Endoscopic ultrasound in hepatology: ushering a new era in liver disease management.

IF 2.6 3区医学 Q2 GASTROENTEROLOGY & HEPATOLOGY

Current Opinion in Gastroenterology Pub Date : 2025-06-06 DOI:10.1097/MOG.0000000000001115

Andrada Seicean, Irina Dragomir, Bogdan Procopet

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引用次数: 0

Abstract

Purpose of review: This review aims to provide an up-to-date overview of the expanding role of endoscopic ultrasound (EUS) in endohepatology, highlighting its potential to transform the diagnostic and therapeutic landscape for liver diseases. Given the increasing complexity of liver disease management, this review discusses both established and emerging applications of EUS in liver parenchyma assessment, portal hypertension diagnosis and related complications treatment and liver biopsy techniques.

Recent findings: Recent studies demonstrate that EUS can accurately assess liver fibrosis, detect focal lesions, and evaluate portal hypertension, with significant advancements in EUS-guided liver biopsy and treatment of gastric varices. Key findings include improved diagnostic accuracy with EUS-FNB over traditional methods and the potential for endoscopic ultrasound portal pressure gradient (EUS-PPG) in portal pressure measurements.

Summary: EUS holds significant promise in diagnosing and treating liver diseases, with applications in assessing liver fibrosis, identifying focal liver lesions, and managing portal hypertension. Future research will likely focus on enhancing EUS's role in therapeutic procedures, such as managing portal vein thrombosis and creating intrahepatic portosystemic shunts, offering a new avenue for minimally invasive treatment options.

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内窥镜超声在肝病中的应用：引领肝病治疗的新时代。

综述目的：本综述旨在提供最新的内镜超声（EUS）在内窥镜肝病学中不断扩大的作用，强调其改变肝脏疾病诊断和治疗前景的潜力。鉴于肝病管理的复杂性日益增加，本文综述了EUS在肝实质评估、门静脉高压诊断及相关并发症治疗和肝活检技术方面已建立的和新兴的应用。近期发现：近期研究表明，EUS可以准确评估肝纤维化、发现局灶性病变、评估门静脉高压，在EUS引导下的肝活检和胃静脉曲张治疗方面取得了重大进展。主要发现包括EUS-FNB比传统方法提高了诊断准确性，以及内镜超声门静脉压力梯度（EUS-PPG）在门静脉压力测量中的潜力。摘要：EUS在诊断和治疗肝脏疾病方面具有重要的前景，可用于评估肝纤维化、识别局灶性肝脏病变和治疗门脉高压。未来的研究可能会集中在增强EUS在治疗过程中的作用，如管理门静脉血栓形成和创建肝内门静脉系统分流，为微创治疗选择提供新的途径。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Current Opinion in Gastroenterology 医学-胃肠肝病学

CiteScore

5.30

自引率

0.00%

发文量

137

审稿时长

6-12 weeks

期刊介绍： Published bimonthly and offering a unique and wide ranging perspective on the key developments in the field, each issue of Current Opinion in Gastroenterology features hand-picked review articles from our team of expert editors. With twelve disciplines published across the year – including gastrointestinal infections, nutrition and inflammatory bowel disease – every issue also contains annotated references detailing the merits of the most important papers.