Servicio de Gastroenterología, Hospital Civil de Guadalajara Fray Antonio Alcalde, Guadalajara, Jalisco, Mexico; Departamento de Clínicas Médicas, Centro Universitario de Ciencias de la Salud, Universidad de Guadalajara, Guadalajara, Jalisco, Mexico.
Servicio de Gastroenterología y Hepatología, Hospital Universitario Puerta de Hierro, IDIPHISA, Ciberhd, Majadahonda, Madrid, Spain.
Rev Gastroenterol Mex (Engl Ed). 2023 Oct-Dec;88(4):381-391. doi: 10.1016/j.rgmxen.2023.07.003. Epub 2023 Oct 11.
Point-of-care ultrasound (POCUS) refers to the use of ultrasound imaging through pocket-sized sonographic devices at the patient's bedside, to make a diagnosis or direct a procedure and immediately answer a clinical question. Its goal is to broaden the physical examination, not to replace conventional ultrasound studies. POCUS has evolved as a complement to physical examination and has been adopted by different medical specialties, including hepatology. A narrative synthesis of the evidence on the applications of POCUS in hepatology was carried out, describing its usefulness in the diagnosis of cirrhosis of the liver, metabolic dysfunction-associated steatotic liver disease (MASLD), decompensated cirrhosis, and portal hypertension. The review also encompasses more recent applications in the hemodynamic evaluation of the critically ill patient with cirrhosis of the liver, patients with other liver diseases, as well as in the ultrasound guidance of procedures. POCUS could make up part of the daily clinical practice of gastroenterologists and hepatologists, simplifying the initial evaluation of patients and optimizing clinical management. Its accessibility, ease of use, and low adverse event profile make POCUS a useful tool for the properly trained physician in the adequate clinical setting. The aim of this review was to describe the available evidence on the usefulness of POCUS in the daily clinical practice of gastroenterologists and hepatologists.
床边即时超声检查（POCUS）指的是使用口袋大小的超声设备在患者床边进行超声成像，以做出诊断或指导操作，并立即回答临床问题。其目的是扩展体格检查，而不是取代传统的超声研究。POCUS 已发展成为体格检查的补充手段，并已被包括肝病学在内的不同医学专业采用。本文对 POCUS 在肝病学中的应用证据进行了叙述性综合，描述了其在诊断肝硬化、代谢功能障碍相关脂肪性肝病（MASLD）、失代偿性肝硬化和门静脉高压方面的作用。该综述还涵盖了 POCUS 在肝硬化危重症患者血流动力学评估、其他肝病患者以及超声引导下操作方面的最新应用。POCUS 可以成为胃肠病学家和肝病学家日常临床实践的一部分，简化患者的初始评估并优化临床管理。其易于获取、易于使用且不良事件发生率低，使 POCUS 成为适当临床环境中经过适当培训的医生的有用工具。本综述旨在描述 POCUS 在胃肠病学家和肝病学家日常临床实践中的应用价值的现有证据。
