Jain Neil K, Mir Aazrin, Nezami Nariman, Smirniotopoulos John B
Division of Vascular and Interventional Radiology, MedStar Georgetown University Hospital, Washington, District of Columbia.
Department of Interventional Radiology, Georgetown University School of Medicine, Washington, District of Columbia.
Semin Intervent Radiol. 2025 Jan 28;42(1):71-74. doi: 10.1055/s-0044-1801333. eCollection 2025 Feb.
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.
胃肠道和肝胆疾病由包括胃肠病学家、外科医生和介入放射科医生在内的各种专科医生进行管理。经皮胆管镜检查和内镜检查在介入放射学（IR）领域具有巨大潜力，特别是考虑到将荧光透视引导与内部结构直接可视化相结合的独特能力。尤其是经胃内镜检查，对于已经建立胃造口通路的患者或那些不适合手术或传统食管胃十二指肠镜检查的患者很有价值。经胃内镜检查病例已显示出对胆总管结石、十二指肠积液、胰漏和异物取出的成功治疗。随着更多研究的开展，经皮内镜检查可能会成为各种IR程序的一个组成部分，为那些已经用尽传统方法的患者提供个性化治疗。
