Future Directions of Percutaneous Biliary Interventions

Abstract

We are at an exciting cross-road in biliary interventions. While other services such as surgery and gastroenterology have learned to use imaging guidance to improve the safety and efficacy of their procedures, it is time for interventional radiologist to learn endoscopic interventions to achieve the same. The future of interventional radiologists in managing patients with biliary disease depends on (1) increasing comfort of our procedures, (2) publishing our data on biliary interventions, and (3) increasing collaboration with other services to manage biliary disease. We need to appropriately understand the limitations of interventional radiology to help guide the future directions of our specialty in this very interesting space.

Keywords

biliary interventions - future directions - endoscopy

Publikationsverlauf

Artikel online veröffentlicht:
10. August 2021

• References

• 1 Burak K, Angulo P, Pasha TM, Egan K, Petz J, Lindor KD. Incidence and risk factors for cholangiocarcinoma in primary sclerosing cholangitis. Am J Gastroenterol 2004; 99 (03) 523-526
• 2 Manes G, Paspatis G, Aabakken L. et al. Endoscopic management of common bile duct stones: European Society of Gastrointestinal Endoscopy (ESGE) guideline. Endoscopy 2019; 51 (05) 472-491
• 3 Dumonceau JM, Tringali A, Papanikolaou IS. et al. Endoscopic biliary stenting: indications, choice of stents, and results: European Society of Gastrointestinal Endoscopy (ESGE) Clinical Guideline - Updated October 2017. Endoscopy 2018; 50 (09) 910-930
• 4 Auriemma F, De Luca L, Bianchetti M, Repici A, Mangiavillano B. Radiofrequency and malignant biliary strictures: an update. World J Gastrointest Endosc 2019; 11 (02) 95-102
• 5 McPherson SJ, Gibson RN, Collier NA, Speer TG, Sherson ND. Percutaneous transjejunal biliary intervention: 10-year experience with access via Roux-en-Y loops. Radiology 1998; 206 (03) 665-672
• 6 Morita S, Kitanosono T, Lee D. et al. Comparison of technical success and complications of percutaneous transhepatic cholangiography and biliary drainage between patients with and without transplanted liver. AJR Am J Roentgenol 2012; 199 (05) 1149-1152
• 7 Dinkel HP, Moll R, Gassel HJ. et al. Helical CT cholangiography for the detection and localization of bile duct leakage. AJR Am J Roentgenol 1999; 173 (03) 613-617
• 8 Severini A, Cozzi G, Salvetti M, Mazzaferro V, Doci R. Management of complications from hepatobiliary surgery using the percutaneous transjejunal approach. Tumori 1997; 83 (06) 912-917
• 9 Kim D, Bolus C, Iqbal SI. et al. Percutaneous transjejunal biliary access in 60 patients with bilioenteric anastomoses. J Vasc Interv Radiol 2019; 30 (01) 76-81.e1
• 10 Russell E, Yrizarry JM, Huber JS. et al. Percutaneous transjejunal biliary dilatation: alternate management for benign strictures. Radiology 1986; 159 (01) 209-214
• 11 Riaz A, Entezari P, Ganger D. et al. Percutaneous access of the modified Hutson loop for retrograde cholangiography, endoscopy, and biliary interventions. J Vasc Interv Radiol 2020; 31 (12) 2113-2120.e1
• 12 Riaz A, Pinkard JP, Salem R, Lewandowski RJ. Percutaneous management of malignant biliary disease. J Surg Oncol 2019; 120 (01) 45-56