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Review
. 2019 Oct;7(10):E1262-E1275.
doi: 10.1055/a-0958-2183. Epub 2019 Oct 1.

The role of EUS in diagnosis and treatment of liver disorders

Sara Campos  1   2 , Jan-Werner Poley  2 , Lydi van Driel  2 , Marco J Bruno  2
Affiliations
Review

The role of EUS in diagnosis and treatment of liver disorders

Sara Campos et al. Endosc Int Open. 2019 Oct.

Abstract

Background and aim Transabdominal ultrasound (US), computed tomographic scanning (CT) and magnetic resonance imaging (MRI) are established diagnostic tools for liver diseases. Percutaneous transhepatic cholangiography is used to perform hepatic interventional procedures including biopsy, biliary drainage procedures, and radiofrequency ablation. Despite their widespread use, these techniques have limitations. Endoscopic ultrasound (EUS), a tool that has proven useful for evaluating the mediastinum, esophagus, stomach, pancreas, and biliary tract, has an expanding role in the field of hepatology complementing the traditional investigational modalities. This review aimed to assess the current scientific evidence regarding diagnostic and therapeutic applications of EUS for hepatic diseases.

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Conflict of interest statement

Competing interests None

Figures

Fig. 1
Fig. 1
Liver segments described by Couinaud .
Fig. 2 a
Fig. 2 a
Longitudinal and b cross-sectional schematic representations of linear EUS scans through the liver from the proximal stomach . MHV, middle hepatic vein; LHV, left hepatic vein; UP, umbilical part of the left portal vein; Ao, aorta.
Fig. 3
Fig. 3
Typical enhancement patterns of FLL with contrast-enhanced ultrasound.
Fig. 4
Fig. 4
CE-EUS in liver metastases, with arterial hyperenhancement with rim-like enhancement.
Fig. 5
Fig. 5
EUS-guided tissue sampling of a hepatic malignant lesion.
Fig. 6
Fig. 6
Fundus varices in EUS a without Doppler and b with EUS-Doppler.
Fig. 7
Fig. 7
EUS-guided cyanoacrylate in varices. a EUS-doppler evaluation of varices. b EUS-puncture of the varix. c EUS-guided cyanoacrylate. d Varix total obliteration with the cyanoacrylate.
See this image and copyright information in PMC

References

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