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内镜肝胆病学:我们为什么要做经皮内镜超声引导下的肝脏介入,而不能通过皮肤完成?

Endo-hepatology: Why should we do endoscopic ultrasound-guided interventions to the liver that we could do through the skin?

机构信息

Gastroenterology Unit, Hospital of Imola, University of Bologna, Imola 40026, Bologna, Italy.

出版信息

World J Gastroenterol. 2024 Oct 28;30(40):4333-4338. doi: 10.3748/wjg.v30.i40.4333.

Abstract

Endoscopic ultrasound (EUS)-guided interventions on the liver such as diffuse biopsy and portal pressure gradient measurement are emerging as potential alternatives to percutaneous procedures. The purpose of this editorial was to address all the indications that could potentially make an EUS-guided approach a possible alternative to the percutaneous procedures with respect to the proce-dures that could join the EUS examination such as upper endoscopy for gastro-esophageal varices, pancreaticobiliary investigation with EUS, and other potential advantages in terms of patient safety. The issue of a holistic gastroenterologist approach was also discussed along with the potential for developing clinical research.

摘要

内镜超声(EUS)引导下的肝脏介入治疗,如弥漫性活检和门脉压力梯度测量,正在成为经皮治疗的潜在替代方法。本社论的目的是讨论所有可能使 EUS 引导方法成为经皮治疗的潜在替代方法的适应证,这些适应证可以与 EUS 检查相结合,如用于胃食管静脉曲张的上消化道内镜检查、EUS 胰胆检查以及其他患者安全方面的潜在优势。还讨论了整体胃肠病学家方法的问题以及开展临床研究的潜力。

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本文引用的文献

3
The use of endoscopic ultrasound in the diagnosis and management of portal hypertension.内镜超声在门脉高压症诊断和治疗中的应用。
Best Pract Res Clin Gastroenterol. 2022 Sep-Dec;60-61:101811. doi: 10.1016/j.bpg.2022.101811. Epub 2022 Nov 16.
4
Update on endoscopic ultrasound-guided liver biopsy.内镜超声引导下肝活检的最新进展。
World J Gastroenterol. 2022 Jul 28;28(28):3586-3594. doi: 10.3748/wjg.v28.i28.3586.
6
Baveno VII - Renewing consensus in portal hypertension.《巴韦诺 VII 共识:门静脉高压领域的新共识》
J Hepatol. 2022 Apr;76(4):959-974. doi: 10.1016/j.jhep.2021.12.022. Epub 2021 Dec 30.

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