Luigiano C, Iabichino G, Judica A, Virgilio C, Peta V, Abenavoli L. Role of endoscopy in management of gastrointestinal complications of portal hypertension. World J Gastrointest Endosc 2015; 7(1): 1-12 [PMID: 25610530 DOI: 10.4253/wjge.v7.i1.1]
Corresponding Author of This Article
Ludovico Abenavoli, MD, PhD, Department of Health Sciences, University Magna Graecia, Campus Germaneto, Viale Europa, 88100 Catanzaro, Italy. l.abenavoli@unicz.it
Research Domain of This Article
Gastroenterology & Hepatology
Article-Type of This Article
Review
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. Jan 16, 2015; 7(1): 1-12 Published online Jan 16, 2015. doi: 10.4253/wjge.v7.i1.1
Role of endoscopy in management of gastrointestinal complications of portal hypertension
Carmelo Luigiano, Giuseppe Iabichino, Antonino Judica, Clara Virgilio, Valentina Peta, Ludovico Abenavoli
Carmelo Luigiano, Clara Virgilio, Unit of Gastroenterology and Digestive Endoscopy, ARNAS Garibaldi, 95122 Catania, Italy
Giuseppe Iabichino, Antongiulio Judica, Postgraduate School of Gastroenterology, University of Catania, 95122 Catania, Italy
Valentina Peta, Ludovico Abenavoli, Department of Health Science, University Magna Græcia, 88100 Catanzaro, Italy
Author contributions: Luigiano C and Abenavoli L designed research, edited and finalized the text; Iabichino G and Judica A performed literature search, analyzed the data and wrote the text; Virgilio C and Peta V reviewed the paper for important intellectual content.
Open-Access: 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/
Correspondence to: Ludovico Abenavoli, MD, PhD, Department of Health Sciences, University Magna Graecia, Campus Germaneto, Viale Europa, 88100 Catanzaro, Italy. l.abenavoli@unicz.it
Telephone: +39-0961-3694387 Fax: +39-0961-754220
Received: August 13, 2014 Peer-review started: August 13, 2014 First decision: September 16, 2014 Revised: October 30, 2014 Accepted: November 17, 2014 Article in press: November 19, 2014 Published online: January 16, 2015 Processing time: 155 Days and 12.7 Hours
Abstract
The management of patients with gastrointestinal complications of portal hypertension is often complex and challenging. The endoscopy plays an important role in the management of these patients. The role of endoscopy is both diagnostic and interventional and in the last years the techniques have undergone a rapid expansion with the advent of different and novel endoscopic modalities, with consequent improvement of investigation and treatment of these patients. The choice of best therapeutic strategy depends on many factors: baseline disease, patient’s clinical performance and the timing when it is done if in emergency or a prophylactic approaches. In this review we evaluate the endoscopic management of patients with the gastrointestinal complications of portal hypertension.
Core tip: Endoscopy plays a primary role in the staging, diagnosis and treatment of gastrointestinal complications of portal hypertension. In this review, we summarize data from randomized clinical trials or prospective studies together with meta-analytical data, when applicable, to present the most updated recommendations on endoscopic management of the gastrointestinal complications of portal hypertension.
