TY - JOUR
T1 - Endohepatology
T2 - The endoscopic armamentarium in the hand of the hepatologist
AU - Alwassief, Ahmed
AU - Al-Busafi, Said
AU - Abbas, Qasim L
AU - Al Shamusi, Khalid
AU - Paquin, Sarto C
AU - Sahai, Anand V
N1 - Publisher Copyright:
Copyright © 2023 Copyright: © 2023 Saudi Journal of Gastroenterology.
PY - 2024/1/1
Y1 - 2024/1/1
N2 - Recent advances in the field of hepatology include new and effective treatments for viral hepatitis. Further effort is now being directed to other disease entities, such as non-alcoholic fatty liver disease, with an increased need for assessment of liver function and histology. In fact, with the evolving nomenclature of fat-associated liver disease and the emergence of the term "metabolic-associated fatty liver disease" (MAFLD), new diagnostic challenges have emerged as patients with histologic absence of steatosis can still be classified under the umbrella of MAFLD. Currently, there is a growing number of endoscopic procedures that are pertinent to patients with liver disease. Indeed, interventional radiologists mostly perform interventional procedures such as percutaneous and intravascular procedures, whereas endoscopists focus on screening for and treatment of esophageal and gastric varices. EUS has proven to be of value in many areas within the realm of hepatology, including liver biopsy, assessment of liver fibrosis, measurement of portal pressure, managing variceal bleeding, and EUS-guided paracentesis. In this review article, we will address the endoscopic applications that are used to manage patients with chronic liver disease.
AB - Recent advances in the field of hepatology include new and effective treatments for viral hepatitis. Further effort is now being directed to other disease entities, such as non-alcoholic fatty liver disease, with an increased need for assessment of liver function and histology. In fact, with the evolving nomenclature of fat-associated liver disease and the emergence of the term "metabolic-associated fatty liver disease" (MAFLD), new diagnostic challenges have emerged as patients with histologic absence of steatosis can still be classified under the umbrella of MAFLD. Currently, there is a growing number of endoscopic procedures that are pertinent to patients with liver disease. Indeed, interventional radiologists mostly perform interventional procedures such as percutaneous and intravascular procedures, whereas endoscopists focus on screening for and treatment of esophageal and gastric varices. EUS has proven to be of value in many areas within the realm of hepatology, including liver biopsy, assessment of liver fibrosis, measurement of portal pressure, managing variceal bleeding, and EUS-guided paracentesis. In this review article, we will address the endoscopic applications that are used to manage patients with chronic liver disease.
KW - EUS
KW - EUS coil embolization
KW - EUS liver biopsy
KW - EUS portal vein sampling
KW - Endohepatology
KW - endosonography
KW - Esophageal and Gastric Varices/etiology
KW - Humans
KW - Liver Diseases/diagnostic imaging
KW - Endoscopy
KW - Gastroenterologists
KW - Gastrointestinal Hemorrhage/therapy
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UR - http://www.scopus.com/inward/citedby.url?scp=85182018579&partnerID=8YFLogxK
UR - https://www.mendeley.com/catalogue/90734775-15b4-3414-b7de-b8caac5a3a81/
U2 - 10.4103/sjg.sjg_214_23
DO - 10.4103/sjg.sjg_214_23
M3 - Review article
C2 - 37988109
SN - 1319-3767
VL - 30
SP - 4
EP - 13
JO - Saudi Journal of Gastroenterology
JF - Saudi Journal of Gastroenterology
IS - 1
ER -