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Endoscopic Ultrasound (EUS) and FibroScan are valuable diagnostic tools in gastroenterology and hepatology, each with specific applications and techniques.
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Liver and gallbladder diseases are a significant health concern, with prominent conditions including cirrhosis, hepatitis, non-alcoholic fatty liver disease (NAFLD), and gallstones. Jaundice is a common manifestation of liver and biliary disease.
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Endoscopic Retrograde Cholangiopancreatography (ERCP) is a diagnostic procedure that combines endoscopy and fluoroscopy to diagnose and treat conditions related to the bile ducts, pancreatic ducts, and gallbladder. This procedure is beneficial for identifying and addressing blockages, gallstones, strictures, and tumors within the biliary or pancreatic systems. ERCP is both diagnostic and therapeutic, offering the ability to visualize and treat identified problems in one session.
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The pancreas, an elongated and flat gland situated behind the stomach, serves a vital function in digesting food and managing blood sugar levels.
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Advances in Endohepatology.

Wim Laleman1,2, Joachim Mertens3, Emma Vanderschueren1

  • 1Department of Gastroenterology and Hepatology, Section of Liver and Biliopancreatic Disorders, University Hospitals Leuven, KU LEUVEN, Leuven, Belgium.

The American Journal of Gastroenterology
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PubMed
Summary

Endohepatology, integrating advanced endoscopy with liver disease care, offers new diagnostic and therapeutic options. This approach provides comprehensive "one-stop clinic" interventions for liver patients, improving care efficiency.

Keywords:
endohepatologyendoscopic ultrasoundgastroesophageal varicesportal hypertension

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Area of Science:

  • Hepatology
  • Gastroenterology
  • Medical Technology

Background:

  • Endoscopic procedures for liver disease have significantly increased and evolved.
  • Endohepatology integrates advanced endoscopy, particularly endoscopic ultrasound (EUS), into hepatology practice.

Purpose of the Study:

  • To review current trends and future developments in endohepatology.
  • To highlight the diagnostic and therapeutic applications of advanced endoscopy in liver disease management.

Main Methods:

  • Review of current applications of endohepatology.
  • Focus on endoscopic ultrasound (EUS)-guided procedures.
  • Discussion of oncological, vascular, and metabolic interventions.

Main Results:

  • EUS enables advanced diagnostics like liver biopsy and portal pressure gradient measurement.
  • EUS facilitates interventions such as gastric varices embolization.
  • Endohepatology offers efficient "one-stop clinic" interventions.

Conclusions:

  • Endohepatology represents a significant advancement in managing liver disease.
  • Further developments are expected, though challenges remain.
  • The integration of endoscopy enhances comprehensive patient care in hepatology.