EUS-Guided Vascular Interventions: Recent Advances DOI Open Access
Sahib Singh, Saurabh Chandan, Sumant Inamdar

et al.

Journal of Clinical Medicine, Journal Year: 2024, Volume and Issue: 13(16), P. 4835 - 4835

Published: Aug. 16, 2024

Endoscopic ultrasound (EUS)-guided vascular interventions were first reported in 2000 a study that evaluated the utility of EUS sclerotherapy esophageal varices. Currently, gastric variceal therapy and portosystemic pressure gradient (PPG) measurements are most widely utilized applications. Ectopic obliteration, splenic artery embolization, aneurysm/pseudoaneurysm treatment, portal venous sampling, shunt creation using some other emerging interventions. Since release American Gastroenterological Association (AGA)'s commentary 2023, which primarily endorses EUS-guided EUS-PPG measurement, several new studies have been published supporting use for various conditions. In this review, we present recent advances field, critically appraising trials.

Language: Английский

Utility of endoscopy in paediatric gastroenterology and hepatology–Review and updates DOI
Mohana Sathiaseelan, Tassos Grammatikopoulos

Digestive and Liver Disease, Journal Year: 2025, Volume and Issue: unknown

Published: March 1, 2025

Language: Английский

Citations

0
Advances in Endo-Hepatology: The Role of Endoscopic Ultrasound in the Management of Portal Hypertension DOI Creative Commons

Angelo Bruni,

Giuseppe Dell’Anna, Jayanta Samanta

et al.

Diagnostics, Journal Year: 2025, Volume and Issue: 15(8), P. 967 - 967

Published: April 10, 2025

Portal hypertension (PH) is a complication of advanced liver diseases, including cirrhosis and hepatocellular carcinoma, often leading to unfavorable outcomes. Endo-hepatology, particularly endoscopic ultrasound (EUS) has revolutionized the assessment PH. Notably, EUS-guided portal pressure gradient (EUS-PPG) enables measurement hepatic venous pressures, offering diagnostic precision for both cirrhotic non-cirrhotic forms PH, porto-sinusoidal vascular disorder (PSVD). EUS-based PH in disease can refine workup prognostication, supporting therapeutic decisions. Additionally, biopsy (EUS-LB) achieves high-quality histological samples with fewer complications compared percutaneous techniques, enabling thorough evaluation chronic diseases abnormalities. EUS-shear wave elastography (EUS-SWE) further refines stiffness measurements where standard imaging fails. Moreover, EUS plays major role controlling variceal hemorrhage, severe complication. coil cyanoacrylate injection gastric varices demonstrate great efficacy, surpassing conventional endoscopy. Similarly, identification treatment perforator vessels feeding esophageal reduce rebleeding risks, challenging patients. The combination these state-of-the-art interventions supports "one-stop strategy", integrating screening, biopsy, within single procedure. Despite advancements, refinements sedation protocols, patient selection, cost-effectiveness data are necessary. While noninvasive tools remain central guidelines, methods continue expand their role, especially complex cases. This review summarizes applications impact evaluating emphasizing its importance contemporary hepatology potential as pivotal modality complicated by

Language: Английский

Citations

0
Endohepatology: Arrival at the frontier of interventional endosonography DOI Creative Commons

Shane P Selvanderan,

Eric W.‐F. Lam, Neal Shahidi

et al.

World Journal of Gastroenterology, Journal Year: 2024, Volume and Issue: 30(18), P. 2397 - 2401

Published: May 11, 2024

Endohepatology describes the emerging field where diagnostic and therapeutic endoscopic ultrasound (EUS) are used for diagnosis management of liver disease its sequelae. In this editorial we comment on article by Gadour

Language: Английский

Citations

3
Comprehensive approach to esophageal variceal bleeding: From prevention to treatment DOI

Sahib Singh,

Saurabh Chandan,

Rakesh Vinayek

et al.

World Journal of Gastroenterology, Journal Year: 2024, Volume and Issue: 30(43), P. 4602 - 4608

Published: Oct. 31, 2024

Esophageal variceal bleeding is a severe complication often associated with portal hypertension, commonly due to liver cirrhosis. Prevention and treatment of this condition are critical for patient outcomes. Preventive strategies focus on reducing hypertension prevent varices from developing or enlarging. Primary prophylaxis involves the use non-selective beta-blockers, such as propranolol nadolol, which lower pressure by decreasing cardiac output thereby blood flow varices. Endoscopic ligation (EVL) may also be employed primary initial episodes. Once occurs, immediate essential. Initial management includes hemodynamic stabilization followed pharmacological therapy vasoactive drugs octreotide terlipressin control bleeding. intervention cornerstone treatment, techniques EVL sclerotherapy applied directly manage In cases where refractory endoscopic transjugular intrahepatic portosystemic shunt considered effectively reduce pressure. Long-term after an acute episode secondary using beta-blockers repeated sessions rebleeding, complemented monitoring managing function address underlying disease. light new scientific evidence, including findings study Peng et al , editorial aims review available prevention esophageal

Language: Английский

Citations

2
Endoscopic Advances in Hepatology DOI
Emma Vanderschueren, Jonel Trebicka, Wim Laleman

et al.

Seminars in Liver Disease, Journal Year: 2023, Volume and Issue: 43(02), P. 176 - 188

Published: May 1, 2023

Endoscopy is and remains an indispensable tool in diagnosing managing liver disease its complications. Due to the progress advanced endoscopy, endoscopy has become alternative route for many surgical, percutaneous, angiographic interventions, not only as a backup when conventional interventions fail but increasingly first-line choice. The term endo-hepatology refers integration of practice hepatology. key diagnosis management esophageal gastric varices, portal hypertensive gastropathy, antral vascular ectasia. Endoscopic ultrasound (EUS) can be used evaluation parenchyma, lesions, surrounding tissues vessels, including targeted biopsy complemented with new software functions. Moreover, EUS guide pressure gradient measurement, assess help manage complications hypertension. It crucial that each present-day hepatologist aware (rapidly increasing) full spectrum diagnostic therapeutic tools exist within this field. In comprehensive review, we would like discuss current spectrum, well future directions

Language: Английский

Citations

6
EUS-Guided Vascular Interventions: Recent Advances DOI Open Access
Sahib Singh, Saurabh Chandan, Sumant Inamdar

et al.

Journal of Clinical Medicine, Journal Year: 2024, Volume and Issue: 13(16), P. 4835 - 4835

Published: Aug. 16, 2024

Endoscopic ultrasound (EUS)-guided vascular interventions were first reported in 2000 a study that evaluated the utility of EUS sclerotherapy esophageal varices. Currently, gastric variceal therapy and portosystemic pressure gradient (PPG) measurements are most widely utilized applications. Ectopic obliteration, splenic artery embolization, aneurysm/pseudoaneurysm treatment, portal venous sampling, shunt creation using some other emerging interventions. Since release American Gastroenterological Association (AGA)'s commentary 2023, which primarily endorses EUS-guided EUS-PPG measurement, several new studies have been published supporting use for various conditions. In this review, we present recent advances field, critically appraising trials.

Language: Английский

Citations

0