The Evolving Role of Therapeutic Endoscopy in Patients with Chronic Liver Diseases, An Issue of Clinics in Liver Disease

Cover image

Title page

Table of Contents

Copyright

Contributors

Forthcoming Issues

Preface

Management of Thrombocytopenia and Coagulopathy in Patients with Chronic Liver Disease Undergoing Therapeutic Endoscopic Interventions

Key points

The biology of hemostasis in patients with cirrhosis

Tests to measure coagulation status in patients with cirrhosis

Global assessments of hemostasis in patients with cirrhosis

Patient-related factors that influence bleeding risk in patients with cirrhosis

Bleeding risk of endoscopic procedures

Efficacy of threshold-based transfusion strategies in patients with cirrhosis

Recommendations of professional societies

Summary

Clinics care points

Polypectomy, Endoscopic Mucosal Resection, and Endoscopic Submucosal Dissection in the Cirrhotic Population

Key points

Introduction

Indications for endoscopic resection

Outcomes of endoscopic resection techniques

Adverse events of endoscopic resection in the general population

Outcomes of polypectomy, endoscopic mucosal resection, and endoscopic submucosal dissection in patients with cirrhosis

Adverse events in the upper gastrointestinal tract

Endoscopic resection in cirrhotic patients from the authors' perspective

Disclosure

Endoscopic Treatment of Esophageal Varices

Key points

Introduction

Epidemiology

Pathophysiology

Diagnosis and risk stratification

Prevention of first esophageal variceal hemorrhage

Endoscopic treatments for acute esophageal variceal hemorrhage and prevention of rebleeding

Summary

Clinics care points

Endoscopic Treatment of Gastric and Ectopic Varices

Key points

Introduction

Endoscopic therapy for gastric varices

Endoscopic ultrasound-guided treatment of gastric varices

Summary

Clinics care points

Role of Endoscopic Retrograde Cholangiopancreatography in the Diagnosis and Management of Cholestatic Liver Diseases

Introduction

Summary

Improving Diagnostic Yield in Indeterminate Biliary Strictures

Key points

Introduction

Endoscopic workup

Summary

Clinics care points

Management of Biliary Complications in Liver Transplant Recipients

Key points

Introduction

Pathophysiology and risk factors

Clinical presentation and diagnosis of biliary complications

Management

Biliary stones, sludge, and casts

Complications following living donor transplantation

Advanced endoscopic techniques

Summary

Endoscopic Ultrasound-Guided Biliary Interventions in Liver Disease

Key points

Introduction

Therapeutic options in endoscopic ultrasound-guided biliary access

Clinical outcomes

Technical considerations

Discussion

Future directions

Clinics care points

Endoscopic Ultrasound for the Diagnosis and Staging of Biliary Malignancy

Key points

Cholangiocarcinoma: definition, basic principles, and challenges

Endoscopic ultrasound and tissue sampling in biliary malignancy

Endoscopic ultrasound and its role in the staging of biliary malignancy

Diagnostic approach to biliary strictures and suspected biliary malignancy

Ancillary techniques, new technologies, and future directions

Safety considerations and limitations

Summary

Clinics care points

Endoscopic Ultrasound-Guided Liver Biopsy

Key points

Introduction

Endoscopic ultrasound-guided liver biopsy technique

Comparison of endoscopic ultrasound-guided liver biopsy methods

Efficacy and safety

Endoscopic ultrasound-guided liver biopsy compared with other biopsy methods

Special patient populations

Disadvantages to endoscopic ultrasound-guided liver biopsy

Summary

Clinics care points

Endoscopic Bariatric Interventions in Patients with Chronic Liver Disease

Key points

Introduction

Endoscopic bariatric interventions

Impact of endoscopic bariatric interventions in chronic liver disease

Summary

Clinics care points

Endoscopic Ultrasound Evaluation of Portal Pressure

Key points

Hepatic venous pressure gradient measurement versus endoscopic ultrasound-guided techniques

Clinical use of portal vein gradient evaluation

Hepatic evaluation by endoscopic ultrasound: One stop shop

Summary

Clinics care points