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

IF 4.3 3区 医学 Q1 GASTROENTEROLOGY & HEPATOLOGY World Journal of Gastroenterology Pub Date : 2024-10-28 DOI:10.3748/wjg.v30.i40.4333
Claudio Calvanese, Pietro Fusaroli
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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.

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肝脏内窥镜:我们为什么要在内窥镜超声引导下对肝脏进行干预,而我们可以通过皮肤进行干预?
内窥镜超声(EUS)引导下的肝脏介入治疗,如弥漫性活组织检查和门脉压力梯度测量,正在成为经皮手术的潜在替代方法。这篇社论的目的是论述所有可能使 EUS 引导方法成为经皮手术替代方法的适应症,包括可以加入 EUS 检查的程序,如上内镜检查胃食管静脉曲张、用 EUS 进行胰胆管检查,以及在患者安全方面的其他潜在优势。会议还讨论了胃肠病学家的整体方法问题以及发展临床研究的潜力。
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来源期刊
World Journal of Gastroenterology
World Journal of Gastroenterology 医学-胃肠肝病学
CiteScore
7.80
自引率
4.70%
发文量
464
审稿时长
2.4 months
期刊介绍: The primary aims of the WJG are to improve diagnostic, therapeutic and preventive modalities and the skills of clinicians and to guide clinical practice in gastroenterology and hepatology.
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