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内科学:介入性超声内镜学的前沿进展。

Endohepatology: Arrival at the frontier of interventional endosonography.

机构信息

Department of Medicine, University of British Columbia, Vancouver V6Z 1Y6, BC, Canada.

出版信息

World J Gastroenterol. 2024 May 14;30(18):2397-2401. doi: 10.3748/wjg.v30.i18.2397.

Abstract

Endohepatology describes the emerging field where diagnostic and therapeutic endoscopic ultrasound (EUS) are used for the diagnosis and management of liver disease and its sequelae. In this editorial we comment on the article by Gadour . The spectrum of EUS-guided procedures includes liver parenchymal and lesional biopsy, abscess drainage, treatment of focal liver lesions, diagnosis of portal hypertension and management of gastric varices. The data suggest that the application of EUS to hepatology is technically feasible and safe, heralding the arrival at a new frontier for EUS. More data, specifically randomised trials comparing EUS to interventional radiology techniques, and continued partnership between endoscopy and hepatology are required to see this field establish itself outside expert tertiary centres.

摘要

内科学描述了一个新兴领域,在这个领域中,诊断和治疗性内镜超声(EUS)用于诊断和治疗肝脏疾病及其后遗症。在这篇社论中,我们对 Gadour 的文章进行了评论。EUS 引导下的操作包括肝脏实质和病变活检、脓肿引流、局灶性肝脏病变的治疗、门脉高压的诊断和胃静脉曲张的管理。数据表明,EUS 在肝脏病学中的应用在技术上是可行和安全的,预示着 EUS 迎来了一个新的前沿领域。需要更多的数据,特别是将 EUS 与介入放射学技术进行比较的随机试验,以及内镜和肝脏病学之间的持续合作,以使该领域在专家的三级中心之外建立起来。

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本文引用的文献

2
Role of endoscopy in hepatology.内镜在肝脏病学中的作用。
Dig Liver Dis. 2024 Jul;56(7):1185-1195. doi: 10.1016/j.dld.2023.11.032. Epub 2023 Dec 26.
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Endohepatology: The endoscopic armamentarium in the hand of the hepatologist.内科学:肝病学家手中的内镜设备。
Saudi J Gastroenterol. 2024 Jan 1;30(1):4-13. doi: 10.4103/sjg.sjg_214_23. Epub 2023 Nov 18.
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Therapeutic Endoscopic Ultrasound: Current Indications and Future Perspectives.治疗性内镜超声:当前适应症及未来展望
GE Port J Gastroenterol. 2023 Feb 20;30(Suppl 1):4-18. doi: 10.1159/000529089. eCollection 2023 Sep.
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Gastric varices.
Curr Opin Gastroenterol. 2023 Nov 1;39(6):490-495. doi: 10.1097/MOG.0000000000000974. Epub 2023 Aug 29.
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Advances in Endohepatology.肝脏内科学进展
Am J Gastroenterol. 2023 Oct 1;118(10):1756-1767. doi: 10.14309/ajg.0000000000002482. Epub 2023 Aug 23.
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Top tips in EUS elastography (with videos).
Gastrointest Endosc. 2023 Mar;97(3):574-584. doi: 10.1016/j.gie.2022.10.029. Epub 2022 Oct 22.

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