关键词: diagnostic accuracy endoscopic ultrasound endoscopic ultrasound-guided liver biopsy percutaneous liver biopsy tissue acquisition

来  源:   DOI:10.1016/j.jceh.2023.08.009   PDF(Pubmed)

Abstract:
Endoscopic ultrasound-guided liver biopsy is increasingly being performed at several centers. It is also being promoted at endoscopy conferences. The currently available literature does not support the routine use of endoscopic ultrasound-guided liver biopsy as results are either inferior or comparable to percutaneous liver biopsy. We discuss the technical limitations of endoscopic ultrasound-guided liver biopsy when compared to percutaneous liver biopsy and the comparative studies in the current review. The routine use of endoscopic ultrasound-guided liver biopsy should be discouraged as it may get less tissue, the complication rate is similar and it is more costly.
摘要:
内镜超声引导肝活检越来越多地在几个中心进行。它也在内窥镜会议上得到推广。目前可用的文献不支持内镜超声引导肝活检的常规使用,因为结果不如经皮肝活检。我们讨论了超声内镜引导肝活检与经皮肝活检相比的技术局限性以及当前综述中的比较研究。应不鼓励常规使用超声内镜引导的肝活检,因为它可能会减少组织,并发症发生率相似,成本更高。
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