Publication Name	World Journal of Gastrointestinal Endoscopy
Manuscript ID	108541
Country	Saudi Arabia

Category	Gastroenterology & Hepatology
Manuscript Type	Systematic Reviews
Article Title	Evolving role of endoscopic ultrasound in biliary stricture management: A meta-analysis and systematic review
Manuscript Source	Invited Manuscript
All Author List	Eyad Gadour, Bogdan Miutescu, Hussein H Okasha, Mohammed Albeshir, Turki Alamri, Elsayed Ghoneem, Călin Burciu, Alexandru Popa, Oana Koppandi and Mohammed S AlQahtani
Funding Agency and Grant Number
Corresponding Author	Bogdan Miutescu, Assistant Professor, Consultant, MD, PhD, Department of Gastroenterology and Hepatology, Victor Babes University of Medicine and Pharmacy, Piata Eftimie Murgu, nr. 2, Timisoara 300041, Romania. bmiutescu@yahoo.com
Key Words	Endoscopic ultrasound; Biliary strictures; Endoscopic ultrasound guided fine-needle aspiration; Systematic review; Clinical success rate
Core Tip	Endoscopic ultrasound (EUS) has emerged as a valuable tool for diagnosing and managing biliary strictures. This systematic review and meta-analysis found that EUS-guided fine-needle aspiration is superior to conventional techniques for diagnosing malignant biliary strictures, with higher sensitivity while maintaining high specificity. For management, EUS-guided interventions showed significantly higher clinical success rates compared to conventional methods, though technical success rates were similar. EUS-guided biliary drainage and stenting appear promising for cases where endoscopic retrograde cholangiopancreatography fails. However, more research is needed on the efficacy of various EUS-guided therapies for biliary strictures. Overall, EUS demonstrates an expanding and important role in biliary stricture diagnosis and treatment.
Citation	Gadour E, Miutescu B, Okasha HH, Albeshir M, Alamri T, Ghoneem E, Burciu C, Popa A, Koppandi O, AlQahtani MS. Evolving role of endoscopic ultrasound in biliary stricture management: A meta-analysis and systematic review. World J Gastrointest Endosc 2025; In press

Received	2025-04-17 11:42
Peer-Review Started	2025-04-17 11:42
To Make the First Decision
Return for Revision	2025-04-23 01:46
Revised	2025-04-23 07:42
Second Decision	2025-06-09 02:41
Accepted by Journal Editor-in-Chief
Accepted by Executive Editor-in-Chief	2025-06-09 08:02
Articles in Press	2025-06-09 08:02
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ISSN	1948-5190 (online)
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