{"id":21898,"date":"2026-09-15T07:00:00","date_gmt":"2026-09-15T07:00:00","guid":{"rendered":"https:\/\/endoscopiaterapeutica.net\/pt\/?p=21898"},"modified":"2026-09-14T23:54:26","modified_gmt":"2026-09-14T23:54:26","slug":"manejo-de-estenose-biliar-guideline-esge-2026","status":"publish","type":"post","link":"https:\/\/endoscopiaterapeutica.net\/pt\/assuntosgerais\/manejo-de-estenose-biliar-guideline-esge-2026\/","title":{"rendered":"Manejo de estenose biliar: guideline ESGE 2026"},"content":{"rendered":"\n<h2 id=\"h-1-introducao\" class=\"wp-block-heading\"><strong>1. Introdu\u00e7\u00e3o<\/strong><\/h2>\n\n\n\n<p class=\"wp-block-paragraph\" id=\"h-1-introducao\">A Sociedade Europeia de Endoscopia Digestiva (ESGE) publicou em setembro de 2026 seu <a href=\"https:\/\/www.thieme-connect.com\/products\/ejournals\/abstract\/10.1055\/a-2921-6492\">novo guideline<\/a> abordando o manejo de estenose biliar (1). Este guideline \u00e9 uma atualiza\u00e7\u00e3o do guideline de 2018 de pr\u00f3teses biliares (2) e uma complementa\u00e7\u00e3o e refinamento do guideline de 2022 de ecoendoscopia terap\u00eautica (3). O objetivo deste artigo \u00e9 apresentar de forma sucinta e direta as principais recomenda\u00e7\u00f5es, enfatizar o que mudou em rela\u00e7\u00e3o aos guidelines anteriores, al\u00e9m de comentar e contextualizar as recomenda\u00e7\u00f5es na nossa realidade. Assim, seguiremos a divis\u00e3o em quatro grandes grupos, conforme apresentados no guideline: estenose biliar benigna; estenose biliar maligna; estenose biliar em pacientes com anatomia alterada; manejo ap\u00f3s falha da CPRE. Utilizaremos as siglas em ingl\u00eas para facilitar a compreens\u00e3o do texto original.<\/p>\n\n\n\n<h2 id=\"h-2-recomendacoes\" class=\"wp-block-heading\"><strong>2. Recomenda\u00e7\u00f5es<\/strong><\/h2>\n\n\n\n<h3 id=\"h-2-i-estenose-biliar-benigna\" class=\"wp-block-heading\"><br><strong>2.I. Estenose biliar benigna<\/strong><\/h3>\n\n\n\n<ul class=\"wp-block-list\">\n<li><span style=\"text-decoration: underline;\">Estenose p\u00f3s-colecistectomia<\/span>: m\u00faltiplas pr\u00f3teses pl\u00e1sticas ou pr\u00f3tese met\u00e1lica totalmente recoberta (<em>Fully Covered Self-Expandable Metal Stent &#8211;<\/em> FCSEMS), se a estenose estiver localizada a >2cm da conflu\u00eancia biliar<\/li>\n\n\n\n<li><span style=\"text-decoration: underline;\">Estenose de anastomose p\u00f3s-transplante hep\u00e1tico<\/span>: m\u00faltiplas pr\u00f3teses pl\u00e1sticas ou FCSEMS, se a estenose estiver localizada a >2cm da conflu\u00eancia biliar\n<ul class=\"wp-block-list\">\n<li>O que mudou (guideline 2018): m\u00faltiplas pr\u00f3teses pl\u00e1sticas eram \u00fanica op\u00e7\u00e3o de 1\u00aa linha<\/li>\n<\/ul>\n<\/li>\n\n\n\n<li><span style=\"text-decoration: underline;\">Estenose n\u00e3o-anastom\u00f3tica p\u00f3s-transplante hep\u00e1tico<\/span>: m\u00faltiplas pr\u00f3teses pl\u00e1sticas\n<ul class=\"wp-block-list\">\n<li>Estenose