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Hepatobiliary/GI Interventions

The interventional radiologists at Rush Copley work closely with gastroenterologists and surgeons to provide a variety of treatment methods for patients experiencing biliary and hepatic diseases.

Treatment options for Biliary Disease includes

  • Percutaneous Transhepatic Cholangiograhpy (PTC) is performed by injecting contrast into the bile ducts to locate obstructions and anatomic abnormalities.
  • Perctutaneous Biliary Drains (PBDs) are placed in the biliary system in order to decompress the liver. In addition, stenotic areas can be crossed allowing placement of the drain into the GI tract and potentially opening strictures.
  • Biliary Stents can be placed across persistent biliary strictures resulting from tumors.
  • Cholecystostomy Drains are guided into the gallbladder using ultrasound and fluoroscopy in addition to, or in lieu of, surgery to safely decompress an inflamed gallbladder.

Treatment options for Hepatic Disease includes

  • Percutaneous Liver Biopsies are performed quickly and safely with ultrasound guidance.
  • Transjugular Liver Biopsies are utilized to obtain tissue samples from patients with coagulopathic disorders. In addition, intrahepatic pressure measurements can be easily obtained to assess the need for further intervention.
  • TIPS (Transjugular Intrahepatic Portocaval Shunt) is a coplex procedure in which a shunt is fomed in patients with severe cirrhosis, recurrent ascites, and variceal bleeding who are experiencing a high pressure portal venous system and low pressure systemic circulation.
  • Variceal Embolizations is used to control bleeding and is often performed in conjunction with a TIPS procedure.

Gastrointestinal Procedures include

  • Permanent gastric tubes are placed percutaneously into the stomach.
  • Mesenteric Angiography is used to detect decreased arterial flow to the abdomen. Stents can be inserted within the mesenteric vasculature to improve flow.
  • GI Bleed Treatment includes the use of angiography to identify the site of bleeding and use of various embolizations materials to stop blood flow.