Copyright ©The Author(s) 2021. Published by Baishideng Publishing Group Inc. All rights reserved.
World J Hepatol. Aug 27, 2021; 13(8): 887-895
Published online Aug 27, 2021. doi: 10.4254/wjh.v13.i8.887
Current state of endohepatology: Diagnosis and treatment of portal hypertension and its complications with endoscopic ultrasound
Sean R Rudnick, Jason D Conway, Mark W Russo
Sean R Rudnick, Jason D Conway, Section on Gastroenterology & Hepatology, Wake Forest School of Medicine, Winston-Salem, NC 27157, United States
Mark W Russo, Department of Hepatology, Atrium Health, Carolinas Medical Center, Charlotte, NC 28204, United States
Author contributions: Rudnick SR wrote the manuscript; Conway JD and Russo MW assisted in the editing the manuscript for content and accuracy.
Conflict-of-interest statement: Authors declare no conflict of interests 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:
Corresponding author: Sean R Rudnick, MD, Assistant Professor, Section on Gastroenterology & Hepatology, Wake Forest School of Medicine, Medical Center Boulevard, Winston-Salem, NC 27157, United States.
Received: March 5, 2021
Peer-review started: March 5, 2021
First decision: April 6, 2021
Revised: May 18, 2021
Accepted: August 4, 2021
Article in press: August 4, 2021
Published online: August 27, 2021
Core Tip

Core Tip: In this review we familiarize the reader to salient aspects of endoscopic ultrasound (EUS)-guided hepatic interventions including liver biopsy, portal pressure measurements, and treatment of gastric varices, and outline the data supporting their use. We highlight the potential advantages and disadvantages of EUS guided interventions compared to the current standards of care, and propose clinical scenarios in which EUS guided interventions may be favored over the current standard of care.