Letter to the Editor
Copyright ©The Author(s) 2024. Published by Baishideng Publishing Group Inc. All rights reserved.
World J Gastroenterol. Jun 14, 2024; 30(22): 2920-2922
Published online Jun 14, 2024. doi: 10.3748/wjg.v30.i22.2920
Is endoscopic ultrasound a promising technique in the diagnosis and treatment of liver diseases?
Enver Zerem, Željko Puljiz, Boris Zdilar, Suad Kunosic, Admir Kurtcehajic, Omar Zerem
Enver Zerem, Department of Medical Sciences, The Academy of Sciences and Arts of Bosnia and Herzegovina, Sarajevo 71000, Sarajevo Canton, Bosnia and Herzegovina
Željko Puljiz, Department of Gastroenterology and Hepatology, University Clinical Center Split, Split 21000, Croatia
Boris Zdilar, Department of Medicine, Croatian Military Academy, Zagreb 10000, Croatia
Suad Kunosic, Department of Physics, Faculty of Natural Sciences and Mathematics, University of Tuzla, Tuzla 75000, Tuzla Kanton, Bosnia and Herzegovina
Admir Kurtcehajic, Department of Gastroenterology and Hepatology, Blue Medical Group, Tuzla 75000, Tuzla Kanton, Bosnia and Herzegovina
Omar Zerem, Department of Internal Medicine, Cantonal Hospital “Safet Mujić” Mostar, Mostar 88000, Bosnia and Herzegovina
Author contributions: Zerem E wrote letter; Puljiz Ž, Zdilar B, Kunosic S, Kurtcehajic A and Zerem O revised manuscript.
Conflict-of-interest statement: All the authors report no relevant conflicts of interest for this article.
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: https://creativecommons.org/Licenses/by-nc/4.0/
Corresponding author: Enver Zerem, DSc, MD, Full Professor, Department of Medical Sciences, The Academy of Sciences and Arts of Bosnia and Herzegovina, Bistrik 7, Sarajevo 71000, Sarajevo Canton, Bosnia and Herzegovina. zerem@anubih.ba
Received: March 6, 2024
Revised: April 30, 2024
Accepted: May 20, 2024
Published online: June 14, 2024
Processing time: 91 Days and 11.7 Hours
Abstract

Percutaneous ultrasound has been a longstanding method in the diagnostics and interventional procedures of liver diseases. In some countries, its use is restricted to radiologists, limiting access for other clinicians, such as gastroenterologists. Endoscopic ultrasound, as a novel technique, plays a crucial role in diagnosis and treatment of digestive diseases. However, its use is sometimes recommended for conditions where no clear advantage over percutaneous ultrasound exists, leaving the impression that clinicians sometimes resort to an endoscopic approach due to the unavailability of percutaneous options.

Keywords: Endoscopic ultrasound, Percutaneous ultrasound, Liver biopsy, Fine needle aspiration, Focal liver lesion, Liver abscess drainage

Core Tip: Endoscopic ultrasound is crucial in managing digestive diseases. Yet, its application is occasionally advised in scenarios where it lacks superiority over percutaneous ultrasound. This editorial reviews the paper published in the World Journal of Gastroenterology in 2024, to discuss its findings and implications.