Consensus

Background: The evidence supporting best practice guidelines in the field of cartilage repair of the ankle are based on both low quality and low levels of evidence. Therefore, an international consensus group of experts was convened to collaboratively advance toward consensus opinions based on the best available evidence on key topics within cartilage repair of the ankle. The purpose of this article is to report the consensus statements on “Diagnosis: History, Physical Examination, Imaging, and Arthroscopy” developed at the 2017 International Consensus Meeting on Cartilage Repair of the Ankle. Methods: Seventy-five international experts in cartilage repair of the ankle representing 25 countries and 1 territory were convened and participated in a process based on the Delphi method of achieving consensus. Questions and statements were drafted within 11 working groups focusing on specific topics within cartilage repair of the ankle, after which a comprehensive literature review was performed and the available evidence for each statement was graded. Discussion and debate occurred in cases where statements were not agreed upon in unanimous fashion within the working groups. A final vote was then held, and the strength of consensus was characterized as follows: consensus: 51 - 74%; strong consensus: 75 - 99%; unanimous: 100%. Results: A total of 12 statements on the diagnosis of cartilage injuries of the ankle reached consensus during the 2017 International Consensus Meeting on Cartilage Repair of the Ankle. Two achieved unanimous support and 10 reached strong consensus (greater than 75% agreement). All statements reached at least 86% agreement. Conclusions: This international consensus derived from leaders in the field will assist clinicians in the diagnosis of cartilage injuries of the ankle.

Conservative Management and Biological Treatment Strategies: Proceedings of the International Consensus Meeting on Cartilage Repair of the Ankle

2018 ◽  
Vol 39 (1_suppl) ◽  
pp. 9S-15S ◽  
Author(s):  
Malcolm E. Dombrowski ◽  
Youichi Yasui ◽  
Christopher D. Murawski ◽  
Lisa A. Fortier ◽  
Eric Giza ◽  
...  
Keyword(s):  
Cartilage Repair ◽  
Conservative Management ◽  
Biological Treatment ◽  
Treatment Strategies ◽  
Consensus Meeting ◽  
Osteochondral Lesions ◽  
International Consensus ◽  
Consensus Statements ◽  
Working Groups ◽  
Strong Consensus

Background: The evidence supporting best practice guidelines in the field of cartilage repair of the ankle are based on both low quality and low levels of evidence. Therefore, an international consensus group of experts was convened to collaboratively advance toward consensus opinions based on the best available evidence on key topics within cartilage repair of the ankle. The purpose of this article is to report the consensus statements on “Conservative Management and Biological Treatment Strategies” developed at the 2017 International Consensus Meeting on Cartilage Repair of the Ankle. Methods: Seventy-five international experts in cartilage repair of the ankle representing 25 countries and 1 territory were convened and participated in a process based on the Delphi method of achieving consensus. Questions and statements were drafted within 11 working groups focusing on specific topics within cartilage repair of the ankle, after which a comprehensive literature review was performed and the available evidence for each statement was graded. Discussion and debate occurred in cases where statements were not agreed upon in unanimous fashion within the working groups. A final vote was then held, and the strength of consensus was characterized as follows: consensus, 51% to 74%; strong consensus, 75% to 99%; unanimous, 100%. Results: A total of 12 statements on Conservative Management and Biological Treatment Strategies reached consensus during the 2017 International Consensus Meeting on Cartilage Repair of the Ankle. Ten statements reached strong consensus (greater than 75% agreement), and 2 achieved consensus. Conclusions: This international consensus derived from leaders in the field will assist clinicians with conservative management and biological treatment strategies for osteochondral lesions of the talus.

scholarly journals A standardised model for stool banking for faecal microbiota transplantation: a consensus report from a multidisciplinary UEG working group

2020 ◽  
pp. 205064062096789
Author(s):  
Josbert J Keller ◽  
Rogier E Ooijevaar ◽  
Christian L Hvas ◽  
Elisabeth M Terveer ◽  
Simone C Lieberknecht ◽  
...  
Keyword(s):  
Working Group ◽  
Fecal Microbiota Transplantation ◽  
Therapeutic Option ◽  
Fecal Microbiota ◽  
Guidance Document ◽  
The European Union ◽  
International Consensus ◽  
Human Donor ◽  
Clostridioides Difficile ◽  
Consensus Statements