de maior complexidade com frequente acometimento da conflu\u00eancia biliar<\/li>\n<\/ul>\n<\/li>\n\n\n\n<li><span style=\"text-decoration: underline;\">Estenose de alto grau (redu\u00e7\u00e3o \u2265 75% do calibre) em Colangite Esclerosante Prim\u00e1ria (CEP)<\/span>: dilata\u00e7\u00e3o com bal\u00e3o SEM pr\u00f3tese\n<ul class=\"wp-block-list\">\n<li>O que mudou (guideline 2018): dilata\u00e7\u00e3o com bal\u00e3o ou pr\u00f3tese eram op\u00e7\u00f5es de primeira linha. A pr\u00f3tese n\u00e3o demonstrou benef\u00edcio e aumentou o risco de colangite<\/li>\n\n\n\n<li>Observa\u00e7\u00f5es: descartar malignidade; se utilizar pr\u00f3tese, retirar em at\u00e9 2 semanas; FCSEMS em casos refrat\u00e1rios pode ser uma op\u00e7\u00e3o<\/li>\n<\/ul>\n<\/li>\n\n\n\n<li><span style=\"text-decoration: underline;\">Estenose por pancreatite cr\u00f4nica<\/span>: FCSEMS por 6 a 12 meses. M\u00faltiplas pr\u00f3teses pl\u00e1sticas s\u00e3o uma op\u00e7\u00e3o aceit\u00e1vel se FCSEMS indispon\u00edvel.\n<ul class=\"wp-block-list\">\n<li>O que mudou (guideline 2018): FCSEMS ou m\u00faltiplas pr\u00f3teses pl\u00e1sticas eram op\u00e7\u00e3o de 1\u00aa linha<\/li>\n<\/ul>\n<\/li>\n\n\n\n<li><span style=\"text-decoration: underline;\">Estenose distal de etiologia indefinida<\/span>: evitar pr\u00f3tese biliar met\u00e1lica n\u00e3o recoberta (<em>Uncovered Self-Expandable Metal Stent<\/em> &#8211; USEMS)\n<ul class=\"wp-block-list\">\n<li>Dificulta a investiga\u00e7\u00e3o etiol\u00f3gica posteriormente (escovado, bi\u00f3psias por CPRE, bi\u00f3psias por colangioscopia)<br><br><\/li>\n<\/ul>\n<\/li>\n<\/ul>\n\n\n\n<h2 id=\"h-2-ii-estenose-biliar-maligna\" class=\"wp-block-heading\"><br><strong>2.II. Estenose biliar maligna<\/strong><\/h2>\n\n\n\n<h3 id=\"h-2-ii-a-estenose-biliar-maligna-distal\" class=\"wp-block-heading\"><br><strong>2.II.A. Estenose biliar maligna distal<\/strong><\/h3>\n\n\n\n<ul class=\"wp-block-list\">\n<li><span style=\"text-decoration: underline;\">Drenagem pr\u00e9-operat\u00f3ria<\/span>: pacientes com colangite, colestase severa sintom\u00e1tica (prurido intenso), indica\u00e7\u00e3o de quimioterapia neoadjuvante ou cirurgia programada para ap\u00f3s 2 semanas\n<ul class=\"wp-block-list\">\n<li>Pr\u00f3tese biliar met\u00e1lica (<em>Self-Expandable Metal Stent<\/em> &#8211; SEMS) de 10mm<\/li>\n\n\n\n<li>Drenagem pr\u00e9-operat\u00f3ria pode ser evitada se cirurgia planejada em 1-2 semanas<\/li>\n<\/ul>\n<\/li>\n\n\n\n<li><span style=\"text-decoration: underline;\">Drenagem paliativa<\/span>: drenagem endosc\u00f3pica \u00e9 1\u00aa linha &#8211; preferida contra abordagem percut\u00e2nea ou cir\u00fargica\n<ul class=\"wp-block-list\">\n<li>Drenagem por CPRE (<em>Endoscopic Retrograde Cholangiopancreatography<\/em> &#8211; ERCP) \u00e9 a 1\u00aa escolha. Drenagem por ecoendoscopia ( <em>EUS-guided Biliary Drainage<\/em> &#8211; EUS-BD*) pode ser uma alternativa em casos espec\u00edficos, em centros de refer\u00eancia.