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Endohepatology: The endoscopic armamentarium in the hand of the hepatologist.

Authors :
Alwassief, Ahmed
Al Busafi, Said
Abbas, Qasim L.
Al Shamusi, Khalid
Paquin, Sarto C.
Sahai, Anand V.
Source :
Saudi Journal of Gastroenterology; Jan/Feb2024, Vol. 30 Issue 1, p4-13, 10p
Publication Year :
2024

Abstract

Recent advances in the field of hepatology include new and effective treatments for viral hepatitis. Further effort is now being directed to other disease entities, such as non-alcoholic fatty liver disease, with an increased need for assessment of liver function and histology. In fact, with the evolving nomenclature of fat-associated liver disease and the emergence of the term "metabolic-associated fatty liver disease" (MAFLD), new diagnostic challenges have emerged as patients with histologic absence of steatosis can still be classified under the umbrella of MAFLD. Currently, there is a growing number of endoscopic procedures that are pertinent to patients with liver disease. Indeed, interventional radiologists mostly perform interventional procedures such as percutaneous and intravascular procedures, whereas endoscopists focus on screening for and treatment of esophageal and gastric varices. EUS has proven to be of value in many areas within the realm of hepatology, including liver biopsy, assessment of liver fibrosis, measurement of portal pressure, managing variceal bleeding, and EUS-guided paracentesis. In this review article, we will address the endoscopic applications that are used to manage patients with chronic liver disease. [ABSTRACT FROM AUTHOR]

Details

Language :
English
ISSN :
13193767
Volume :
30
Issue :
1
Database :
Complementary Index
Journal :
Saudi Journal of Gastroenterology
Publication Type :
Academic Journal
Accession number :
175397467
Full Text :
https://doi.org/10.4103/sjg.sjg_214_23