Yang J, Zeng Y, Zhang JW. Endoscopic ultrasound-guided diagnosis and treatment of gastric varices. World J Gastrointest Endosc 2022; 14(12): 748-758 [PMID: 36567822 DOI: 10.4253/wjge.v14.i12.748]
Corresponding Author of This Article
Jun-Wen Zhang, MD, Chief Doctor, Professor, Department of Gastroenterology, The First Affiliated Hospital of Chongqing Medical University, No. 1 Youyi Road, Yuzhong District, Chongqing 400016, China. 959308413@qq.com
Research Domain of This Article
Gastroenterology & Hepatology
Article-Type of This Article
Minireviews
Open-Access Policy of This Article
This article is an open-access article which was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution Non Commercial (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/
World J Gastrointest Endosc. Dec 16, 2022; 14(12): 748-758 Published online Dec 16, 2022. doi: 10.4253/wjge.v14.i12.748
Endoscopic ultrasound-guided diagnosis and treatment of gastric varices
Jian Yang, Yan Zeng, Jun-Wen Zhang
Jian Yang, Jun-Wen Zhang, Department of Gastroenterology, The First Affiliated Hospital of Chongqing Medical University, Chongqing 400016, China
Yan Zeng, Department of Psychology, The Second Affiliated Hospital of Chongqing Medical University, Chongqing 400010, China
Author contributions: Yang J and Zeng Y contributed equally to this work. Yang J, Zeng Y, and Zhang JW designed the study; Yang J and Zeng Y performed the literature search, analyzed the data, and wrote the manuscript; and all authors have read and approved the final 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: Jun-Wen Zhang, MD, Chief Doctor, Professor, Department of Gastroenterology, The First Affiliated Hospital of Chongqing Medical University, No. 1 Youyi Road, Yuzhong District, Chongqing 400016, China. 959308413@qq.com
Received: September 13, 2022 Peer-review started: September 13, 2022 First decision: October 17, 2022 Revised: October 25, 2022 Accepted: November 21, 2022 Article in press: November 21, 2022 Published online: December 16, 2022 Processing time: 91 Days and 15.1 Hours
Abstract
Gastric varices (GV) represent a common and severe complication in patients with portal hypertension, commonly seen in patients with cirrhosis and severe pancreatic disease. Endoscopic ultrasonography is a safe and efficacious approach that can perform real-time ultrasonic scanning and intervention for the gastrointestinal submucosa, portal vein and its tributaries, and collateral circulations during direct endoscopic observation. Recently, various studies have been published about endoscopic ultrasound (EUS)-guided management of GV, mainly including diagnosis, treatment, and prognostic analysis. This article reviews published articles and guidelines to present the development process and current management of EUS-guided GV procedures.
Core Tip: Gastric varices (GV) are a common and severe complication in patients with portal hypertension, and GV bleed more severely with a higher mortality rate than esophageal varices. With increased applications in GV management, endoscopic ultrasound (EUS) has demonstrated diagnosis and treatment benefits, particularly in cases of refractory bleeding or those unsuitable for conventional therapies by preoperative assessments, and thus enriches originally-limited options. The advantages of EUS exist throughout the process, from diagnosis, preoperative assessment, treatment, and efficacy evaluation to follow-up in GV patients. This article reviews published articles and guidelines to present the recent EUS-guided management of GV.
