Role of Endoscopic Ultrasound in Liver Disease: Where Do We Stand?

Pavić, Tajana; Mikolašević, Ivana; Kralj, Dominik; Blazevic, Nina; Škrtić, Anita; Budimir, Ivan; Lerotić, Ivan; Hrabar, Davor

doi:10.3390/diagnostics11112021

Cited by 5 publications

(8 citation statements)

References 173 publications

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“…Furthermore, EUS-FNA/B can be a complementary procedure to ultrasound-guided liver biopsy when liver metastases biopsy is too challenging to acquire in the conventional way. [38,39]…”

Section: Methodsmentioning

confidence: 99%

“…Furthermore, EUS-FNA/B can be a complementary procedure to ultrasound-guided liver biopsy when liver metastases biopsy is too challenging to acquire in the conventional way. [38,39] Expert consensus Ultrasound-guided percutaneous liver biopsy should be the preferred method. Considering the prominent advantage of EUS-FNA/B in obtaining liver biopsies, it should be regarded as a crucial auxiliary procedure when conditions are met.…”

Section: Expert Consensusmentioning

confidence: 99%

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Chinese expert consensus on multidisciplinary diagnosis and treatment of pancreatic neuroendocrine liver metastases

Chi,

Jiang,

Shi

et al. 2023

Journal of Pancreatology

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Many management strategies are available for pancreatic neuroendocrine neoplasms with liver metastases. However, a lack of biological, molecular, and genomic information and an absence of data from rigorous trials limit the validity of these strategies. This review presents the viewpoints from an international conference consisting of several expert working groups. The working groups reviewed a series of questions of particular interest to clinicians taking care of patients with pancreatic neuroendocrine neoplasms with liver metastases by reviewing the existing management strategies and literature, evaluating the evidence on which management decisions were based, developing internationally acceptable recommendations for clinical practice, and making recommendations for clinical and research endeavors. The review for each question will be followed by recommendations from the panel.

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“…Furthermore, EUS-FNA/B can be a complementary procedure to ultrasound-guided liver biopsy when liver metastases biopsy is too challenging to acquire in the conventional way. [38,39]…”

Section: Methodsmentioning

confidence: 99%

Section: Expert Consensusmentioning

confidence: 99%

Chinese expert consensus on multidisciplinary diagnosis and treatment of pancreatic neuroendocrine liver metastases

Chi,

Jiang,

Shi

et al. 2023

Journal of Pancreatology

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“…A variety of new tools and techniques have also been developed for EUS to increase its diagnostic potential in a variety of conditions. Apart from just obtaining tissue samples, EUS can be used for therapeutic modalities such as injecting ethanol in primary or metastatic lesions in the liver [51]. Other therapeutic modalities being employed include the use of brachytherapy and the use of both photodynamic and thermoablative procedures.…”

Section: Overview Of Present State and Future Uses Of Eus-lbmentioning

confidence: 99%

Advances in Endoscopic Ultrasound (EUS)-Guided Liver Biopsy

et al. 2023

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Recent years have seen the emergence of endoscopic-ultrasound-guided liver biopsy (EUS-LB) as an effective alternative to traditional (percutaneous or transjugular) liver biopsy techniques. Comparative studies have demonstrated that both endoscopic and non-endoscopic approaches are similar in terms of diagnostic adequacy, accuracy, and adverse events; however, EUS-LB offers the advantage of reduced recovery time. Additionally, EUS-LB enables the sampling of both lobes of the liver as well as the advantage of portal pressure measurements. However, EUS-LB may be argued to have a high cost, although this procedure can be cost-effective if bundled with other endoscopic procedures. Approaches utilizing EUS-guided liver therapy, such as the administration of chemotherapeutic agents and EUS elastography, are in development, and their optimal integration into clinical care is likely to emerge in the coming years. In the present review, we evaluate the available literature on EUS-LB indications, contraindications, variations in needle biopsy techniques, comparative outcomes, advantages and disadvantages, and future trends and perspectives.

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“…Esophageal variceal bleeding is much more common than gastric varices, with high morbidity and mortality but fortunately carries less detrimental complications. In essence esophageal varices is a collateral circulation that develops due to portal hypertension[ 13 ]. Esophageal varices hemodynamics differ from patient to another, thus making their treatment problematic[ 14 ].…”

Section: Esophageal Varicesmentioning

confidence: 99%

“…Recently, the employment of glue injection and coil embolization techniques with EUS seem to be thriving in clinical practice. Stand-alone therapy options present with variable risk factors and complications, ultimately delegating to clinicians and technicians in the field to utilize a combination of both glue injection and coil embolization under the guidance of EUS[ 13 ]. The purpose of this review is to provide an update on the latest available evidence in the literature regarding the role of EUS in vascular interventions.…”

Section: Introductionmentioning

confidence: 99%

Role of endoscopic ultrasound in vascular interventions: Where are we now?

Fugazza¹,

Khalaf²,

Colombo³

et al. 2022

WJGE

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From a mere diagnostic tool to an imperative treatment modality, endoscopic ultrasound (EUS) has evolved and revolutionized safer efficient options for vascular interventions. Currently it is an alternative treatment option in the management of gastrointestinal bleeding, primarily variceal type bleeding. Conventional treatment option prior to EUS incorporation had limited efficiency and high adverse events. The characterization and detail provided by EUS gives a cutting edge towards a holistically successful management choice. Data indicates that EUS-guided combination therapy of coil embolization and glue injection has the higher efficacy for the treatment of varices. Conversely, similar treatment options that exist for esophageal and other ectopic variceal bleeding was also outlined. In conclusion, many studies refer that a combination therapy of coil and glue injection under EUS guidance provides higher technical success with fewer recurrence and adverse events, making its adaptation in the guideline extremely favorable. Endo-hepatology is a novel disciple with a promising future outlook, we reviewed topics regarding portal vein access, pressure gradient measurement, and thrombus biopsy that are crucial interventions as alternative of radiological procedures. The purpose of this review is to provide an update on the latest available evidence in the literature regarding the role of EUS in vascular interventions. We reviewed the role of EUS in variceal bleeding in recent studies, especially gastric varices and novel approaches aimed at the portal vein.

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Role of Endoscopic Ultrasound in Liver Disease: Where Do We Stand?

Cited by 5 publications

References 173 publications

Chinese expert consensus on multidisciplinary diagnosis and treatment of pancreatic neuroendocrine liver metastases

Chinese expert consensus on multidisciplinary diagnosis and treatment of pancreatic neuroendocrine liver metastases

Advances in Endoscopic Ultrasound (EUS)-Guided Liver Biopsy

Role of endoscopic ultrasound in vascular interventions: Where are we now?

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