biostudies-literatureUnknown14Schepis T<h4>Background and study aims</h4>Distal malignant biliary strictures (dMBSs) are a common indication for endoscopic retrograde cholangiopancreatography (ERCP). The present study aimed to evaluate adherence of Italian endoscopic centers to European Society of Gastrointestinal Endoscopy (ESGE) guidelines on management of dMBS.<h4>Patients and methods</h4>This prospective cohort, observational, multicenter study was promoted by the Italian Society of Digestive Endoscopy. All consecutive patients with dMBS were included in the registry. Clinical and technical data were recorded. Clinical follow-up was performed at 7 and 30 days, and then every 3 months. Adherence to the eight ESGE recommendations (defined as full-, intermediate- and poor-adherence if > 85%, ≥ 65% to ≤85%, and < 65%, respectivEndoscopy international opena27779199https://www.ebi.ac.uk/biostudies/studies/S-EPMC12908914biostudies-literatureAdherence to ESGE guidelines on biliary stenting in malignant distal strictures: Results from a prospective Italian registry.PMC12908914Schepis TBertani Hde Roberto GSacco MDe Angelis CGElvo BPanarese AAucello AManes GMacarri GRisso ATringali AParodi MCGabbrielli ASoru PGrassia RMacchiarelli RPallio SCocca SBravo MBiviano IGiuseppinella MSantagati AOlivari NVenezia Gand the PROTESIED Study GroupPalmeri Ede Minicis SRapacchietta SPasquale LCrino SFZagari RMMutignani MMilluzzo SMDajti EDevani MCostamagna GfalseAdherence to ESGE guidelines on biliary stenting in malignant distal strictures: Results from a prospective Italian registry.<h4>Background and study aims</h4>Distal malignant biliary strictures (dMBSs) are a common indication for endoscopic retrograde cholangiopancreatography (ERCP). The present study aimed to evaluate adherence of Italian endoscopic centers to European Society of Gastrointestinal Endoscopy (ESGE) guidelines on management of dMBS.<h4>Patients and methods</h4>This prospective cohort, observational, multicenter study was promoted by the Italian Society of Digestive Endoscopy. All consecutive patients with dMBS were included in the registry. Clinical and technical data were recorded. Clinical follow-up was performed at 7 and 30 days, and then every 3 months. Adherence to the eight ESGE recommendations (defined as full-, intermediate- and poor-adherence if > 85%, ≥ 65% to ≤85%, and < 65%, respectiv2026-01-01T00:00:00Z20262026-07-16T04:57:19.213Z2026-07-09T13:09:49.367ZS-EPMC129089144170486210.1055/a-2777-9199