Percutaneous Transgastric Endoscopic Interventions

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.