<\/li>\n\n\n\n<li>Pr\u00f3tese biliar met\u00e1lica parcialmente recoberta (<em>Partially Covered Self-Expandable Metal Stent<\/em> &#8211; PCSEMS) \u00e9 a prefer\u00eancia, mas qualquer SEMS \u00e9 uma op\u00e7\u00e3o aceit\u00e1vel.<\/li>\n<\/ul>\n<\/li>\n<\/ul>\n\n\n\n<p class=\"has-pale-ocean-gradient-background has-background wp-block-paragraph\"><strong>*Nota:<\/strong> utiliza-se o termo EUS-BD para englobar as diferentes t\u00e9cnicas de drenagem ecoguiada: drenagem anter\u00f3grada, drenagem coledocoduodenal, drenagem hepatog\u00e1strica\/hepaticojejunal.<\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li><span style=\"text-decoration: underline;\">Papila inacess\u00edvel ou falha da CPRE<\/span>: EUS-BD prefer\u00edvel \u00e0 drenagem percut\u00e2nea (<em>Percutaneous Transhepatic Biliary Drainage<\/em> &#8211; PTBD). PTBD se falha na EUS-BD.\n<ul class=\"wp-block-list\">\n<li>Sem obstru\u00e7\u00e3o duodenal: drenagem hepatog\u00e1strica ( <em>EUS-guided Hepaticogastrostomy<\/em> &#8211; EUS-HGS) ou coledocoduodenal ( <em>EUS-guided Choledochoduodenostomy<\/em> &#8211; EUS-CDS)<\/li>\n\n\n\n<li>Com obstru\u00e7\u00e3o duodenal: drenagem hepatog\u00e1strica (EUS-HGS)<\/li>\n<\/ul>\n<\/li>\n<\/ul>\n\n\n\n<h3 id=\"h-2-ii-b-estenose-biliar-maligna-hilar\" class=\"wp-block-heading\"><br><strong>2.II.B. Estenose biliar maligna hilar<\/strong><\/h3>\n\n\n\n<ul class=\"wp-block-list\">\n<li>Drenagem biliar de estenose maligna hilar deve ser realizada em centro de refer\u00eancia com envolvimento de equipe multidisciplinar<\/li>\n\n\n\n<li>N\u00e3o se deve realizar drenagem pr\u00e9-operat\u00f3ria de rotina. A indica\u00e7\u00e3o deve ser discutida por equipe multidisciplinar considerando caracter\u00edsticas da les\u00e3o, do paciente e da expertise local\n<ul class=\"wp-block-list\">\n<li>Se indicada, recomenda-se drenagem por CPRE como 1\u00aa op\u00e7\u00e3o, prefer\u00edvel \u00e0 PTBD<\/li>\n<\/ul>\n<\/li>\n\n\n\n<li><span style=\"text-decoration: underline;\">Drenagem paliativa<\/span>\n<ul class=\"wp-block-list\">\n<li><span style=\"text-decoration: underline;\">Bismuth I e II<\/span>: CPRE<\/li>\n\n\n\n<li><span style=\"text-decoration: underline;\">Bismuth III e IV<\/span>: CPRE +\/- EUS-BD. Pode ser necess\u00e1ria complementa\u00e7\u00e3o com PTBD em alguns casos<\/li>\n\n\n\n<li>O que mudou (guideline 2018): drenagem por PTBD era 1\u00aa op\u00e7\u00e3o em Bismuth III e IV<\/li>\n<\/ul>\n<\/li>\n\n\n\n<li>Objetivo de drenagem: &gt;50%, preferencialmente 70%, de par\u00eanquima vi\u00e1vel n\u00e3o atr\u00f3fico\n<ul class=\"wp-block-list\">\n<li>O que mudou (guideline 2018): drenagem \u226550%, n\u00e3o havia cita\u00e7\u00e3o expl\u00edcita sobre drenagem de par\u00eanquima vi\u00e1vel<\/li>\n<\/ul>\n<\/li>\n\n\n\n<li>Pr\u00f3tese: USEMS ou pl\u00e1sticas &#8211; preferir pl\u00e1sticas se a estrat\u00e9gia \u00f3tima de drenagem ainda n\u00e3o tiver sido definida e USEMS, em