Nonsurgical therapies for the gut and abdominal cavity

141 Pages·2001·13.4 MB·English

by  Bohndorf

Nonsurgical Therapies for the
Gut and Abdominal Cavity
Edited by
Jeffrey C. Brandon, M.D.
Vice Chairman
Department of Radiology
University of South Alabama
Mobile, AL
Steven K. Teplick, M.D.
Chairman
Department of Radiology
University of South Alabama
Mobile, AL
2001
Thieme
New York Stuttgart
•
Thieme New York
333 Seventh Avenue
New York, NY10001
Editor: Kathleen P. Lyons
Editorial Assistant: Diane Sardini
Director, Production & Manufacturing: Anne Vinnicombe
Production Editor: Felicity Edge
Marketing Director: Phyllis Gold
Sales Manager: Ross Lumpkin
Chief Financial Officer: Peter van Woerden
President: Brian D. Scanlan
Cover Designer: Kevin Kall
Compositor: The PRD Group
Printer: The Sheridan Press
Library of Congress Cataloging-in-Publication Data
Brandon, Jeffrey C.
Nonsurgical therapies for the gut and abdominal cavity / Jeffrey C. Brandon, Steven K. Teplick.
p. ; cm.
Includes bibliographical references and index.
ISBN 0-86577-997-X (hard cover : alk. paper)
1. Gastrointestinal system—Diseases—Diagnosis. 2. Gastrointestinal system—Imaging.
3. Interventional radiology. 4. Abdomen—Radiography. 5.
Abdomen—Diseases—Diagnosis. I. Teplick, Steven K. II. Title.
[DNLM: 1. Gastrointestinal Diseases—therapy. 2. Radiography,
Interventional—methods. WI 140 B819n 2001]
RC804.D52 B73 2001
616.3(cid:2)3075—dc21 2001027189
Copyright © 2001 by Thieme Medical Publishers, Inc. This book, including all parts thereof, is legally protected by
copyright. Any use, exploitation or commercialization outside the narrow limits set by copyright legislation, with-
out the publisher’s consent, is illegal and liable to prosecution. This applies in particular to photostat reproduction,
copying, mimeographing or duplication of any kind, translating, preparation of microfilms, and electronic data pro-
cessing and storage.
Important note:Medical knowledge is ever-changing. As new research and clinical experience broaden our knowl-
edge, changes in treatment and drug therapy may be required. The authors and editors of the material herein have
consulted sources believed to be reliable in their efforts to provide information that is complete and in accord with
the standards accepted at the time of publication. However, in view of the possibility of human error by the au-
thors, editors, or publisher of the work herein, or changes in medical knowledge, neither the authors, editors, pub-
lisher, nor any other party who has been involved in the preparation of this work, warrants that the information
contained herein is in every respect accurate or complete, and they are not responsible for any errors or omissions
or for the results obtained from use of such information. Readers are encouraged to confirm the information con-
tained herein with other sources. For example, readers are advised to check the product information sheet included
in the package of each drug they plan to administer to be certain that the information contained in this publication
is accurate and that changes have not been made in the recommended dose or in the contraindications for admin-
istration. This recommendation is of particular importance in connection with new or infrequently used drugs.
Some of the product names, patents, and registered designs referred to in this book are in fact registered trade-
marks or proprietary names even though specific reference to this fact is not always made in the text. Therefore,
the appearance of a name without designation as proprietary is not to be construed as a representation by the pub-
lisher that it is in the public domain.
Printed in the United States of America
5 4 3 2 1
TNYISBN 1-86577-997-X
GTV ISBN WN 21466
Contents
Contributors . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . vii
Preface . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ix
Acknowledgment . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . xi
1. Gastrointestinal Bleeding: A Multidisciplinary Approach . . . . . . . . 1
Kristine J. Kreuger, Lane S. Kannegieter, and Christine Evankovich
2. Gastrointestinal Stenting: Indications and Techniques . . . . . . . . . . 35
Mark G. Cowling and Andreas Adam
3. Percutaneous Gastrostomy, Gastroenterostomy,
and Jejunostomy . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 51
David D. Kidney and Larry-Stuart Deutsch
4. Percutaneous Colostomy . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 77
Lorenzo Carson and Elvira Lang
5. Peritoneal/Retroperitoneal Anatomy: Relevance to
Performance of Interventional Procedures . . . . . . . . . . . . . . . . . . 95
John P. McGahan, R. Brooke Jeffrey, Jr., and Michael J. Lane
1. Index . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 117
v

Contributors
Andreas Adam, F.R.C.P., F.R.C.R. David D. Kidney, M.B., M.R.C.P.I., F.E.R.,
Professor of Interventional Radiology F.R.C.R., M.Sc.
Department of Interventional Radiology Associate Professor of Radiology
St. Thomas’ Hospital Department of Radiological
London, UK Sciences
University of California
Lorenzo Carson, M.D.
Irvine Medical Center
Radiology Associates of Albany
Orange, CA
Albany, GA
Mark G. Cowling, M.R.C.P., F.R.C.R. Kristine Krueger, M.D.
Consultant Radiologist Associate Professor of Medicine
Department of Radiology Department of Gastroenterology/
St. Mary’s Hospital Internal Medicine
London, UK University of Louisville
Louisville, KY
Larry-Stuart Deutsch, M.D., C.M.,
F.R.C.P.C.
Professor and Chief of Service Michael J. Lane, M.D.
Vascular and Interventional Radiology Section Chief
University of Nebraska Department of Radiology
Omaha, NE Brooke Army Medical Center
Fort Sam Houston, TX
Christine Evankovich, M.D.
Assistant Professor
Department of Surgery Elvira V. Lang, M.D.
University of South Alabama Medical Associate Professor of Radiology and
Center Medicine
Mobile, AL Department of Radiology
Harvard School of Medicine
R. Brooke Jeffrey, Jr., M.D. Beth Israel Deaconess Hospital
Professor Boston, MA
Department of Radiology
Stanford University Medical Center
John P. McGahan, M.D.
Stanford, CA
Professor
Lane Kannegieter, M.D. Director of Abdominal Imaging and
Associate Professor Ultrasound
Department of Radiology Department of Radiology
University of South Alabama Medical University of California Davis Medical
Center Center
Mobile, AL Sacramento, CA
vii

Preface
The purpose of this book is to familiarize readers with established or emerging
interventional techniques used in the esophagus, stomach, and intestines. The
book concludes with descriptions of procedures relevant to the peritoneal cavity
because of its intimate relationship to the intra-abdominal portion of these organs.
Not infrequently, the percutaneous or transluminal methods described in this text
have replaced more traditional surgical approaches. However, the complexity of
certain gastrointestinal disorders frequently demands a multidisciplinary focus to
best serve the patient. Management of gastrointestinal bleeding is such an exam-
ple. The authors of the first chapter—a gastroenterologist, a radiologist, and a sur-
geon—combine their experiences to offer insight into this challenging problem.
Subsequent chapters cover the remarkable progress radiologists have made in-
tervening in the digestive tube from the hypopharynx to the colon, and we are
fortunate to have many of those responsible for these advances as contributing
authors. The figures were chosen to provide enough detail to radiologists inter-
ested in attempting those procedures, and the text should convey the judgment
and technical insight necessary to perform them successfully. We are indebted to
the authors for investing the time and effort to help compile this information. Our
hope is that radiologists will find the material in this book to be useful in their
clinical practice and of benefit to their patients.
Jeffrey C. Brandon, M.D.
Steven K. Teplick, M.D.
ix