医学
内镜超声
内窥镜检查
医学物理学
静脉曲张
肝活检
门脉高压
普通外科
肝病学
内镜治疗
放射科
心理干预
重症监护医学
活检
外科
内科学
肝硬化
护理部
作者
Wim Laleman,Joachim C. Mertens,Emma Vanderschueren,Michael Praktiknjo,Jonel Trebicka
标识
DOI:10.14309/ajg.0000000000002482
摘要
Over the past decade, the number of endoscopic procedures relevant to patients with liver disease not only increased but also altered and expanded in terms of indications and applications. “Endohepatology” refers to the integration of advanced endoscopy within the practice of hepatology with endoscopic ultrasound as one of the main pillars. Current applications under the umbrella of endohepatology focus on advanced diagnostics and oncological, vascular, and metabolic interventions. These involve, among others, endoscopic ultrasound (EUS)-guided liver biopsy, EUS-guided portal pressure gradient measurement, and EUS-guided coil and glue embolization of gastric varices. In addition to its conceptually attractive technical and innovative characteristics, endohepatology is also an appealing practical option for daily practice because it can be offered as a “one-stop clinic” intervention where comprehensive endoscopic diagnostic and/or therapeutic testing is performed in a single outpatient visit. In this review, we will discuss current trends and future developments within endohepatology and the remaining hurdles to overcome.
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