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Semin intervent Radiol 2018; 35(05): 477-485
DOI: 10.1055/s-0038-1676327
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Interventional Radiology-Operated Endoscopy: Indications, Implementation, and Innovation

Ravi N. Srinivasa
1   Division of Vascular and Interventional Radiology, Department of Radiology, University of Michigan Health Systems, Ann Arbor, Michigan
2   Division of Vascular and Interventional Radiology, Ronald Reagan UCLA Medical Center, Los Angeles, California
,
Rudra Pampati
1   Division of Vascular and Interventional Radiology, Department of Radiology, University of Michigan Health Systems, Ann Arbor, Michigan
,
Nishant Patel
3   Radiology Imaging Associates Endovascular, Englewood, Colorado
,
Rajiv N. Srinivasa
1   Division of Vascular and Interventional Radiology, Department of Radiology, University of Michigan Health Systems, Ann Arbor, Michigan
,
Anthony N. Hage
1   Division of Vascular and Interventional Radiology, Department of Radiology, University of Michigan Health Systems, Ann Arbor, Michigan
,
Jeffrey Forris Beecham Chick
4   Department of Cardiovascular and Interventional Radiology, Inova Alexandria Hospital, Alexandria, Virginia
› Author Affiliations
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Publication History

Publication Date:
05 February 2019 (online)

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Interventional radiologists perform a variety of image-guided procedures utilizing a variety of tools to create minimally invasive access into the biliary, gastrointestinal, and genitourinary systems, as well as other structures. Endoscopy has been utilized by other specialists, namely gastroenterology and urology, to treat similar pathologies, but interventional radiology-operated endoscopy has only been implemented at a few academic centers to date.

The learning curve for an interventional radiologist to become proficient at endoscopic interventions is tempered by the technical dexterity and hand–eye coordination already required for other image-guided procedures. Moreover, the relative safety of endoscopy evidenced by the routine performance of laryngoscopy, bronchoscopy, esophagogastroduodenoscopy, colonoscopy, and cystoscopy at the bedside or in outpatient clinics supports its implementation by interventional radiologists.

This article discusses the application of interventional radiology-operated endoscopy in the biliary, gastrointestinal, and genitourinary systems ([Fig. 1]).

Zoom Image
Fig. 1 Schematic illustration demonstrating various interventional radiology-operated endoscopic procedures. A sheath and endoscope are positioned within the gallbladder (a), kidney (b), stomach (c), and small bowel (d) for direct visualization.
 