Background Fecal microbiota transplantation is an emerging therapeutic option, particularly for the treatment of recurrent Clostridioides difficile infection. Stool banks that organise recruitment and screening of feces donors are being embedded within the regulatory frameworks described in the European Union Tissue and Cells Directive and the technical guide to the quality and safety of tissue and cells for human application, published by the European Council. Objective Several European and international consensus statements concerning fecal microbiota transplantation have been issued. While these documents provide overall guidance, we aim to provide a detailed description of all processes that relate to the collection, handling and clinical application of human donor stool in this document. Methods Collaborative subgroups of experts on stool banking drafted concepts for all domains pertaining to stool banking. During a working group meeting in the United European Gastroenterology Week 2019 in Barcelona, these concepts were discussed and finalised to be included in our overall guidance document about fecal microbiota transplantation. Results A guidance document for all domains pertaining to stool banking was created. This document includes standard operating manuals for several processes involved with stool banking, such as handling of donor material, storage and donor screening. Conclusion The implementation of fecal microbiota transplantation by stool banks in concordance with our guidance document will enable quality assurance and guarantee the availability of donor feces preparations for patients.

scholarly journals 2196 A Case of Successful Endoscopic Management of Choledocholithiasis Complicated by Post-Transplant Biliary Stricture

2019 ◽  
Vol 114 (1) ◽  
pp. S1230-S1230
Author(s):  
Lakshmi Asritha Gollapudi ◽  
Anila Kumar ◽  
Roxana Bodin ◽  
Dimitrios Georgostathis ◽  
Edward Lebovics
Keyword(s):  
Biliary Stricture ◽  
Endoscopic Management ◽  
Post Transplant

Asian consensus statements on endoscopic management of walled-off necrosis Part 1: Epidemiology, diagnosis, and treatment

2016 ◽  
Vol 31 (9) ◽  
pp. 1546-1554 ◽  
Author(s):  
Hiroyuki Isayama ◽  
Yousuke Nakai ◽  
Rungsun Rerknimitr ◽  
Christopher Khor ◽  
James Lau ◽  
...  
Keyword(s):  
Diagnosis And Treatment ◽  
Endoscopic Management ◽  
Consensus Statements ◽  
Walled Off Necrosis

scholarly journals Debridement, Curettage, Microfracture, and Fixation Techniques for Osteochondral Lesions of the Talus

2018 ◽  
Vol 3 (3) ◽  
pp. 2473011418S0006
Author(s):  
Keyword(s):  
Cartilage Repair ◽  
Consensus Meeting ◽  
Osteochondral Lesions ◽  
Evidence Based ◽  
International Consensus ◽  
Consensus Group ◽  
Consensus Statements ◽  
Fixation Techniques ◽  
Strong Consensus ◽  
Evidence Based Guidelines

Category: Ankle Introduction/Purpose: Osteochondral lesions of the talus (OLTs) are a challenging clinical pathology for orthopaedic surgeons. To date, the treatment guidelines for these lesions have been based on both low quality and low levels of evidence. Therefore, an international consensus group of experts was convened to collaboratively advance toward consensus opinions on key topics regarding cartilage lesions of the talus. Debridement, curettage, microfracture, and fixation techniques are surgical modalities to treat the lesion and were discussed as one portion of the first International Consensus Meeting on Cartilage Repair of the Ankle. The purpose of this abstract is to explain the process and delineate the consensus statements derived from this consensus meeting on debridement, curettage, microfracture, and fixation techniques for osteochondral lesions of the talus. Methods: 75 national and international experts in cartilage repair of the ankle, representing 25 countries and all six continents, were convened and participated in a process based on the Delphi method of achieving consensus. Experts were assigned to groups separated by topics, including debridement, curettage, microfracture, and fixation techniques. Questions and statements were drafted within the groups and a comprehensive literature review was performed and, where possible, used to confirm or dispute the recommendations made. In addition, the available evidence for each statement was graded. Once the statements achieved majority vote within the groups, a vote to the overall group was undertaken. The statements were then further edited on the basis of the discussion and votes within the entirety of the consensus group. A final vote then occurred, and the strength of consensus was characterized as follows: consensus: 51 - 74%; strong consensus: 75 - 99%; unanimous: 100%. Results: 29 statements addressing debridement, curettage, microfracture, and fixation techniques reached some degree of consensus. In the case of microfracture, 94% (strong consensus) agreed that the ideal size guidelines are lesions <10 mm in diameter, <100 mm2 in area, and <5 mm in depth. In addition, 92% (strong consensus) voted that lesion size, location, presence of cyst(s), containment of lesion, joint alignment, bone marrow edema, ankle stability, and previous cartilage repair procedures are all important local prognostic factors for microfracture. For fixation, 90% of participants (strong consensus) voted that a stable displaced OLT fragment or a nondisplaced OLT fragment should be fixed as soon as possible in order to maximize healing potential and minimize intra-articular damage. Conclusion: There is a lack of evidence-based guidelines available to direct treatment for clinicians when managing osteochondral lesions of the ankle. This international consensus derived from leaders in the field will assist clinicians with a combination of expert- and evidence-based guidelines to consider in the treatment of a cartilage lesion of the talus using debridement, curettage, microfracture, and fixation techniques.