centro de refer\u00eancia, ap\u00f3s a estrat\u00e9gia \u00f3tima de drenagem ter sido definida\n<ul class=\"wp-block-list\">\n<li>O que mudou (guideline 2018): USEMS era \u00fanica op\u00e7\u00e3o de 1\u00aa linha<\/li>\n<\/ul>\n<\/li>\n<\/ul>\n\n\n\n<h3 id=\"h-2-iii-drenagem-biliar-em-anatomia-cirurgicamente-alterada\" class=\"wp-block-heading\"><br><strong>2.III. Drenagem biliar em anatomia cirurgicamente alterada<\/strong><\/h3>\n\n\n\n<ul class=\"wp-block-list\">\n<li><span style=\"text-decoration: underline;\">Billroth II<\/span>: CPRE com duodenosc\u00f3pio ou aparelho de vis\u00e3o frontal\n<ul class=\"wp-block-list\">\n<li>T\u00e9cnicas ecoguiadas podem ser utilizadas quando houver falha na CPRE<\/li>\n<\/ul>\n<\/li>\n\n\n\n<li><span style=\"text-decoration: underline;\">Duodenopancreatectomia<\/span>: considerar CPRE por enteroscopia ( <em>Enteroscopy-assisted ERCP<\/em> &#8211; EA-ERCP), EUS-BD e PTBD devem ser consideradas\n<ul class=\"wp-block-list\">\n<li>Etiologia benigna: EA-ERCP \u00e9 primeira escolha<\/li>\n\n\n\n<li>Etiologia maligna: EA-ERCP ou EUS-BD de acordo com caracter\u00edsticas anat\u00f4micas e expertise local. PTBD \u00e9 op\u00e7\u00e3o de 2\u00aa linha.<\/li>\n<\/ul>\n<\/li>\n\n\n\n<li><span style=\"text-decoration: underline;\">Gastroplastia redutora com reconstru\u00e7\u00e3o em Y de Roux (\u201cBypass\u201d g\u00e1strico)<\/span>:<br>considerar EA-ERCP, EUS-BD e CPRE transg\u00e1strica dirigida por ecoendoscopia (EDGE)\n<ul class=\"wp-block-list\">\n<li>Etiologia benigna: EDGE \u00e9 1\u00aa op\u00e7\u00e3o<\/li>\n\n\n\n<li>Etiologia maligna: EUS-BD \u00e9 1\u00aa op\u00e7\u00e3o. EDGE, EA-ERCP e PTBD s\u00e3o op\u00e7\u00f5es poss\u00edveis<\/li>\n<\/ul>\n<\/li>\n\n\n\n<li><span style=\"text-decoration: underline;\">Gastrectomia (total ou parcial) com reconstru\u00e7\u00e3o em Y de Roux<\/span>: EA-ERCP, EUS-BD e PTBD devem ser considerados\n<ul class=\"wp-block-list\">\n<li>Etiologia benigna: EA-ERCP \u00e9 a 1\u00aa escolha<\/li>\n\n\n\n<li>Etiologia maligna: EUS-BD ou PTBD s\u00e3o op\u00e7\u00f5es de 1\u00aa escolha<\/li>\n<\/ul>\n<\/li>\n\n\n\n<li><span style=\"text-decoration: underline;\">Hepaticojejunostomia em Y de Roux<\/span>: drenagem endosc\u00f3pica \u00e9 prefer\u00edvel \u00e0 drenagem percut\u00e2nea, que pode ser realizada como 2\u00aa linha.\n<ul class=\"wp-block-list\">\n<li>Etiologia benigna: EA-ERCP ou EUS-BD s\u00e3o op\u00e7\u00f5es de 1\u00aa linha<\/li>\n\n\n\n<li>Etiologia maligna: EUS-BD \u00e9 1\u00aa escolha<\/li>\n<\/ul>\n<\/li>\n<\/ul>\n\n\n\n<h3 id=\"h-2-iv-outras-situacoes-especiais\" class=\"wp-block-heading\"><br><strong>2.IV. Outras situa\u00e7\u00f5es especiais<\/strong><\/h3>\n\n\n\n<ul class=\"wp-block-list\">\n<li><strong>Falha na CPRE com acesso \u00e0 papila &#8211; etiologia benigna<\/strong>\n<ul class=\"wp-block-list\">\n<li>Tentar 2\u00aa CPRE, preferencialmente em centro de refer\u00eancia<\/li>\n\n\n\n<li>Se nova falha: <em>Rendezvous<\/em> ecoguiado (EUS-RV)\n<ul class=\"wp-block-list\">\n<li>O que mudou (guideline 2018): <em>Rendezvous<\/em> por eco ou percut\u00e2nea eram op\u00e7\u00f5es de 1\u00aa linha<\/li>\n<\/ul>\n<\/li>\n<\/ul>\n<\/li>\n\n\n\n<li><strong>Falha na CPRE com acesso \u00e0 papila &#8211; etiologia maligna sem estenose duodenal<\/strong>\n<ul class=\"wp-block-list\">\n<li>EUS-BD prefer\u00edvel \u00e0 PTBD<\/li>\n<\/ul>\n<\/li>\n\n\n\n<li><strong>Falha na CPRE com acesso \u00e0 papila &#8211; etiologia maligna com estenose duodenal<\/strong>\n<ul class=\"wp-block-list\">\n<li>EUS-BD \u00e9 prefer\u00edvel \u00e0 cirurgia biliodigestiva e \u00e0 PTBD<\/li>\n\n\n\n<li>EUS-HGS apresenta menor risco de recorr\u00eancia da obstru\u00e7\u00e3o biliar comparada \u00e0 EUS-CDS\n<ul class=\"wp-block-list\">\n<li>O que mudou (guideline 2018): reservava-se a EUS-HGS apenas a casos inoper\u00e1veis ap\u00f3s falha de CPRE e insufici\u00eancia da PTBD<\/li>\n<\/ul>\n<\/li>\n<\/ul>\n<\/li>\n\n\n\n<li><strong>Drenagem ecoguiada da ves\u00edcula biliar:<\/strong> alternativa de resgate em diferentes cen\u00e1rios quando o ducto c\u00edstico est\u00e1 patente<\/li>\n<\/ul>\n\n\n<div class=\"wp-block-image\">\n<figure class=\"aligncenter size-large\"><a href=\"https:\/\/endoscopiaterapeutica.net\/pt\/?attachment_id=21900\"><img fetchpriority=\"high\" decoding=\"async\" width=\"1024\" height=\"593\" src=\"https:\/\/endoscopiaterapeutica.net\/pt\/wp-content\/uploads\/2026\/09\/Imagem-ESGE-estenoses-biliares-1024x593.png\" alt=\"Resumo do manejo de estenose biliar\" class=\"wp-image-21900\" srcset=\"https:\/\/endoscopiaterapeutica.net\/pt\/wp-content\/uploads\/2026\/09\/Imagem-ESGE-estenoses-biliares-1024x593.png 1024w, https:\/\/endoscopiaterapeutica.net\/pt\/wp-content\/uploads\/2026\/09\/Imagem-ESGE-estenoses-biliares-300x174.png 300w, https:\/\/endoscopiaterapeutica.net\/pt\/wp-content\/uploads\/2026\/09\/Imagem-ESGE-estenoses-biliares-768x445.png 768w, https:\/\/endoscopiaterapeutica.net\/pt\/wp-content\/uploads\/2026\/09\/Imagem-ESGE-estenoses-biliares-1170x677.png 1170w, https:\/\/endoscopiaterapeutica.net\/pt\/wp-content\/uploads\/2026\/09\/Imagem-ESGE-estenoses-biliares-585x339.png 585w, https:\/\/endoscopiaterapeutica.net\/pt\/wp-content\/uploads\/2026\/09\/Imagem-ESGE-estenoses-biliares.png 1437w\" sizes=\"(max-width: 1024px) 100vw, 1024px\" \/><\/a><figcaption class=\"wp-element-caption\"><br>Resumo das principais recomenda\u00e7\u00f5es da ESGE no manejo de estenose biliar (adaptado do guideline original com aux\u00edlio de intelig\u00eancia artificial)<\/figcaption><\/figure>\n<\/div>\n\n\n<h2 id=\"h-3-comentarios\" class=\"wp-block-heading\"><strong>3. Coment\u00e1rios<\/strong><\/h2>\n\n\n\n<p class=\"wp-block-paragraph\">O novo guideline da ESGE traz recomenda\u00e7\u00f5es para diversos cen\u00e1rios nos quais a drenagem biliar \u00e9 necess\u00e1ria em um escopo bastante amplo. Em rela\u00e7\u00e3o aos guidelines anteriores, nota-se