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Endo-hepatology: a new paradigm
Kenneth J Chang1, Jason B Samarasena, Takuji Iwashita
1Division of Gastroenterology and Hepatology, H.H. Chao Comprehensive Digestive Disease Center, University of California, Irvine, 101 The City Drive, Orange, CA 92868, USA. kchang@uci.edu
Hepatology has advanced with new viral hepatitis treatments, increasing the need for liver function assessment. The integration of endoscopic procedures into hepatology practice is proposed as endo-hepatology.
Area of Science:
- Hepatology and Gastroenterology
- Minimally Invasive Procedures
Background:
- Recent advancements in viral hepatitis treatment necessitate improved liver function assessment and histology evaluation.
- There is a growing number of endoscopic procedures relevant to patients with liver disease.
- Current practices often separate hepatology and endoscopic procedures, creating a gap in integrated patient care.
Purpose of the Study:
- To introduce and define the concept of endo-hepatology.
- To highlight the benefits of integrating endoscopic procedures within hepatology practice.
- To advocate for a unified approach to liver disease and portal hypertension management.
Main Methods:
- Conceptual framework development.
- Literature review of current hepatology and endoscopy practices.
- Analysis of the overlap between liver disease management and endoscopic interventions.
Main Results:
- Identification of a significant overlap between hepatology and gastrointestinal endoscopy.
- The proposed field of endo-hepatology offers a framework for integrating these disciplines.
- This integration can streamline the assessment and treatment of liver disease and portal hypertension.
Conclusions:
- Endo-hepatology represents a crucial integration of endoscopic procedures within hepatology.
- This unified approach can enhance the comprehensive care of patients with liver disease.
- Specialists in liver/gastrointestinal diseases can benefit from adopting endo-hepatology principles.
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