Portal hypertension in the era of endo-hepatology: Emerging diagnostic and therapeutic roles of endoscopy and endoscopic ultrasound

doi:10.4253/wjge.122980

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World Journal of Gastrointestinal Endoscopy

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1948-5190

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

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Copyright: ©Author(s) 2026. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution-NonCommercial (CC BY-NC 4.0) license. No commercial re-use. See permissions. Published by Baishideng Publishing Group Inc.

World J Gastrointest Endosc. Jul 16, 2026; 18(7): 122980
Published online Jul 16, 2026. doi: 10.4253/wjge.122980

Portal hypertension in the era of endo-hepatology: Emerging diagnostic and therapeutic roles of endoscopy and endoscopic ultrasound

Savita Madhankumar, Dareen S Chuy, Isabella Hillman, Saikalyan Thimirisetty, Anokhi Amara, Micheal Tadros

Savita Madhankumar, Isabella Hillman, Saikalyan Thimirisetty, Anokhi Amara, Albany Medical College, Albany, NY 12208, United States

Dareen S Chuy, Department of Internal Medicine, Cleveland Clinic, Cleveland, OH 44195, United States

Micheal Tadros, Department of Gastroenterology and Hepatology, Albany Medical Center, Albany, NY 12208, United States

Co-corresponding authors: Savita Madhankumar and Micheal Tadros.

Author contributions: Tadros M and Madhankumar S designed the research study and led the project; Madhankumar S, Chuy DS, Hillman I, Thimirisetty S and Amara A analyzed and interpreted the data; Madhankumar S, Chuy DS, Hillman I, Thimirisetty S and Amara A drafted the manuscript; Tadros M and Madhankumar S performed critical revision of the manuscript for important intellectual content; Madhankumar S, Chuy DS, Hillman I, Thimirisetty S and Amara A performed substantive revisions and editing of the manuscript; Madhankumar S and Tadros M supervised the study; and all authors have made significant contributions to this study and have approved the final manuscript.

AI contribution statement: AI-assisted tools (ChatGPT) were used only for minor editorial revisions, including grammar and language refinement. All scientific content, interpretation, and final approval were performed by the authors.

Conflict-of-interest statement: All authors declare that they have no conflict of interest to disclose.

Corresponding author: Savita Madhankumar, BA, Albany Medical College, 47 New Scotland Avenue, Albany, NY 12208, United States. madhans@amc.edu

Received: May 7, 2026
Revised: June 29, 2026
Accepted: July 8, 2026
Published online: July 16, 2026
Processing time: 73 Days and 2.4 Hours

Core Tip

Core Tip: Endoscopy is expanding beyond its traditional hemostatic role in portal hypertension into an integrated tool that expands its clinical potential. Advances in endoscopic ultrasound-based procedures allow for a comprehensive single-session evaluation of disease severity and bleeding risk. This endo-hepatology approach facilitates risk stratification and more informed clinical decision-making and a shift toward more personalized care in patients with chronic liver disease.