Liver Biopsy and Pressure Hemodynamics: GI Perspective

Varun Kesar, Vivek Kesar, Klaus Monkemuller, Paul Yeaton
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Abstract

Abstract Endoscopic ultrasound (EUS) has come a long way from mere diagnostic modality to performing interventional procedures like fine needle aspiration, gastric varices glue and coiling, and management of pancreatic fluid collection along with necrosectomy. Recently, EUS-guided biopsy of the liver has gained traction. This coupled with the ability to access the portal vein and measure portal pressure has made comprehensive liver evaluation possible using endoscopic route. In this review, we will discuss evolution and techniques of performing EUS-guided liver biopsy and portal pressure gradient. We will also compare the merits and demerits as compared with the other conventional techniques.
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肝活检和压力血流动力学:GI视角
内镜超声(EUS)已经从单纯的诊断方式发展到进行介入手术,如细针穿刺、胃静脉曲张粘连和盘绕,以及胰液收集和坏死切除术的管理。最近,eus引导下的肝脏活检获得了关注。这与进入门静脉和测量门静脉压力的能力相结合,使得使用内窥镜途径进行全面的肝脏评估成为可能。在这篇综述中,我们将讨论eus引导下肝活检和门静脉压力梯度的发展和技术。我们还将比较与其他传统技术相比的优点和缺点。
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