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World J Gastrointest Endosc. Aug 16, 2021; 13(8): 296-301
Published online Aug 16, 2021. doi: 10.4253/wjge.v13.i8.296
Endo-hepatology: An emerging field
Daniel E Hogan, Michael Ma, David Kadosh, Alisha Menon, Kana Chin, Arun Swaminath
Daniel E Hogan, Michael Ma, Arun Swaminath, Division of Gastroenterology, Lenox Hill Hospital, Northwell Health, New York, NY 10075, United States
David Kadosh, Alisha Menon, Department of Internal Medicine, Lenox Hill Hospital, Northwell Health, New York, NY 10075, United States
Kana Chin, Department of Internal Medicine, Long Island Jewish Forest Hills, Northwell Health, Forest Hills, NY 11375, United States
Author contributions: Hogan DE and Ma M wrote the manuscript; Kadosh D, Menon A, Chin K collected articles for review; Swaminath A provided critical insight and revisions to the manuscript.
Conflict-of-interest statement: The authors of this review have no significant conflicts of interest to disclose.
Open-Access: This article is an open-access article that was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution NonCommercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: http://creativecommons.org/Licenses/by-nc/4.0/
Corresponding author: Daniel E Hogan, DO, Doctor, Division of Gastroenterology, Lenox Hill Hospital, Northwell Health, Lenox Hill Hospital 100 E 77th St 2nd Floor, Lachman Pavilion, New York, NY 10075, United States. dhogan3@northwell.edu
Received: March 16, 2021
Peer-review started: March 16, 2021
First decision: May 4, 2021
Revised: June 13, 2021
Accepted: July 16, 2021
Article in press: July 16, 2021
Published online: August 16, 2021
Abstract

Gastroenterologists have long been spearheading the care of patients with various forms of liver disease. The diagnosis and management of liver disease has traditionally been a combination of clinical, laboratory, and imaging findings coupled with percutaneous and intravascular procedures with endoscopy largely limited to screening for and therapy of esophageal and gastric varices. As the applications of diagnostic and therapeutic endoscopic ultrasound (EUS) have evolved, it has found a particular niche within hepatology now coined endo-hepatology. Here we discuss several EUS-guided procedures such as liver biopsy, shear wave elastography, direct portal pressure measurement, paracentesis, as well as EUS-guided therapies for variceal hemorrhage.

Keywords: Endoscopic ultrasound, Therapeutic endoscopic ultrasound, Hepatology, Liver disease, Liver biopsy

Core Tip: Endo-hepatology in an emerging field which utilizes diagnostic and therapeutic endoscopic ultrasound to help gastroenterologists diagnose and manage liver disease. Our paper will focus on liver biopsy, ultrasound and shear wave elastography, ascitic fluid sampling, portal pressure measurement, management of varices, and vascular interventions.