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Endoscopic ultrasound in portal hypertension: navigating venous hemodynamics and treatment efficacy.
Dragomir, Irina; Pojoga, Cristina; Hagiu, Claudia; Seicean, Radu; Procopet, Bogdan; Seicean, Andrada.
Affiliation
  • Dragomir I; "Iuliu Hatieganu" University of Medicine and Pharmacy, Cluj Napoca, Romania.
  • Pojoga C; Regional Institute of Gastroenterology and Hepatology "Prof. Dr. Octavian Fodor", Cluj Napoca, Romania.
  • Hagiu C; Regional Institute of Gastroenterology and Hepatology "Prof. Dr. Octavian Fodor", Cluj Napoca, Romania.
  • Seicean R; 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.
  • Procopet B; "Iuliu Hatieganu" University of Medicine and Pharmacy, Cluj Napoca, Romania.
  • Seicean A; Regional Institute of Gastroenterology and Hepatology "Prof. Dr. Octavian Fodor", Cluj Napoca, Romania.
Gastroenterol Rep (Oxf) ; 12: goae082, 2024.
Article in En | MEDLINE | ID: mdl-39281269
ABSTRACT
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.
Key words

Full text: 1 Collection: 01-internacional Database: MEDLINE Language: En Journal: Gastroenterol Rep (Oxf) Year: 2024 Document type: Article Affiliation country: Romania Country of publication: United kingdom

Full text: 1 Collection: 01-internacional Database: MEDLINE Language: En Journal: Gastroenterol Rep (Oxf) Year: 2024 Document type: Article Affiliation country: Romania Country of publication: United kingdom