A Comprehensive Narrative Review on the Evolving Role of Endoscopic Ultrasound in Focal Solid Liver Lesions Diagnosis and Management

Sbeit, Wisam; Kadah, Anas; Mari, Amir; Mahamid, Mahmud; Khoury, Tawfik

doi:10.3390/diagnostics10090688

Cited by 8 publications

(10 citation statements)

References 77 publications

(80 reference statements)

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“…A thrilling offshoot of EUS guided therapeutic interventions has been EUS guided local treatment of tumor lesions (both pancreatic and hepatic tumors)[ 80 ]. EUS-guided tumor management is a new experimental application that has shown promise in reaching difficult lesions (left lobe, caudate lobe), provided a rescue option in refractory cases, and has potential to improve quality of life by minimizing systemic side effects[ 81 , 82 ].…”

Section: Eus For Liver Parenchyma Associated Diseasesmentioning

confidence: 99%

Role of endoscopic ultrasound in the field of hepatology: Recent advances and future trends

Dhar¹,

Samanta²

2021

WJH

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The role of endoscopic ultrasound (EUS) as a diagnostic and therapeutic modality for the management of various gastrointestinal diseases has been expanding. The imaging or intervention for various liver diseases has primarily been the domain of radiologists. With the advances in EUS, the domain of endosonologists is rapidly expanding in the field of hepatology. The ability to combine endoscopy and sonography in one hybrid device is a unique property of EUS, together with the ability to bring its probe/transducer near the liver, the area of interest. Its excellent spatial resolution and ability to provide real-time images coupled with several enhancement techniques, such as contrast-enhanced (CE) EUS, have facilitated the growth of EUS. The concept of “Endo-hepatology” encompasses the wide range of diagnostic and therapeutic procedures that are now gradually becoming feasible for managing various liver diseases. Diagnostic advancements can enable a wide array of techniques from elastography and liver biopsy for liver parenchymal diseases, to CE-EUS for focal liver lesions to portal pressure measurements for managing various liver conditions. Similarly, therapeutic advancements range from EUS-guided eradication of varices, drainage of bilomas and abscesses to various EUS-guided modalities of liver tumor management. We provide a comprehensive review of all the different diagnostic and therapeutic EUS modalities available for the management of various liver diseases. A synopsis of all the technical details involving each procedure and the available data has been tabulated, and the future trends in this area have been highlighted.

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Section: Eus For Liver Parenchyma Associated Diseasesmentioning

confidence: 99%

Role of endoscopic ultrasound in the field of hepatology: Recent advances and future trends

Dhar¹,

Samanta²

2021

WJH

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“…[ 47 48 49 ] Meticulous screening of the liver should be routine in patients undergoing EUS examination for the staging suspected or known primary malignancy. [ 42 48 50 ] This approach can save patients from unnecessary attempted curative resection.…”

Section: Eus In Management Of Focal Liver Lesionsmentioning

confidence: 99%

Diagnostic and interventional EUS in hepatology: An updated review

2022

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EUS has become an increasingly used diagnostic and therapeutic modality in the armamentarium of endoscopists. With ever-expanding indications, EUS is being used in patients with liver disease, for both diagnosis and therapy. EUS is playing an important role in providing additional important information to that provided by cross-sectional imaging modalities such as computerized tomography and magnetic resonance imaging. Domains of therapy that were largely restricted to interventional radiologists have become accessible to endosonologists. From liver biopsy and sampling of liver lesions to ablative therapy for liver lesions and vascular interventions for varices, there is increased use of EUS in patients with liver disease. In this review, we discuss the various diagnostic and therapeutic applications of EUS in patients with various liver diseases.

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“…Third, EUS-LB is usually performed under deep sedation, resulting in a more pleasant experience for the patient and, unlike the percutaneous approach, there is no risk of lesion shifting caused by patient noncompliance. Fourth, EUS-LB is less invasive and associated with a very low complication rate (36). Finally, EUS-LB offers the flexibility to simultaneously obtain biopsy samples from more than one site suspected of malignancy.…”

Section: Eus-fna From Malignant Liver Tumors A) Smear With Rare Cells...mentioning

confidence: 99%

Endoscopic Ultrasound-guided Biopsy of Liver Tumors

Ichim

Chira

Nagy

et al. 2022

In Vivo

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Background/Aim: Endoscopic ultrasound (EUS)guided liver tumor biopsy has some advantages over the percutaneous and surgical route and, in many cases, should be preferred. The aim of this study was to evaluate the role of EUS-fine needle aspiration (FNA) in the diagnosis of liver tumors with an emphasis on its diagnostic accuracy and histological quality of the acquired specimen. Patients and Methods: We followed 30 consecutive patients who underwent liver tumor biopsy using EUS guidance. Tissue was acquired using a 22-gauge FNA needle. Results: In 97% of patients, the results of EUS-FNA were adequate for diagnosis. In one case, the pathologist recommended a repeat biopsy. The acquired specimen was a core fragment in 81% of cases while in 19% of cases the specimen was fragmented and subsequently used as a cell block. No complications were reported. Conclusion: EUS-FNA is characterized by a high success rate on the acquisition of good-quality tissue specimens, a low rate of complications, and decreased patient discomfort. This procedure should be especially considered in the case of liver lesions that are inaccessible via the percutaneous route or when concurrent biopsies are required for accurate diagnosis. Patients and MethodsThirty patients who underwent liver tumor biopsy assisted by EUS guidance were followed between March 2020 and March 2021. The 890 This article is freely accessible online.

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A Comprehensive Narrative Review on the Evolving Role of Endoscopic Ultrasound in Focal Solid Liver Lesions Diagnosis and Management

Cited by 8 publications

References 77 publications

Role of endoscopic ultrasound in the field of hepatology: Recent advances and future trends

Role of endoscopic ultrasound in the field of hepatology: Recent advances and future trends

Diagnostic and interventional EUS in hepatology: An updated review

Endoscopic Ultrasound-guided Biopsy of Liver Tumors

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