Update of endoscopy in liver disease: More than just treating varices

Christoforos Krystallis, Gail S. Masterton, Peter C. Hayes, John N. Plevris*

*Corresponding author for this work

Research output: Contribution to journalArticlepeer-review

Abstract

The management of complications in liver disease is often complex and challenging. Endoscopy has undergone a period of rapid expansion with numerous novel and specialized endoscopic modalities that are of increasing value in the investigation and management of the patient with liver disease. In this review, relevant literature search and expert opinions have been used to provide a brief overview and update of the current endoscopic management of patients with liver disease and portal hypertension. The main areas covered are safety of endoscopy in patients with liver disease, the use of standard endoscopy for the treatment of varices and the role of new endoscopic modalities such as endoscopic ultrasound, esophageal capsule, argon plasma coagulation, spyglass and endomicroscopy in the investigation and treatment of liver-related gastrointestinal and biliary pathology. It is clear that the role of the endoscopy in liver disease is well beyond that of just treating varices. As the technology in endoscopy expands, so does the role of the endoscopist in liver disease. (C) 2012 Baishideng. All rights reserved.

Original languageEnglish
Pages (from-to)401-411
Number of pages11
JournalWorld Journal of Gastroenterology
Volume18
Issue number5
DOIs
Publication statusPublished - 7 Feb 2012

Keywords

  • Cirrhosis
  • PORTAL HYPERTENSIVE GASTROPATHY
  • BLEEDING GASTRIC VARICES
  • Endoscopic retrograde cholangiopancreatography
  • ANTRAL VASCULAR ECTASIA
  • PRIMARY SCLEROSING CHOLANGITIS
  • Endoscopic ultrasound
  • EUS-GUIDED SCLEROTHERAPY
  • PEPTIC-ULCER-DISEASE
  • Portal hypertension
  • Esophageal capsule
  • Varices
  • ARGON PLASMA COAGULATION
  • HELICOBACTER-PYLORI ERADICATION
  • ESOPHAGEAL COLLATERAL VEINS
  • Endomicroscopy
  • RANDOMIZED CONTROLLED-TRIAL
  • Spyglass

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