Extrapancreatic Advanced Endoscopic Interventions.

Authors

• Haresh Vijay Naringrekar
• Haroon Shahid
• Cyril Varghese
• Alex Schlachterman
• Sandeep P Deshmukh
• Christopher G Roth

Publication/Presentation Date

1-1-2022

Abstract

As the field of interventional endoscopy advances, conditions that were once treated with surgery are increasingly being treated with advanced endoscopy. Endoscopy is now used for treatment of achalasia, bariatric procedures for obesity; resection of early-stage malignancies in the gastrointestinal tract; and placement of lumen-apposing metal stents in the treatment of biliary obstruction, gastric outlet obstruction, cholecystitis, and drainage of nonpancreatic-related fluid collections or abscesses. Knowledge of the novel terminology, procedural details, expected postintervention imaging findings, and potential complications is vital for radiologists because these procedures are rapidly becoming more mainstream in daily practice. These procedures include peroral endoscopic myotomy for the treatment of achalasia and other esophageal motility disorders; endoscopic sleeve gastroplasty and placement of an intragastric balloon for weight loss; endoscopic submucosal dissection in the resection of tumors of the gastrointestinal tract; and therapeutic endoscopic-guided procedures for the treatment of biliary obstruction, gastric outlet obstruction, acute cholecystitis, and drainage of nonpancreatically related fluid collections. Patients benefit from these minimally invasive procedures, with potential improvement in morbidity and mortality rates, decreased length of hospital stay, and decreased health care costs when compared with the surgical alternative. Complications of these procedures include leaks or perforations, infections or abscesses, fistulas, and occlusion and migration of stents.

Volume

42

Issue

2

First Page

379

Last Page

396

ISSN

1527-1323

Published In/Presented At

Naringrekar, H. V., Shahid, H., Varghese, C., Schlachterman, A., Deshmukh, S. P., & Roth, C. G. (2022). Extrapancreatic Advanced Endoscopic Interventions. Radiographics : a review publication of the Radiological Society of North America, Inc, 42(2), 379–396. https://doi.org/10.1148/rg.210087

Disciplines

Business Administration, Management, and Operations | Health and Medical Administration | Management Sciences and Quantitative Methods

PubMedID

35089818

Department(s)

Administration and Leadership

Document Type

Article