GI/Biliary Interventional Radiology Procedures

Percutaneous Cholecystostomy

What is percutaneous cholecystostomy?

Percutaneous cholecystostomy is a minimally invasive procedure that uses image guidance to insert a tube through a small incision into the gallbladder to drain infected fluid. This procedure is usually performed on patients who are too ill to undergo cholecystectomy (gallbladder removal).

Gastrostomy Tube Placement

What is a gatrostomy tube?

Gastrostomy is a minimally invasive procedure that uses x-ray guidance to insert a tube through the abdomen wall and into the stomach for feeding or drainage. Because this is a minimally invasive procedure, there is usually less complications and faster recovery compared to having surgery to place the tube.

Percutaneous Transhepatic Cholangiography with Biliary Stent and/or Drainage

What is percutaneous transhepatic cholangiography?

Percutaneous transhepatic cholangiography is an x-ray procedure where a contrast material is injected into the bile ducts inside the liver, which helps the radiologist see if there is a blockage or narrowing. If there is a blockage or narrowing a catheter may be inserted to drain the bile or a stent may be placed to open the bile duct and drain fluids naturally.

Transjugular Intrahepatic Portosystemic Shunt (TIPS)

What is TIPS?

TIPS is a procedure that uses x-ray guidance to to make a tunnel through the liver to connect the portal vein and one of the hepatic veins. The portal vein carries blood from the digestive organs to the liver and the hepatic veins carry blood from the liver to the heart. A stent is placed in the tunnel to keep the pathway open.

What are some common uses for TIPS?

TIPS is used to treat complications caused from portal hypertension, including:

  • bleeding from veins that drain the stomach, esophagus, or intestines into the liver.
  • fluid in the abdomen or chest.
  • blockage in a vein that carries blood from the liver back to the heart.
  • congested veins in the wall of the stomach, which may lead to severe bleeding.

Percutaneous Core Liver Biopsy

What is a percutaneous core liver biopsy?

A percutaneous core liver biopsy is a minimally invasive procedure that inserts a needle through the skin of the chest or abdomen to sample tissue from the liver. The sample is sent off to a lab to diagnose diseases of the liver.

Transjugular Liver Biopsy

What is a transjugular liver biopsy?

A transjugualr liver biopsy is similar to a percutaneous liver biopsy except the biopsy needle is inserted into the the jugular vein located in the neck instead of through the skin. Transjugular liver biopsies are used for patients with blood clotting problems or those with fluid in their abdomen. X-rays guide the tube through the jugular vein into the liver where a small needle is inserted to remove a small sample of liver tissue.