Acute Kidney Injury

2010 ◽  
Vol 21 (4) ◽  
pp. 350-356
Author(s):  
Rhonda K. Martin
Keyword(s):  
Acute Kidney Injury ◽  
Patient Outcomes ◽  
Kidney Injury ◽  
Common Disease ◽  
International Consensus ◽  
Mortality And Morbidity ◽  
Consensus Statements ◽  
Clinical Tools ◽  
Definition Of ◽  
Significant Mortality

Acute kidney injury (AKI) is a common disease in the acutely ill patient population, as a singular diagnosis or a complication of sepsis, causing significant mortality and morbidity. Progress in diagnosis, treatment, and research in AKI has been limited by the lack of a universally accepted clinical definition. The clinical definition of AKI onset and progression, early diagnostic indicators, and understanding the unique pathophysiology of AKI are requisite to early treatment and management and ultimately positive patient outcomes. This article reviews the advances in defining and staging AKI on the basis of international consensus statements. An update on the most recent concepts affecting renal pathophysiology in AKI is also presented. Current clinical tools used in diagnosing and monitoring AKI, including the development of renal biomarkers, are discussed.

Osteochondral Lesions of the Tibial Plafond and Ankle Instability With Ankle Cartilage Lesions: Proceedings of the International Consensus Meeting on Cartilage Repair of the Ankle

2022 ◽  
pp. 107110072110491
Author(s):  
Jari Dahmen ◽  
Steve Bayer ◽  
James Toale ◽  
Conor Mulvin ◽  
Eoghan T. Hurley ◽  
...  
Keyword(s):  
Cartilage Repair ◽  
Ankle Instability ◽  
Consensus Meeting ◽  
Osteochondral Lesions ◽  
International Consensus ◽  
Cartilage Lesions ◽  
Tibial Plafond ◽  
Consensus Statements ◽  
Working Groups ◽  
Strong Consensus

Background: An international consensus group of experts was convened to collaboratively advance toward consensus opinions based on the best available evidence on key topics within cartilage repair of the ankle. The purpose of this article is to present the consensus statements on osteochondral lesions of the tibial plafond (OLTP) and on ankle instability with ankle cartilage lesions developed at the 2019 International Consensus Meeting on Cartilage Repair of the Ankle. Methods: Forty-three experts in cartilage repair of the ankle were convened and participated in a process based on the Delphi method of achieving consensus. Questions and statements were drafted within 4 working groups focusing on specific topics within cartilage repair of the ankle, after which a comprehensive literature review was performed and the available evidence for each statement was graded. Discussion and debate occurred in cases where statements were not agreed on in unanimous fashion within the working groups. A final vote was then held. Results: A total of 11 statements on OLTP reached consensus. Four achieved unanimous support and 7 reached strong consensus (greater than 75% agreement). A total of 8 statements on ankle instability with ankle cartilage lesions reached consensus during the 2019 International Consensus Meeting on Cartilage Repair of the Ankle. One achieved unanimous support, and seven reached strong consensus (greater than 75% agreement). Conclusions: These consensus statements may assist clinicians in the management of these difficult clinical pathologies. Level of Evidence: Level V, mechanism-based reasoning.

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