Endoscopic ultrasound in portal hypertension:navigating venous hemodynamics and treatment efficacy  

作　　者：Irina Dragomir Cristina Pojoga Claudia Hagiu Radu Seicean Bogdan Procopet Andrada Seicean 

机构地区：[1]“Iuliu Hatieganu”University of Medicine and Pharmacy,Cluj Napoca,Romania [2]Regional Institute of Gastroenterology and Hepatology“Prof.Dr.Octavian Fodor”,Cluj Napoca,Romania [3]UBB Med,Babes¸-Bolyai University,Department of Clinical Psychology and Psychotherapy,International Institute for Advanced Study of Psychotherapy and Applied Mental Health,Cluj Napoca,Romania [4]First Surgical Clinic,County Emergency Hospital,Cluj Napoca,Romania

出　　处：《Gastroenterology Report》2024年第1期689-700,共12页胃肠病学报道(英文)

摘　　要：Portal hypertension-related complications increase mortality in patients,irrespective of its etiology.Classically,endoscopic ultrasound(EUS)was used to assess the portal venous system and collaterals,considering size and hemodynamic parameters,which correlate with portal hypertension(PH)and related complications.Furthermore,therapeutic EUS guides treatment interventions,such as embolization of the gastric varices through coil placement and tissue adhesive injection,yielding encouraging clinical results.Recently,the direct measurement of portal pressure,emerging as an alternative to hepatic venous pressure gradient,has shown promise,and further research in this area is anticipated.In this review,we aimed to provide a detailed description of various possibilities for diagnosing vascular anatomy and hemodynamics in PH and actual knowledge on the EUS usefulness for PH vessel-related complications.Also,future promises for this field of endo-hepatology are discussed.

关 键 词：endoscopic ultrasound portal hypertension esophageal varices gastric varices gastrointestinal hemorrhage CIRRHOSIS portal pressure gradient 

分 类 号：R73[医药卫生—肿瘤]