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EUS in portal hypertension

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Abstract:

SUMMARY The mechanisms involved in the development and natural history of Portal Hypertension are far away to be clearly known. Endoscpic Ultrasonography is a branch of gastrointestinal endoscopy, that has achieved a world wide acceptance in the evaluation of many clinical settings during last years. Some of these indications are now clearly stated, while others are under evaluation. The possibility to apply EUS in portal hypertension has been studied by several Authors during last years, both in the diagnosis and in the management of this complication of liver cirrhosis. In fact EUS studies have been performed on the hemodynamic assessment of portal vein system, azygos vein, varices and portosystemic collaterals. In the management of portal hypertension EUS has been studied both for the assessment of the efficacy of drug therapy and for endocopic treatment. Data obtained are preliminary but very interesting and promising, and have given a great impulse to this field of clinical research. Key Words: Endoscopie ultrasonography, portal hypertension, bleeding, doppler

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