  • References

  • 1 Halldestam I, Enell EL, Kullman E, Borch K. Development of symptoms and complications in individuals with asymptomatic gallstones. Br J Surg 2004; 91 (06) 734-738
    CrossrefPubMedGoogle Scholar
  • 2 Halldestam I, Kullman E, Borch K. Incidence of and potential risk factors for gallstone disease in a general population sample. Br J Surg 2009; 96 (11) 1315-1322
    CrossrefPubMedGoogle Scholar
  • 3 Hsieh YC, Chen CK, Su CW. , et al. Outcome after percutaneous cholecystostomy for acute cholecystitis: a single-center experience. J Gastrointest Surg 2012; 16 (10) 1860-1868
    CrossrefPubMedGoogle Scholar
  • 4 Arnaud JP, Pessaux P. Percutaneous cholecystostomy for high-risk acute cholecystitis patients. South Med J 2008; 101 (06) 577
    CrossrefPubMedGoogle Scholar
  • 5 Milella M, Alfa-Wali M, Leuratti L, McCall J, Bonanomi G. Percutaneous transhepatic cholangiography for choledocholithiasis after laparoscopic gastric bypass surgery. Int J Surg Case Rep 2014; 5 (05) 249-252
    CrossrefPubMedGoogle Scholar
  • 6 Dimou FM, Adhikari D, Mehta HB, Olino K, Riall TS, Brown KM. Incidence of hepaticojejunostomy stricture after hepaticojejunostomy. Surgery 2016; 160 (03) 691-698
    CrossrefPubMedGoogle Scholar
  • 7 Gor NV, Levy RM, Ahn J, Kogan D, Dodson SF, Cohen SM. Biliary cast syndrome following liver transplantation: predictive factors and clinical outcomes. Liver Transpl 2008; 14 (10) 1466-1472
    CrossrefPubMedGoogle Scholar
  • 8 Kim HJ, Lee SK, Kim MH. , et al. Safety and usefulness of percutaneous transhepatic cholecystoscopy examination in high-risk surgical patients with acute cholecystitis. Gastrointest Endosc 2000; 52 (05) 645-649
    CrossrefPubMedGoogle Scholar
  • 9 Wong SKH, Yu SCH, Lam YH, Chung SSC. Percutaneous cholecystostomy and endoscopic cholecystolithotripsy in the management of acute cholecystitis. Surg Endosc 1999; 13 (01) 48-52
    CrossrefPubMedGoogle Scholar
  • 10 Picus D, Hicks ME, Darcy MD. , et al. Percutaneous cholecystolithotomy: analysis of results and complications in 58 consecutive patients. Radiology 1992; 183 (03) 779-784
    CrossrefPubMedGoogle Scholar
  • 11 Kim YH, Kim YJ, Shin TB. Fluoroscopy-guided percutaneous gallstone removal using a 12-Fr sheath in high-risk surgical patients with acute cholecystitis. Korean J Radiol 2011; 12 (02) 210-215
    CrossrefPubMedGoogle Scholar
  • 12 Oberlin DT, Flum A, Bachrach L, Matulewicz RS, Flury SC. Contemporary surgical trends in the management of upper tract calculi. J Urol 2015; 193 (03) 880-884
    CrossrefPubMedGoogle Scholar
  • 13 Chick JFB, Romano N, Gemmete JJ, Srinivasa RN. Disposable single-use ureteroscopy-guided nephroureteral stent placement in a patient with pyelovesicostomy stricture and failed prior nephroureteral stent placement. J Vasc Interv Radiol 2017; 28 (09) 1319-1321
    CrossrefPubMedGoogle Scholar
  • 14 Phan J, Lall C, Moskowitz R, Clayman R, Landman J. Erosion of embolization coils into the renal collecting system mimicking stone. West J Emerg Med 2012; 13 (01) 127-130
    CrossrefPubMedGoogle Scholar
  • 15 Savoie P-H, Lafolie T, Gabaudan C. , et al. Late complication of selective renal arterial embolization after percutaneous surgery: renal “colic.”. Prog Urol 2007; 17 (04) 869-871
    CrossrefPubMedGoogle Scholar
  • 16 Kumar S, Jayant K, Singh SK. , et al. Delayed migration of embolized coil with large renal stone formation: a rare presentation. Case Rep Urol 2014; 2014: 687965
    PubMedGoogle Scholar
  • 17 Rutchik S, Wong P. Migration of arterial embolization coils as nidus for renal stone formation. J Urol 2002; 167 (06) 2520
    CrossrefPubMedGoogle Scholar
  • 18 Srinivasa RN, Chick JFB, Hage A. , et al. Erosion of embolization coils into the renal collecting system: Removal with prone transradial renal arteriography and nephroscopy. J Endourol 2017; 31 (10) 1019-1025
    CrossrefPubMedGoogle Scholar
  • 19 Tuca A, Guell E, Martinez-Losada E, Codorniu N. Malignant bowel obstruction in advanced cancer patients: epidemiology, management, and factors influencing spontaneous resolution. Cancer Manag Res 2012; 4: 159-169
    CrossrefPubMedGoogle Scholar
  • 20 Smothers L, Hynan L, Fleming J, Turnage R, Simmang C, Anthony T. Emergency surgery for colon carcinoma. Dis Colon Rectum 2003; 46 (01) 24-30
    CrossrefPubMedGoogle Scholar
  • 21 de Gregorio MA, Mainar A, Rodriguez J. , et al. Colon stenting: a review. Semin Intervent Radiol 2004; 21 (03) 205-216
    Article in Thieme ConnectPubMedGoogle Scholar
  • 22 Mauro MA, Koehler RE, Baron TH. Advances in gastrointestinal intervention: the treatment of gastroduodenal and colorectal obstructions with metallic stents. Radiology 2000; 215 (03) 659-669
    CrossrefPubMedGoogle Scholar
  • 23 Watt AM, Faragher IG, Griffin TT, Rieger NA, Maddern GJ. Self-expanding metallic stents for relieving malignant colorectal obstruction: a systematic review. Ann Surg 2007; 246 (01) 24-30
    CrossrefPubMedGoogle Scholar
  • 24 Shorvon P, Stevenson G. Should radiologists perform endoscopy?. AJR Am J Roentgenol 1986; 147 (05) 1078-1081
    CrossrefPubMedGoogle Scholar
  • 25 Endoscopy training. British Society of Gastrointestinal and Abdominal Radiology. Available at: https://www.bsgar.org/juniors/endoscopy-training-1/ . Accessed September 10, 2017
    PubMed