[Endoscopic ultrasonography in the assessment and management of complications of liver cirrhosis].
Upper gastrointestinal endoscopy plays a major role in the diagnostic and treatment of the complications of portal hypertension in patients with liver cirrhosis. Endosonography (EUS), which combines routine endoscopy and ultrasound examination has been so far infrequently used in these cohort of patients despite the fact that it offers much more detailed analysis of several features of portal hypertension, not detected with routine endoscopy. These include detection of so called "deep varices", assessment of the thickness of gastric wall, differentiation between thickened folds and varices or detection of subclinical amounts of ascitic fluid. In this paper we systematically review the current and potential future applications of EUS in the diagnostic and treatment of patients with liver cirrhosis.
Wiechowska-Kozłowska
Anna
A
Pomorska Akademia Medyczna w Szczecinie, Klinika Gastroenterologii. kosanna@neostrada.pl
Białek
Andrzej
A
Starzyńska
Teresa
T
Milkiewicz
Piotr
P
D019160:Endosonography; D004932:Esophageal and Gastric Varices / Q000000981:diagnostic imaging*; D006471:Gastrointestinal Hemorrhage / Q000000981:diagnostic imaging*; D006801:Humans; D006975:Hypertension, Portal / Q000000981:diagnostic imaging* / Q000209:etiology; D008103:Liver Cirrhosis / Q000150:complications / Q000000981:diagnostic imaging*