Laleman, Wim; Vanderschueren, Emma; Mehdi, Zain Seyad; Wiest, Reiner; Cardenas, Andres; Trebicka, Jonel (2024). Endoscopic procedures in HEPATOLOGY: CURRENT trends and new developments. Journal of hepatology, 80(1), pp. 124-139. Elsevier 10.1016/j.jhep.2023.08.032
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Gastrointestinal endoscopy has always formed a reliable and indispensable backbone in the diagnosis and management of hepatobilary disorders and their complications. However, with evolving non-invasive testing, personalized medicine has reframed the utility and necessity of endoscopical screening. Conversely, the growing interest and use of endoscopic ultrasound and advanced endoscopy within gastrointestinal units has also opened novel diagnostic and therapeutic avenues for patients with various hepatobiliary diseases. The integration of "advanced endoscopy" within the practice of hepatology is nowadays referred to as "endo-hepatology". In essence, endo-hepatology consists of 2 pillars: one focusing primarily on disorders of the liver parenchyma, vascular disorders, and portal hypertension, which is mainly captured via endoscopic ultrasound, while the other targets the hepatobiliary tract via endoscopic retrograde cholangiopancreatography and advanced imaging. Applications under the umbrella of endo-hepatology involve, amongst others, EUS-guided liver biopsy, EUS-guided portal pressure gradient measurement, coil and glue embolization of gastric varices as well as cholangioscopy. As such endohepatology could become an attractive and emerging concept wherein advanced endoscopy might reinforce the medical management of patients with hepatobiliary disorders and their complications after initial basic work-up. In this review, we discuss current trends and future developments within endo-hepatology and the remaining hurdles to overcome.
Item Type: |
Journal Article (Review Article) |
|---|---|
Division/Institute: |
04 Faculty of Medicine > Department of Gastro-intestinal, Liver and Lung Disorders (DMLL) > Clinic of Visceral Surgery and Medicine > Gastroenterology 04 Faculty of Medicine > Department of Gastro-intestinal, Liver and Lung Disorders (DMLL) > Clinic of Visceral Surgery and Medicine |
UniBE Contributor: |
Wiest, Reiner |
Subjects: |
600 Technology > 610 Medicine & health |
ISSN: |
1600-0641 |
Publisher: |
Elsevier |
Language: |
English |
Submitter: |
Pubmed Import |
Date Deposited: |
26 Sep 2023 10:22 |
Last Modified: |
07 Jan 2024 00:13 |
Publisher DOI: |
10.1016/j.jhep.2023.08.032 |
PubMed ID: |
37730125 |
Uncontrolled Keywords: |
Cholangioscopy Endoscopic ultrasound Gastro-esophageal varices Portal hypertension endo-Hepatology |
BORIS DOI: |
10.48350/186448 |
URI: |
https://boris.unibe.ch/id/eprint/186448 |
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