EUS Elastography in Evaluating Chronic Liver Disease. Why not from Inside?
Fibrosis is the liver's scarring response to injury, culminating in cirrhosis and its complications. Percutaneous liver biopsy with connective tissue stain is considered more likely a ''silver'', rather than a ''gold standard'' for assessing the degree of hepatic fibrosis. That's why new modalities were recently developed to accurately assess the stage of the liver disease. The term ''elastography'' describes an imaging technique that conveys information about a tissue's relative firmness in response to compression, meaning it is more akin to palpation than inspection. Real-time transabdominal elastography represents a new technology for measurement of tissue elasticity integrated in ultrasound systems and can be performed with conventional ultrasound probes during a routine sonography examination. Some of its limitations are that it cannot explore neither all the patients, nor a sufficient size of the liver. In order to overcome these, now that the technology exists, we propose an endoscopic approach from the "inside".
Research Center of Gastroenterology and Hepatology, University of Medicine and Pharmacy Craiova, România ; Gastroenterology Department, Clinic of Internal Medicine, "Carol Davila" University of Medicine and Pharmacy, Colentina Clinical Hospital, Bucharest, România.
M
M
Rimbaş
Research Center of Gastroenterology and Hepatology, University of Medicine and Pharmacy Craiova, România.
D I
DI
Gheonea
Research Center of Gastroenterology and Hepatology, University of Medicine and Pharmacy Craiova, România.
Larisa
L
Săndulescu
Research Center of Gastroenterology and Hepatology, University of Medicine and Pharmacy Craiova, România.
A
A
Săftoiu
Department of Surgical Gastroenterology, Gentofte University Hospital Copenhagen, Denmark.
P
P
Vilmann
Research Center of Gastroenterology and Hepatology, University of Medicine and Pharmacy Craiova, România.
T
T
Ciurea
chronic liver disease; elastography; endoscopic ultrasound elastography