Bazarbashi Ahmad Najdat, Schulman Allison R
Division of Gastroenterology, King Faisal Specialist Hospital and Research Center, Riyadh, Kingdom of Saudi Arabia.
Division of Gastroenterology, Washington University in St. Louis/Barnes-Jewish Hospital, St. Louis, Missouri, USA.
Hepatol Commun. 2025 Aug 15;9(9). doi: 10.1097/HC9.0000000000000767. eCollection 2025 Sep 1.
Endoscopic procedures have been integral to the management of patients with liver disease, primarily focusing on luminal interventions such as variceal band ligation. Since the introduction of endoscopic ultrasound, the breadth of procedures has rapidly expanded, leading to the emergence of a new field known as endoscopic hepatology or "endohepatology." This domain integrates endoscopic diagnostic and therapeutic techniques, particularly those which are endoscopic ultrasound-based, into hepatology practice. The comprehensive nature of endohepatology has revolutionized patient care by facilitating a streamlined yet comprehensive approach that enhances efficacy, reduces resource utilization and improves patient satisfaction. Patients can now undergo multiple procedures, such as variceal surveillance and endoscopic ultrasound-liver biopsy in a single session. This review explains the current landscape of endohepatology, highlighting established practices, recent technology advancements, and future directions in the field.
内镜手术一直是肝病患者管理的重要组成部分,主要侧重于腔内干预,如静脉曲张套扎术。自内镜超声引入以来,手术范围迅速扩大,催生了一个名为内镜肝病学或“内镜肝脏病学”的新领域。该领域将内镜诊断和治疗技术,特别是基于内镜超声的技术,整合到肝病学实践中。内镜肝脏病学的综合性通过促进一种简化而全面的方法彻底改变了患者护理,这种方法提高了疗效、减少了资源利用并提高了患者满意度。患者现在可以在一次就诊中接受多种手术,如静脉曲张监测和内镜超声引导下肝活检。这篇综述解释了内镜肝脏病学的当前现状,突出了该领域的既定实践、最新技术进展和未来方向。