Liver Diseases
Conditions
Brief summary
The purpose of this study is to evaluate the efficacy, safety, and adequacy of Endoscopic Ultrasound (EUS) Portal Pressure Gradient Measurement (PPGM) in patients undergoing EUS-guided liver biopsies.
Detailed description
Patients undergoing EUS-guided liver biopsy may qualify to participate in this study. The purpose of this study is to evaluate the efficacy, safety, and adequacy of EUS- Portal Pressure Gradient Measurement (PPGM) in patients with liver disease referred for EUS-guided liver biopsy.
Interventions
The endoscopic ultrasound (EUS)-guided 25G fine needle aspirate (FNA) needle procedure is a straightforward minimally invasive technique for direct portal pressure measurements.
Sponsors
Study design
Eligibility
Inclusion criteria
* Age 18 years or older * Patient who has been referred for EUS procedure and direct PPG measurement and -undergoing EUS-guided liver biopsy * History of liver disease or suspected cirrhosis and considered for PPGM
Exclusion criteria
* Patient is less than 18 or greater than 85 years of age * Patient is pregnant, breast-feeding, or planning to become pregnant during the course of the study * Patient is unwilling or unable to sign and date the informed consent * Patient for whom endoscopic procedures are contraindicated.
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Portal Pressure Gradient Measurements from Hepatic and Portal Veins | 2 years | A catheter is inserted into the hepatic vein before hepatic venous pressure and portal vein pressure are recorded |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Correlation between Portal Pressure Gradient Measurements and the presence or absence of portal hypertension | 2 years | Statistical tests to determine relationship between portal pressure gradient measurements and portal hypertension |
| Clinical significance between portal pressure gradient measurement and portal hypertension | 2 years | Presence of varices, hypertensive gastropathy, or thrombocytopenia. |
Countries
United States
Contacts
The Methodist Hospital Research Institute