Review
Copyright ©The Author(s) 2017. Published by Baishideng Publishing Group Inc. All rights reserved.
World J Radiol. Mar 28, 2017; 9(3): 97-111
Published online Mar 28, 2017. doi: 10.4329/wjr.v9.i3.97
Complementary roles of interventional radiology and therapeutic endoscopy in gastroenterology
David M Ray, Indu Srinivasan, Shou-Jiang Tang, Andreas S Vilmann, Peter Vilmann, Timothy C McCowan, Akash M Patel
David M Ray, Timothy C McCowan, Akash M Patel, Department of Radiology, Division of Interventional Radiology, University of Mississippi Medical Center, Jackson, MS 39216, United States
Indu Srinivasan, Shou-Jiang Tang, Division of Digestive Diseases, Department of Medicine, University of Mississippi Medical Center, Jackson, MS 39216, United States
Andreas S Vilmann, Peter Vilmann, GastroUnit, Division of Endoscopy, Copenhagen University Hospital Herlev, 2730 Herlev, Denmark
Author contributions: All authors were involved in the planning the design and conduct of the review paper, and equally in revising the manuscript and approving the final version; the initial research was conducted by Ray DM and Srinivasan I; Ray DM, Srinivasan I, Patel AM and Tang SJ were involved in drafting the manuscript.
Conflict-of-interest statement: Drs. David M Ray, Indu Srinivasan, Shou-Jiang Tang, Andreass S Vilmann, Timothy C McCowan, and Akash M Patel have no conflict of interest or financial to disclose related to this review. Peter Vilmann is a consultant at MediGlobe GmbH, Grassau, Germany.
Open-Access: This article is an open-access article which was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution Non Commercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: http://creativecommons.org/licenses/by-nc/4.0/
Correspondence to: Akash M Patel, MD, Department of Radiology, Division of Interventional Radiology, University of Mississippi Medical Center, 2500 North State Street, Jackson, MS 39216, United States. ampatel@umc.edu
Telephone: +1-601-9840454
Received: July 28, 2016
Peer-review started: July 31, 2016
First decision: September 2, 2016
Revised: November 12, 2016
Accepted: January 11, 2017
Article in press: January 14, 2017
Published online: March 28, 2017
Abstract

Acute upper and lower gastrointestinal bleeding, enteral feeding, cecostomy tubes and luminal strictures are some of the common reasons for gastroenterology service. While surgery was initially considered the main treatment modality, the advent of both therapeutic endoscopy and interventional radiology have resulted in the paradigm shift in the management of these conditions. In this paper, we discuss the patient’s work up, indications, and complementary roles of endoscopic and angiographic management in the settings of gastrointestinal bleeding, enteral feeding, cecostomy tube placement and luminal strictures. These conditions often require multidisciplinary approaches involving a team of interventional radiologists, gastroenterologists and surgeons. Further, the authors also aim to describe how the fields of interventional radiology and gastrointestinal endoscopy are overlapping and complementary in the management of these complex conditions.

Keywords: Gastrointestinal hemorrhage, Enteral nutrition, Interventional radiology, Gastroenterology, Endoscopy

Core tip: This paper reviews the current information and dissects the similarities, differences, and complementary roles of gastroenterologists and interventional radiologists in the management of various luminal gastrointestinal conditions such as gastrointestinal bleeding, enteral feeding, placement of cecostomy tubes and strictures. We discuss the multidisciplinary approach, indications, contraindications and management of these conditions in an attempt to provide an educational experience for all your esteemed readers.