Current state of endohepatology: Diagnosis and treatment of portal hypertension and its complications with endoscopic ultrasound

doi:10.4254/wjh.v13.i8.887

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World Journal of Hepatology

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1948-5182

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Baishideng Publishing Group Inc, 7041 Koll Center Parkway, Suite 160, Pleasanton, CA 94566, USA

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World J Hepatol. Aug 27, 2021; 13(8): 887-895
Published online Aug 27, 2021. doi: 10.4254/wjh.v13.i8.887

Current state of endohepatology: Diagnosis and treatment of portal hypertension and its complications with endoscopic ultrasound

Sean R Rudnick, Jason D Conway, Mark W Russo

Sean R Rudnick, Jason D Conway, Section on Gastroenterology & Hepatology, Wake Forest School of Medicine, Winston-Salem, NC 27157, United States

Mark W Russo, Department of Hepatology, Atrium Health, Carolinas Medical Center, Charlotte, NC 28204, United States

Author contributions: Rudnick SR wrote the manuscript; Conway JD and Russo MW assisted in the editing the manuscript for content and accuracy.

Conflict-of-interest statement: Authors declare no conflict of interests for this article.

Corresponding author: Sean R Rudnick, MD, Assistant Professor, Section on Gastroenterology & Hepatology, Wake Forest School of Medicine, Medical Center Boulevard, Winston-Salem, NC 27157, United States. srudnick@wakehealth.edu

Received: March 5, 2021
Peer-review started: March 5, 2021
First decision: April 6, 2021
Revised: May 18, 2021
Accepted: August 4, 2021
Article in press: August 4, 2021
Published online: August 27, 2021
Processing time: 168 Days and 8 Hours

Core Tip

Core Tip: In this review we familiarize the reader to salient aspects of endoscopic ultrasound (EUS)-guided hepatic interventions including liver biopsy, portal pressure measurements, and treatment of gastric varices, and outline the data supporting their use. We highlight the potential advantages and disadvantages of EUS guided interventions compared to the current standards of care, and propose clinical scenarios in which EUS guided interventions may be favored over the current standard of care.