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Endoscopic ultrasound-guided vascular interventions: An expanding paradigm

World Journal of Gastrointestinal Endoscopy 2023年第4期15卷 216-239页

作者： jahnvi dhar Jayanta Samanta Gastroenterology Sohana Multispeciality HospitalMohali 140308India Gastroenterology Post Graduate Institute of Medical Education and ResearchChandigarh 160012India

Endoscopic ultrasound(EUS)has expanded its arena from a mere diagnostic modality to an essential therapeutic tool in managing gastrointestinal(GI)*** proximity of the GI tract to the vascular structures in the mediastinum and the abdomen has facilitated the growth of EUS in the field of vascular *** provides important clinical and anatomical information related to the vessels'size,appearance and *** excellent spatial resolution,use of colour doppler with or without contrast enhancement and ability to provide images“real-time”helps in precision while intervening vascular ***,structures such as venous collaterals or varices can be dealt with optimally using ***-guided vascular therapy with coil and glue combination has revolutionized the management of portal *** also helps to avoid radiation exposure in addition to being minimally *** advantages have led EUS to become an upcoming modality to complement traditional interventional radiology in the field of vascular ***-guided portal vein(PV)access and therapy is a new kid on the ***-guided portal pressure gradient measurement,injecting chemotherapy in PV and intrahepatic portosystemic shunt has expanded the horizons of ***,EUS has also forayed into cardiac interventions allowing pericardial fluid aspiration and tumour biopsy with experimental data on access to valvular ***,we provide a comprehensive review of the expanding paradigm of EUS-guided vascular interventions in GI bleeding,portal vein access and its related therapeutic interventions,cardiac access,and therapy.A synopsis of all the technical details involving each procedure and the available data has been tabulated,and the future trends in this area have been highlighted.

关键词： Gastrointestinal bleeding Vascular intervention Gastric varices Pseudoaneurysm Portal vein Portal pressure gradient measurement

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Role of endoscopic ultrasound in the field of hepatology: Recent advances and future trends

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World Journal of Hepatology 2021年第11期13卷 1459-1483页

作者： jahnvi dhar Jayanta Samanta Department of Gastroenterology Post Graduate Institute of Medical Education and ResearchChandigarh 160012India

The role of endoscopic ultrasound(EUS)as a diagnostic and therapeutic modality for the management of various gastrointestinal diseases has been *** imaging or intervention for various liver diseases has primarily been the domain of *** the advances in EUS,the domain of endosonologists is rapidly expanding in the field of *** ability to combine endoscopy and sonography in one hybrid device is a unique property of EUS,together with the ability to bring its probe/transducer near the liver,the area of *** excellent spatial resolution and ability to provide real-time images coupled with several enhancement techniques,such as contrast-enhanced(CE)EUS,have facilitated the growth of *** concept of“Endo-hepatology”encompasses the wide range of diagnostic and therapeutic procedures that are now gradually becoming feasible for managing various liver *** advancements can enable a wide array of techniques from elastography and liver biopsy for liver parenchymal diseases,to CE-EUS for focal liver lesions to portal pressure measurements for managing various liver ***,therapeutic advancements range from EUS-guided eradication of varices,drainage of bilomas and abscesses to various EUS-guided modalities of liver tumor *** provide a comprehensive review of all the different diagnostic and therapeutic EUS modalities available for the management of various liver diseases.A synopsis of all the technical details involving each procedure and the available data has been tabulated,and the future trends in this area have been highlighted.

关键词： Endoscopic ultrasound Liver disease Elastography Varices Liver tumor Liver biopsy

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