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Semin intervent Radiol
DOI: 10.1055/s-0044-1801333
Review Article

Percutaneous Transgastric Endoscopic Interventions

Neil K. Jain
1   Division of Vascular and Interventional Radiology, MedStar Georgetown University Hospital, Washington, District of Columbia
,
Aazrin Mir
2   Department of Interventional Radiology, Georgetown University School of Medicine, Washington, District of Columbia
,
Nariman Nezami
1   Division of Vascular and Interventional Radiology, MedStar Georgetown University Hospital, Washington, District of Columbia
3   Division of Vascular and Interventional Radiology, MedStar Washington Hospital Center, Washington, District of Columbia
,
John B. Smirniotopoulos
1   Division of Vascular and Interventional Radiology, MedStar Georgetown University Hospital, Washington, District of Columbia
3   Division of Vascular and Interventional Radiology, MedStar Washington Hospital Center, Washington, District of Columbia
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Abstract

Gastrointestinal and hepatobiliary diseases are managed by various specialists, including gastroenterologists, surgeons, and interventional radiologists. Percutaneous cholangioscopy and endoscopy have immense potential within the field of interventional radiology (IR), especially given the unique ability to combine fluoroscopic guidance with direct visualization of internal structures. Transgastric endoscopy, in particular, is valuable for patients who already have established gastrostomy access or those unsuitable for surgery or traditional esophagogastroduodenoscopy. Cases of transgastric endoscopy have shown successful treatments for choledocolithiasis, duodenal collections, pancreatic leaks, and foreign body removal. As more research is conducted, percutaneous endoscopy could become an integrated part of various IR procedures, providing personalized treatment for patients who have exhausted conventional approaches.

Keywords

interventional endoscopy - transgastric endoscopy - cholangioscopy - interventional radiology


Publication History

Article published online:
28 January 2025

© 2025. Thieme. All rights reserved.

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