Endohepatology: Current perspectives and future directions

Abstract

Endoscopic procedures have been integral to the management of patients with liver disease, primarily focusing on luminal interventions such as variceal band ligation. Since the introduction of endoscopic ultrasound, the breadth of procedures has rapidly expanded, leading to the emergence of a new field known as endoscopic hepatology or "endohepatology." This domain integrates endoscopic diagnostic and therapeutic techniques, particularly those which are endoscopic ultrasound-based, into hepatology practice. The comprehensive nature of endohepatology has revolutionized patient care by facilitating a streamlined yet comprehensive approach that enhances efficacy, reduces resource utilization and improves patient satisfaction. Patients can now undergo multiple procedures, such as variceal surveillance and endoscopic ultrasound-liver biopsy in a single session. This review explains the current landscape of endohepatology, highlighting established practices, recent technology advancements, and future directions in the field.