um aumento significativo do protagonismo das drenagens ecoguiadas em diversas situa\u00e7\u00f5es, com a drenagem percut\u00e2nea perdendo muito espa\u00e7o como 1\u00aa op\u00e7\u00e3o e se tornando t\u00e9cnica de resgate ou de 2\u00aa linha na maioria dos casos. O desenvolvimento de acess\u00f3rios dedicados e a expertise adquirida nos \u00faltimos anos justificam essa mudan\u00e7a de paradigma. Entretanto, \u00e9 importante ressaltar que essa ainda n\u00e3o \u00e9 a realidade na grande maioria dos servi\u00e7os brasileiros &#8211; onde os materiais dedicados ainda s\u00e3o escassos e a expertise \u00e9 limitada a poucos centros. Portanto, para a nossa realidade, a drenagem percut\u00e2nea segue tendo um papel importante, especialmente em casos de falha da CPRE ou de anatomia alterada.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">A ecoendoscopia terap\u00eautica ganhou muito espa\u00e7o nos \u00faltimos anos. Contudo, \u00e9 importante ressaltar que a drenagem ecoguiada transmural em pacientes candidatos a cirurgia deve sempre ser discutida com uma equipe multidisciplinar, preferencialmente incluindo cirurgi\u00e3o e oncologista. Outro ponto interessante a ser observado \u00e9 que a qualidade da evid\u00eancia da maioria das recomenda\u00e7\u00f5es \u00e9 baixa ou muito baixa, demonstrando escassez de estudos prospectivos comparativos de alta qualidade sobre muitos dos temas abordados.<\/p>\n\n\n\n<h2 id=\"h-4-conclusao\" class=\"wp-block-heading\"><strong>4. Conclus\u00e3o<\/strong><\/h2>\n\n\n\n<p class=\"wp-block-paragraph\" id=\"h-4-conclusao\">O novo guideline da ESGE confirma a ascens\u00e3o da drenagem biliar ecoguiada no manejo das estenoses biliares em diversos cen\u00e1rios, colocando a drenagem percut\u00e2nea como op\u00e7\u00e3o de resgate ou segunda linha na maioria dos casos. Desse modo, cabe a cada servi\u00e7o avaliar sua pr\u00f3pria expertise e disponibilidade de recursos humanos e materiais antes de extrapolar essas recomenda\u00e7\u00f5es para a pr\u00e1tica di\u00e1ria, sempre observando a import\u00e2ncia da equipe m\u00e9dica multidisciplinar na tomada de decis\u00f5es em casos complexos.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\"><\/p>\n\n\n\n<p class=\"has-pale-ocean-gradient-background has-background wp-block-paragraph\">Quer se aprofundar sobre o uso da EUS-BD (coledocoduodenal) como alternativa \u00e0 CPRE nas obstru\u00e7\u00f5es distais malignas? <a href=\"https:\/\/endoscopiaterapeutica.net\/pt\/casosclinicos\/a-drenagem-ecoguiada-coledocoduodenal-eus-bd-pode-substituir-a-cpre-com-passagem-de-protese-nas-obstrucoes-biliares-malignas-distais\/\">Acesse<\/a>!<\/p>\n\n\n\n<h2 id=\"h-referencias\" class=\"wp-block-heading\"><br><strong>Refer\u00eancias<\/strong><\/h2>\n\n\n\n<ol class=\"wp-block-list\">\n<li>Lemmers A, Tringali A, Teles de Campos S, Vanella G, Liem KS, Arvanitakis M, Caillol F, Gerges C, Johnson G, Kyl\u00e4np\u00e4\u00e4 L, Perez-Cuadrado Robles E, Petrone MC, Ramchandani M, van Hooft JE, Facciorusso A, Tham TC, Triantafyllou K. Biliary stricture management: European Society of Gastrointestinal Endoscopy (ESGE) Guideline. Endoscopy. 