Castleberry Drew T, Mann Rupinder, Tharian Benjamin, Thandassery Ragesh Babu
Department of Internal Medicine, Division of Gastroenterology, University of Arkansas for Medical Sciences, Little Rock, AR 72202, United States.
Department of Internal Medicine, Division of Gastroenterology, Central Arkansas Veterans Healthcare System, Little Rock, AR 72202, United States.
World J Gastrointest Endosc. 2025 Sep 16;17(9):108549. doi: 10.4253/wjge.v17.i9.108549.
Advanced endoscopic methods like endoscopic ultrasound (EUS) have recently been applied for the management of complications related to cirrhosis. This includes novel techniques to measure portal pressure gradients, esophageal, gastric, and ectopic varices management, and EUS-assisted treatment of liver tumors. Management of liver tumors has seen significant changes in recent years, and many minimally invasive procedures have been approved, especially in the management of liver cell carcinoma. These are specialized procedures and are performed only in patients with cirrhosis in specialized centers. There are concerns for complications in patients with cirrhosis due to their increased risk of bleeding and the altered hemostatic milieu. This minireview summarizes the recent evidence on using EUS in the management of cirrhosis-related complications.
像内镜超声（EUS）这样的先进内镜方法最近已被应用于肝硬化相关并发症的管理。这包括测量门静脉压力梯度的新技术、食管、胃和异位静脉曲张的管理以及EUS辅助治疗肝肿瘤。近年来，肝肿瘤的管理发生了显著变化，许多微创手术已获批准，尤其是在肝细胞癌的管理方面。这些都是专门的手术，仅在专业中心为肝硬化患者进行。由于肝硬化患者出血风险增加和止血环境改变，人们担心其会出现并发症。本综述总结了关于使用EUS管理肝硬化相关并发症的最新证据。
