Endoscopy is and remains an indispensable tool in diagnosing and managing liver disease and its complications. Due to the progress in advanced endoscopy, endoscopy has become an alternative route for many surgical, percutaneous, and angiographic interventions, not only as a backup tool when conventional interventions fail but increasingly as a first-line choice. The term endo-hepatology refers to the integration of advanced endoscopy in the practice of hepatology. Endoscopy is key in the diagnosis and management of esophageal and gastric varices, portal hypertensive gastropathy, and gastric antral vascular ectasia. Endoscopic ultrasound (EUS) can be used for the evaluation of the liver parenchyma, liver lesions, and surrounding tissues and vessels, including targeted biopsy and complemented with new software functions. Moreover, EUS can guide portal pressure gradient measurement, and assess and help manage complications of portal hypertension. It is crucial that each present-day hepatologist is aware of the (rapidly increasing) full spectrum of diagnostic and therapeutic tools that exist within this field. In this comprehensive review, we would like to discuss the current endo-hepatology spectrum, as well as future directions for endoscopy in hepatology.

内窥镜检查现在仍然是诊断和治疗肝病及其并发症不可或缺的工具。由于先进内窥镜检查的进步，内窥镜检查已成为许多手术、经皮和血管造影干预的替代途径，不仅作为传统干预失败时的备用工具，而且越来越成为一线选择。肝内学一词是指先进内窥镜检查在肝病学实践中的整合。内窥镜检查对于食管和胃静脉曲张、门静脉高压性胃病和胃窦血管扩张症的诊断和治疗至关重要。超声内镜（EUS）可用于评估肝实质、肝脏病变以及周围组织和血管，包括靶向活检并辅以新的软件功能。此外，EUS可以指导门静脉压力梯度测量，并评估和帮助管理门静脉高压并发症。至关重要的是，当今的每一位肝病学家都必须了解该领域存在的（迅速增加的）全方位诊断和治疗工具。在这篇综合综述中，我们想讨论当前的肝内镜检查范围，以及肝病内窥镜检查的未来方向。