Update of endoscopy in liver disease:More than just treating varices  

作　　者：Christoforos Krystallis Gail S Masterton Peter C Hayes John N Plevris 

机构地区：[1]Centre for Liver and Digestive Disorders,The Royal Infirmary,University of Edinburgh,Edinburgh EH16 4SA,United Kingdom

出　　处：《World Journal of Gastroenterology》2012年第5期401-411,共11页世界胃肠病学杂志（英文版）

摘　　要：The management of complications in liver disease is often complex and challenging.Endoscopy has undergone a period of rapid expansion with numerous novel and specialized endoscopic modalities that are of increasing value in the investigation and management of the patient with liver disease.In this review,relevant literature search and expert opinions have been used to provide a brief overview and update of the current endoscopic management of patients with liver disease and portal hypertension.The main areas covered are safety of endoscopy in patients with liver disease,the use of standard endoscopy for the treatment of varices and the role of new endoscopic modalities such as endoscopic ultrasound,esophageal capsule,argon plasma coagulation,spyglass and endomicroscopy in the investigation and treatment of liver-related gastrointestinal and biliary pathology.It is clear that the role of the endoscopy in liver disease is well beyond that of just treating varices.As the technology in endoscopy expands,so does the role of the endoscopist in liver disease.The management of complications in liver disease is of- ten complex and challenging. Endoscopy has undergone a period of rapid expansion with numerous novel and specialized endoscopic modalities that are of increasing value in the investigation and management of the pa- tient with liver disease. In this review, relevant literature search and expert opinions have been used to provide a brief overview and update of the current endoscopic management of patients with liver disease and portal hypertension. The main areas covered are safety of en- doscopy in patients with liver disease, the use of stan- dard endoscopy for the treatment of varices and the role of new endoscopic modalities such as endoscopic ultrasound, esophageal capsule, argon plasma coagula- tion, spyglass and endomicroscopy in the investigation and treatment of liver-related gastrointestinal and biliary pathology. It is clear that the role of the endoscopy in liver disease is well beyond that of just treating varices. As the technology in endoscopy expands, so does the role of the endoscopist in liver disease.

关 键 词：Cirrhosis Portal hypertension VARICES En-doscopic ultrasound Esophageal capsule Endoscopicretrograde cholangiopancreatography Endomicros-copy Spyglass 

分 类 号：R575.2[医药卫生—消化系统]