2026 Sep 3. doi: 10.1055\/a-2921-6492. Epub ahead of print. PMID: 42692059.<\/li>\n\n\n\n<li>Dumonceau JM, Tringali A, Papanikolaou IS et al. Endoscopic biliary stenting: indications, choice of stents, and results: European Society of Gastrointestinal Endoscopy (ESGE) Clinical Guideline\u2013 Updated October 2017. Endoscopy 2018; 50: 910\u2013930 doi:10.1055\/a-0659-9864<\/li>\n\n\n\n<li>van der Merwe SW, van Wanrooij RLJ, Bronswijk M et al. Therapeutic endoscopic ultrasound: European Society of Gastrointestinal Endoscopy (ESGE) Guideline. Endoscopy 2022; 54: 185\u2013205 doi:10.1055\/ a-1717-1391<\/li>\n<\/ol>\n\n\n\n<h2 id=\"h-como-citar-este-artigo\" class=\"wp-block-heading\"><strong>Como citar este artigo<\/strong><\/h2>\n\n\n\n<p class=\"has-very-light-gray-to-cyan-bluish-gray-gradient-background has-background wp-block-paragraph\">Proen\u00e7a IM. Manejo de estenose biliar: guideline ESGE 2026. Endoscopia Terapeutica 2026 Vol II. Dispon\u00edvel em: <a href=\"https:\/\/endoscopiaterapeutica.net\/pt\/?p=21898\" target=\"_blank\" rel=\"noreferrer noopener\">https:\/\/endoscopiaterapeutica.net\/pt\/assuntosgerais\/manejo-de-estenose-biliar-guideline-esge-2026\/<\/a><\/p>\n\n\n\n<p class=\"wp-block-paragraph\"><\/p>\n","protected":false},"excerpt":{"rendered":"<p>1. Introdu\u00e7\u00e3o A Sociedade Europeia de Endoscopia Digestiva (ESGE) publicou em setembro de 2026&hellip;<\/p>\n","protected":false},"author":2381,"featured_media":21906,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"_lmt_disableupdate":"","_lmt_disable":"","footnotes":""},"categories":[142,151],"tags":[294,549,409,888,864],"ano":[847],"tipo":[791,155,154],"volume":[147],"class_list":["post-21898","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-artigoscomentados","category-assuntosgerais","tag-cpre","tag-estenose-biliar","tag-eus","tag-eus-bd","tag-eus-cds","ano-847","tipo-artigos-comentados","tipo-cpre","tipo-ecoendoscopia","volume-volume-ii"],"yoast_head":"<!-- This site is optimized with the Yoast SEO Premium plugin v27.2 (Yoast SEO v28.2) - https:\/\/yoast.com\/product\/yoast-seo-premium-wordpress\/ -->\n<title>Manejo de estenose biliar: guideline ESGE 2026<\/title>\n<meta name=\"description\" content=\"Confira as principais mudan\u00e7as e recomenda\u00e7\u00f5es pr\u00e1ticas do guideline ESGE 2026 sobre manejo de estenose biliar.\" \/>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/endoscopiaterapeutica.net\/pt\/assuntosgerais\/manejo-de-estenose-biliar-guideline-esge-2026\/\" \/>\n<meta property=\"og:locale\" content=\"pt_BR\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"Manejo de estenose biliar: guideline ESGE 2026\" \/>\n<meta property=\"og:description\" content=\"1. 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