EUS-guided portal pressure gradient measurement in patients with acute or subacute portal hypertension

Zhang, Wei; Peng, Chunyan; Zhang, Song; Huang, Shenglan; Shen, Shanshan; Xu, Guifang; Zhang, Feng; Xiao, Jiangqiang; Zhang, Ming; Zhuge, Yuzheng; Wang, Lei; Zou, Xiaoping; Lv, Ying

doi:10.1016/j.gie.2020.06.065

Cited by 73 publications

(89 citation statements)

References 18 publications

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“…Unfortunately, because of the inability to perform HVPG measurements, 2 patients with Budd-Chiari syndrome (BCS) were not included in the final study. 1 As for BCS, however, we still do not rule out the possibility of differences in the consistency of HVPG and PPG. The transmission of pressure in the liver sinusoids could be blocked by the stenosis of the hepatic veins, and the HVPG may be normal or elevated.…”

Section: Eus-guided Portal Pressure Gradient Measurement: a Promising Tool In Noncirrhotic Portal Hypertensionmentioning

confidence: 71%

“…We have read the study by Zhang et al 1 with great interest. They intended to study the correlation between EUS-guided portal pressure gradient (PPG) and hepatic venous pressure gradient (HVPG) in postsinusoidal and posthepatic portal pressure patients.…”

Section: Eus-guided Portal Pressure Gradient Measurement: a Promising Tool In Noncirrhotic Portal Hypertensionmentioning

confidence: 99%

“…We appreciate Drs Xu and Ding 1 for their interest and comments on our recent publication "EUS-guided portal pressure gradient measurement in patients with acute or subacute portal hypertension." 2 First, in our study, the hepatic venous pressure gradient (HVPG) was not the unique reference standard for EUSguided portal pressure gradient (EUS-PPG).…”

Section: Responsementioning

confidence: 99%

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EUS-guided portal pressure gradient measurement: a promising tool in noncirrhotic portal hypertension

Ding

2021

Gastrointestinal Endoscopy

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Clinical importance of cold polypectomy during the insertion phase in the left side of the colon and rectum: a multicenter randomized controlled trial (PRESECT study). Gastrointest Endosc 2020;91:917-24. 6. Gweon TG, Lee SW, Ji JS, et al. Comparison of adenoma detection by colonoscopy between polypectomy performed during both insertion and withdrawal versus during withdrawal only: a multicenter, randomized, controlled trial. Surg Endosc. Epub 2020 Jan 17.

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Section: Eus-guided Portal Pressure Gradient Measurement: a Promising Tool In Noncirrhotic Portal Hypertensionmentioning

confidence: 71%

Section: Eus-guided Portal Pressure Gradient Measurement: a Promising Tool In Noncirrhotic Portal Hypertensionmentioning

confidence: 99%

Section: Responsementioning

confidence: 99%

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EUS-guided portal pressure gradient measurement: a promising tool in noncirrhotic portal hypertension

Ding

2021

Gastrointestinal Endoscopy

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“…A recent study from Zhang et al confirmed a high degree of consistency between EUS-PPG using a 22-gauge FNA needle and HVPG in patients with acute and subacute PH. The authors showed a strong association between the two variables, with a Pearson correlation coefficient of 0.923 [60]. Although the current literature suggests that EUS-PPG measurement as a means of direct portal pressure evaluation is safe and feasible, larger clinical trials and comparative studies assessing standard methodology and clinical effectiveness of this method are needed.…”

Section: Eus-guided Portal Hypertension Measurementmentioning

confidence: 98%

Role of Endoscopic Ultrasound in Liver Disease: Where Do We Stand?

et al. 2021

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As the burden of liver disease in the general populace steadily increases, so does the need for both advanced diagnostic and treatment options. Endoscopic ultrasound is a reliable diagnostic and therapeutic method that has an established role, foremost in pancreatobiliary pathology. This paper aims to summarize the growing role of endoscopic ultrasound in hepatology based on the search of the current literature. A number of applications of endoscopic ultrasound are reviewed, including both noninvasive methods and tissue acquisition in focal and diffuse liver disease, portal hypertension measurement, detection and management of gastric and esophageal varices, treatment of focal liver lesions and staging of pancreatobiliary malignancies, treatment of cystic and solid liver lesions, as well as liver abscess drainage. Both hepatologists and endoscopists should be aware of the evolving role of endoscopic ultrasound in liver disease. The inherent invasive nature of endoscopic examination limits its use to a targeted population identified using noninvasive methods. Endoscopic ultrasound is one the most versatile methods in gastroenterology, allowing immediate access with detection, sampling, and treatment of digestive tract pathology. Further expansion of its use in hepatology is immanent.

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“…30 Also, Zhang et al had demonstrated that EUS-guided PPG measurement not only is safe and feasible but also has strong correlation with HVPG measurement in human subjects. 31…”

Section: Endosonography-guided Portal Pressure Gradient Measurementmentioning

confidence: 99%

Recent Endoscopic Ultrasound-Related Publications With Potential to Influence Clinical Practice

Gawande

Daswani

Bhaware

et al. 2021

Journal of Digestive Endoscopy

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The field of endoscopic ultrasound (EUS) has evolved significantly over the last two decades from being a tool of only diagnostic purpose to tissue acquisition and now therapeutic potential. There have been several important publications in the field of EUS in the last few years, which had a major impact in the clinical management of various gastrointestinal disorders. In this review, we discuss four such articles that in our opinion will significantly impact the role of EUS in treating various conditions. The first article is a randomized controlled trial comparing EUS-guided gall bladder drainage with percutaneous gall bladder drainage for high-risk acute cholecystitis. The second article is a randomized controlled trial comparing EUS versus minimally invasive surgery for necrotizing pancreatitis. The third article is a novel human study of EUS-guided portal pressure measurement in patients with portal hypertension. The last article is also a randomized controlled trial evaluating the role of rapid on-site evaluation for EUS-guided fine needle biopsy in solid pancreatic lesions.

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EUS-guided portal pressure gradient measurement in patients with acute or subacute portal hypertension

Cited by 73 publications

References 18 publications

EUS-guided portal pressure gradient measurement: a promising tool in noncirrhotic portal hypertension

EUS-guided portal pressure gradient measurement: a promising tool in noncirrhotic portal hypertension

Role of Endoscopic Ultrasound in Liver Disease: Where Do We Stand?

Recent Endoscopic Ultrasound-Related Publications With Potential to Influence Clinical Practice

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