Endo-Hepatologie: Neue endoskopische Lösungen für alte hepatologische Probleme

Zusammenfassung

Mit der rasanten Entwicklung des endoskopischen Ultraschalls (EUS) sind auch in der Hepatologie neuartige diagnostische und therapeutische Optionen hinzugekommen. Neue Anwendungen wie die EUS-gesteuerte Pfortaderdruckmessung (in Kombination mit der EUS-gesteuerten Leberbiopsie) oder die EUS-gesteuerte Varizenobliteration mittels Coils und Kleber bieten attraktive Verfahren, die potenziell auch Limitationen der bisherigen Goldstandards überwinden können. In diesem Übersichtsartikel geben wir einen Überblick über diese neuen Techniken der „Endo-Hepatologie“ und ordnen ihre aktuelle Rolle in der Behandlung von Lebererkrankungen ein.

Abstract

With the rapid development of endoscopic ultrasound (EUS), diagnostic and therapeutic platforms have emerged that are applicable in hepatology. New tools such as EUS-guided portal pressure measurement (in combination with EUS-guided liver biopsy) or EUS-guided variceal obliteration using coils and glue present attractive procedures that can potentially overcome the limitations of current gold standards. In this review article, we provide an overview of these new ‘endo-hepatology’ techniques and highlight their current role in the treatment of liver diseases.

Schlüsselwörter

Leber - Portale Hypertension - Endoskopie - Endoskopischer Ultraschall - EUS PPG - Endohepatologie - HVPG - Zirrhose - Varizen - Elastographie

Keywords

Liver - portal hypertension - endoscopy - endoscopic ultrasound - EUS PPG - endohepatology - HVPG - cirrhosis - varices - elastography

Publikationsverlauf

Eingereicht: 02. Dezember 2024

Angenommen nach Revision: 10. April 2025

Artikel online veröffentlicht:
30. April 2025

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