{"title":"Endoscopic Management of Portal Hypertension and Varices.","authors":"Samuel Tanner, Allison R Schulman","doi":"10.1016/j.tvir.2025.101053","DOIUrl":null,"url":null,"abstract":"<p><p>Chronic liver disease as well as various other conditions can change vascular resistance in the portal system thereby leading to portal hypertension. Acute gastroesophageal variceal bleeding is a dreaded complication of portal hypertension associated with high morbidity and mortality. Historically, endoscopy in the management of portal hypertension was limited to the prevention and treatment of esophageal varices. However, advancements in endoscopic-ultrasound techniques and availability of new devices have opened a new frontier in the management of gastric varices. Additionally, advancements in endoscopic techniques now allow for a more comprehensive diagnostic approach to portal hypertension. In this review, we summarize the role of endoscopy in the management of portal hypertension and varices.</p>","PeriodicalId":51613,"journal":{"name":"Techniques in Vascular and Interventional Radiology","volume":"28 3","pages":"101053"},"PeriodicalIF":1.3000,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"Techniques in Vascular and Interventional Radiology","FirstCategoryId":"1085","ListUrlMain":"https://doi.org/10.1016/j.tvir.2025.101053","RegionNum":0,"RegionCategory":null,"ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"2025/7/6 0:00:00","PubModel":"Epub","JCR":"Q3","JCRName":"RADIOLOGY, NUCLEAR MEDICINE & MEDICAL IMAGING","Score":null,"Total":0}
引用次数: 0
Abstract
Chronic liver disease as well as various other conditions can change vascular resistance in the portal system thereby leading to portal hypertension. Acute gastroesophageal variceal bleeding is a dreaded complication of portal hypertension associated with high morbidity and mortality. Historically, endoscopy in the management of portal hypertension was limited to the prevention and treatment of esophageal varices. However, advancements in endoscopic-ultrasound techniques and availability of new devices have opened a new frontier in the management of gastric varices. Additionally, advancements in endoscopic techniques now allow for a more comprehensive diagnostic approach to portal hypertension. In this review, we summarize the role of endoscopy in the management of portal hypertension and varices.
期刊介绍：
Interventional radiology is an area of clinical diagnosis and management that is highly technique-oriented. Therefore, the format of this quarterly journal, which combines the visual impact of an atlas with the currency of a journal, lends itself perfectly to presenting the topics. Each issue is guest edited by a leader in the field and is focused on a single clinical technique or problem. The presentation is enhanced by superb illustrations and descriptive narrative outlining the steps of a particular procedure. Interventional radiologists, neuroradiologists, vascular surgeons and neurosurgeons will find this a useful addition to the clinical literature.
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