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Apport de l’écho-endoscopie dans l’hypertension portale

Endoscopic ultrasound in portal hypertension

  • Published:
Acta Endoscopica

Résumé

L’échoendoscopie (USE), en combinant la qualité de l’imagerie endoscopique et échographique toujours plus sophistiquée, peut aujourd’hui fournir une évaluation presque complète du système porte et de la circulation veineuse collatérale porto-systémique. Pour cette raison, pendant ces dernières années, plusieurs études ont été publiées dans le but d’explorer le potentiel diagnostique de l’USE dans le domaine de l’hypertension portale (HP) et ses multiples utilisations cliniques, même s’il manque encore des preuves rigoureuses que le diagnostic endosonographique et la thérapie assistée par USE puissent avoir un impact clinique clair et surtout influencer la prise en charge thérapeutique le pronostic et la survie des malades.

Summary

Endoscopic Ultrasound (EUS), with its unique combination of an always more accurate and brilliant endoscopic imaging and ultrasonic capabilities, can offer today an almost comprehensive evaluation of portal venous system and porto-systemic collateral circulation. For this reason in the last years several studies have been published aimed at exploring diagnostic potential of EUS in portal hypertension (PHT) and its various possibilities of clinical applications, but scientific evidence is still lacking that EUS imaging and EUS-assisted therapy can have a clearcut clinical impact and especially affect patients outcome.

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  1. Struttura Complessa di Gastroepatologia, Azienda Ospedaliera San Giovanni Battista di Torino (Ospedale Molinette), Università di Torino, Corso Bramante 88, 10126, Torino, (Italy)

    C. de Angelis, R. Pellicano, A. Repici, Patrizia Carucci & M. Rizzetto

  2. Struttura Complessa di Cardiologia, Ospedale degli Infermi di Rivoli, Torino, (Italy)

    Anna Isabello

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  1. C. de Angelis
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de Angelis, C., Isabello, A., Pellicano, R. et al. Apport de l’écho-endoscopie dans l’hypertension portale. Acta Endosc 33, 31–44 (2003). https://doi.org/10.1007/BF03023671

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