Endoscopic Ultrasound for the Hepatologist: A Comprehensive Review

Author:

Rimbaş Mihai12,Di Maurizio Luca1,Rizzatti Gianenrico3,Gasbarrini Antonio3,Costamagna Guido14,Larghi Alberto1

Affiliation:

1. Digestive Endoscopy Unit, Catholic University, Rome, Italy

2. Gastroenterology and Internal Medicine Departments, Colentina Clinical Hospital, Carol Davila University of Medicine, Bucharest, Romania

3. Department of Internal Medicine, Gastroenterology and Hepatology, Catholic University, Rome, Italy

4. IHU-USIAS, University of Strasbourg, Strasbourg, France

Abstract

AbstractIn the last few years, the diagnostic and therapeutic utilization of endoscopic ultrasound (EUS) for a variety of liver conditions has exponentially grown. We performed a thorough search for all available studies on the performance of diagnostic and therapeutic EUS in the field of hepatology. This article reviews the indication of EUS in the evaluation and treatment of portal hypertension, portal vein pressure measurement, focal liver lesions, and parenchymal liver diseases, and presents all the clinical evidences available so far in this regard. All the review data suggest that EUS is becoming an increasingly important tool in the armamentarium of the hepatologists for the management of certain liver-related conditions. Implementation in the education of the hepatologists of means to become more familiar with both diagnostic and therapeutic capabilities of EUS is warranted.

Publisher

Georg Thieme Verlag KG

Subject

Hepatology

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