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慢性肝病中的内镜超声检查

Endoscopic ultrasound in chronic liver disease.

作者信息

Fung Brian M, Abadir Alexander P, Eskandari Armen, Levy Michael J, Tabibian James H

机构信息

Department of Medicine, Olive View-UCLA Medical Center, Sylmar, CA 91342, United States.

Department of Medicine, University of California Irvine Medical Center, Orange, CA 92868, United States.

出版信息

World J Hepatol. 2020 Jun 27;12(6):262-276. doi: 10.4254/wjh.v12.i6.262.

DOI:10.4254/wjh.v12.i6.262
PMID:32742569
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC7364327/
Abstract

Endoscopic ultrasound (EUS) is a minimally invasive diagnostic and therapeutic modality with a number of established as well as evolving uses in patients with chronic liver disease. Compared to other diagnostic tools such as cross-sectional imaging or conventional endoscopy, EUS has been shown to increase diagnostic sensitivity and therapeutic success for many clinical scenarios and applications with a low rate of adverse events. In this review, we discuss and focus on the current and growing role of EUS in the evaluation and/or treatment of hepatobiliary masses, hepatic parenchymal disease, portal hypertension, esophageal and other varices, and indeterminate biliary strictures.

摘要

内镜超声(EUS)是一种微创诊断和治疗方式,在慢性肝病患者中有着多种既定及不断发展的用途。与其他诊断工具如断层成像或传统内镜检查相比,EUS已被证明在许多临床情况和应用中可提高诊断敏感性和治疗成功率,且不良事件发生率较低。在本综述中,我们讨论并聚焦于EUS在肝胆肿块、肝实质疾病、门静脉高压、食管及其他静脉曲张以及不明原因胆管狭窄的评估和/或治疗中当前及不断增长的作用。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/04c4/7364327/f1e890ad18e1/WJH-12-262-g004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/04c4/7364327/720ffb8e716e/WJH-12-262-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/04c4/7364327/017101149284/WJH-12-262-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/04c4/7364327/0af0e01dea1a/WJH-12-262-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/04c4/7364327/f1e890ad18e1/WJH-12-262-g004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/04c4/7364327/720ffb8e716e/WJH-12-262-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/04c4/7364327/017101149284/WJH-12-262-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/04c4/7364327/0af0e01dea1a/WJH-12-262-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/04c4/7364327/f1e890ad18e1/WJH-12-262-g004.jpg

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1
Endoscopic ultrasound in chronic liver disease.慢性肝病中的内镜超声检查
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引用本文的文献

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Non-Invasive versus Invasive Assessment of Portal Hypertension in Chronic Liver Disease.慢性肝病门静脉高压的非侵入性与侵入性评估
GE Port J Gastroenterol. 2024 Apr 22;31(6):377-387. doi: 10.1159/000538484. eCollection 2024 Dec.
2
The Role of Endoscopic Ultrasound in Assessing Portal Hypertension: A State-of-the-Art Literature Review and Evolving Perspectives.内镜超声在评估门静脉高压中的作用:最新文献综述及不断演变的观点
Liver Int. 2025 Apr;45(4):e16176. doi: 10.1111/liv.16176. Epub 2024 Nov 27.
3
3D-Volumetric Shunt Measurement for Detection of High-Risk Esophageal Varices in Liver Cirrhosis.

本文引用的文献

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The efficacy and safety of endoscopic ultrasound-guided liver biopsy versus percutaneous liver biopsy in patients with chronic liver disease: a retrospective single-center study.内镜超声引导下肝活检与经皮肝活检在慢性肝病患者中的疗效和安全性:一项回顾性单中心研究。
J Ultrasound. 2020 Jun;23(2):157-167. doi: 10.1007/s40477-020-00436-z. Epub 2020 Mar 5.
2
Long-term safety and efficacy of ethanol retention therapy via percutaneous approach and/or EUS guidance for symptomatic large hepatic cysts (with video).经皮途径和/或内镜超声引导下乙醇保留疗法治疗有症状的大肝囊肿的长期安全性和有效性(附视频)
Endosc Ultrasound. 2020 Jan-Feb;9(1):31-36. doi: 10.4103/eus.eus_42_19.
3
用于检测肝硬化高危食管静脉曲张的三维容积分流测量法
J Clin Med. 2024 May 2;13(9):2678. doi: 10.3390/jcm13092678.
4
Comparative study for predictability of type 1 gastric variceal rebleeding after endoscopic variceal ligation: High-frequency intraluminal ultrasound study.内镜下静脉曲张结扎术后1型胃静脉曲张再出血预测性的对比研究:高频腔内超声研究
World J Clin Cases. 2021 Dec 6;9(34):10566-10575. doi: 10.12998/wjcc.v9.i34.10566.
5
Role of Endoscopic Ultrasound in Liver Disease: Where Do We Stand?内镜超声在肝脏疾病中的作用:我们目前的进展如何?
Diagnostics (Basel). 2021 Oct 31;11(11):2021. doi: 10.3390/diagnostics11112021.
6
The value of platelet parameters and related scoring system in predicting esophageal varices and collateral veins in patients with liver cirrhosis.血小板参数及其相关评分系统在预测肝硬化患者食管胃静脉曲张及侧支循环中的价值。
J Clin Lab Anal. 2021 Mar;35(3):e23694. doi: 10.1002/jcla.23694. Epub 2021 Jan 2.
Biliary endoscopy in the management of primary sclerosing cholangitis and its complications.
胆道内镜在原发性硬化性胆管炎及其并发症管理中的应用
Liver Res. 2019 Jun;3(2):106-117. doi: 10.1016/j.livres.2019.03.004. Epub 2019 Apr 3.
4
Comparison of Endoscopic Ultrasound Biopsy Needles for Endoscopic Ultrasound-Guided Liver Biopsy.用于内镜超声引导下肝活检的内镜超声活检针的比较
Clin Endosc. 2019 Jul;52(4):347-352. doi: 10.5946/ce.2019.005. Epub 2019 Jul 10.
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Endoscopic ultrasound-guided biopsy in chronic liver disease: a randomized comparison of 19-G FNA and 22-G FNB needles.内镜超声引导下活检在慢性肝病中的应用:19G细针穿刺抽吸与22G细针活检针的随机对照研究
Endosc Int Open. 2019 Jan;7(1):E62-E71. doi: 10.1055/a-0655-7462. Epub 2019 Jan 4.
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Tissue acquisition for diagnosis of biliary strictures using peroral cholangioscopy or endoscopic ultrasound-guided fine-needle aspiration.经口胆管镜或内镜超声引导下细针抽吸术获取组织用于诊断胆道狭窄。
Endoscopy. 2019 Jan;51(1):50-59. doi: 10.1055/a-0645-1395. Epub 2018 Sep 5.
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Hepatology. 2018 Jun;67(6):2338-2351. doi: 10.1002/hep.29730. Epub 2018 Apr 19.