{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,29]],"date-time":"2026-09-29T20:19:11Z","timestamp":1790713151306,"version":"4.1.0"},"reference-count":31,"publisher":"Georg Thieme Verlag KG","issue":"01","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Semin intervent Radiol"],"published-print":{"date-parts":[[2025,2]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:p>Interventional radiology techniques using image guidance have revolutionized healthcare by enabling less invasive approaches for \u201cdifficult-to-treat\u201d conditions. Complex gastrointestinal (GI) conditions such as bowel obstructions, enterocutaneous fistulas, and other enteric maladies are major causes of morbidity and mortality; are rising in incidence worldwide; and may benefit from the integration of interventional radiology techniques into current surgical\/endoscopic management strategies, analogous to cardiovascular interventions of the past few decades. Conservative medical management of these intestinal conditions can fail or result in extended hospital admissions and poor quality of life, while current operative management can be fraught with complications and death, especially in high-risk patients with prior abdominal surgeries. The prevalence of GI conditions requiring intervention and the potential for complications and morbidity with current methods, including laparoscopy, suggests that this is a field ripe for innovation. This article outlines an innovative approach to managing complex GI problems that we are developing at our institution, combining interventional radiological techniques with advanced surgical\/endoscopic methods. Specifically, we attempt to highlight the benefits of a multidisciplinary team using advanced imaging guidance to perform novel percutaneous, endoscopic, and surgical procedures for high-surgical risk patients with intestinal problems requiring intervention.<\/jats:p>","DOI":"10.1055\/s-0044-1801335","type":"journal-article","created":{"date-parts":[[2025,1,29]],"date-time":"2025-01-29T23:48:51Z","timestamp":1738194531000},"page":"075-081","source":"Crossref","is-referenced-by-count":3,"title":["Fusion of Interventional Radiology with Surgery and Endoscopy to Advance Therapies in Complex Gastrointestinal Disease"],"prefix":"10.1055","volume":"42","author":[{"given":"Daniel J.","family":"Holzwanger","sequence":"additional","affiliation":[{"name":"Division of Vascular and Interventional Radiology, Department of Radiology, Weill Cornell Medicine, New York, New York"},{"name":"Center for Intelligent Image Guided Interventions (CI3), New York, New York"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Elefterios","family":"Trikantzopolous","sequence":"additional","affiliation":[{"name":"Division of Vascular and Interventional Radiology, Department of Radiology, Weill Cornell Medicine, New York, New York"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"David","family":"Nauheim","sequence":"additional","affiliation":[{"name":"Division of Vascular and Interventional Radiology, Department of Radiology, Weill Cornell Medicine, New York, New York"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Anupam S.","family":"Chauhan","sequence":"additional","affiliation":[{"name":"Center for Intelligent Image Guided Interventions (CI3), New York, New York"},{"name":"Division of Colon and Rectal Surgery, Department of Surgery, Weill Cornell Medicine, New York, New York"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jeffrey W.","family":"Milsom","sequence":"additional","affiliation":[{"name":"Center for Intelligent Image Guided Interventions (CI3), New York, New York"},{"name":"Division of Colon and Rectal Surgery, Department of Surgery, Weill Cornell Medicine, New York, New York"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Bradley B.","family":"Pua","sequence":"additional","affiliation":[{"name":"Division of Vascular and Interventional Radiology, Department of Radiology, Weill Cornell Medicine, New York, New York"},{"name":"Center for Intelligent Image Guided Interventions (CI3), New York, New York"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"194","published-online":{"date-parts":[[2025,1,29]]},"reference":[{"issue":"06","key":"ref1","doi-asserted-by":"crossref","first-page":"28","DOI":"10.1007\/s11894-017-0566-9","article-title":"A systematic review of the clinical presentation, diagnosis, and treatment of small bowel obstruction","volume":"19","author":"S R Rami Reddy","year":"2017","journal-title":"Curr Gastroenterol Rep"},{"issue":"02","key":"ref2","doi-asserted-by":"crossref","first-page":"166","DOI":"10.1016\/j.jemermed.2018.10.024","article-title":"Emergency medicine evaluation and management of small bowel obstruction: evidence-based recommendations","volume":"56","author":"B Long","year":"2019","journal-title":"J Emerg Med"},{"key":"ref3","doi-asserted-by":"crossref","first-page":"13","DOI":"10.1186\/1471-2482-11-13","article-title":"The inpatient burden of abdominal and gynecological adhesiolysis in the US","volume":"11","author":"V Sikirica","year":"2011","journal-title":"BMC Surg"},{"issue":"12","key":"ref4","doi-asserted-by":"crossref","first-page":"1646","DOI":"10.1002\/bjs.4788","article-title":"An 11-year experience of enterocutaneous fistula","volume":"91","author":"P Hollington","year":"2004","journal-title":"Br J Surg"},{"issue":"01","key":"ref5","doi-asserted-by":"crossref","first-page":"30","DOI":"10.1177\/000313480907500106","article-title":"Enterocutaneous fistula complicating trauma laparotomy: a major resource burden","volume":"75","author":"P GR Teixeira","year":"2009","journal-title":"Am Surg"},{"issue":"01","key":"ref6","doi-asserted-by":"crossref","first-page":"167","DOI":"10.1097\/TA.0000000000002673","article-title":"Enterocutaneous fistula after emergency general surgery: mortality, readmission, and financial burden","volume":"89","author":"J S Hatchimonji","year":"2020","journal-title":"J Trauma Acute Care Surg"},{"issue":"04","key":"ref7","doi-asserted-by":"crossref","first-page":"453","DOI":"10.1016\/j.jamcollsurg.2012.06.017","article-title":"Optimal preoperative assessment of the geriatric surgical patient: a best practices guideline from the American College of Surgeons National Surgical Quality Improvement Program and the American Geriatrics Society","volume":"215","author":"W B Chow","year":"2012","journal-title":"J Am Coll Surg"},{"issue":"04","key":"ref8","doi-asserted-by":"crossref","first-page":"262","DOI":"10.1634\/theoncologist.10-4-262","article-title":"Preoperative assessment of surgical risk in oncogeriatric patients","volume":"10","author":"R A Audisio","year":"2005","journal-title":"Oncologist"},{"issue":"04","key":"ref9","doi-asserted-by":"crossref","first-page":"1331","DOI":"10.1007\/s13304-024-01864-w","article-title":"The impact of previous abdominal surgery on colorectal cancer patients undergoing laparoscopic surgery","volume":"76","author":"X R Liu","year":"2024","journal-title":"Updates Surg"},{"issue":"02","key":"ref10","doi-asserted-by":"crossref","first-page":"E44","DOI":"10.1503\/cjs.006413","article-title":"Prognostic factors for morbidity and mortality in elderly patients undergoing acute gastrointestinal surgery: a systematic review","volume":"57","author":"P Davis","year":"2014","journal-title":"Can J Surg"},{"issue":"03","key":"ref11","doi-asserted-by":"crossref","first-page":"540","DOI":"10.21037\/jgo.2020.02.02","article-title":"Minimally invasive surgery in the geriatric patient with colon cancer","volume":"11","author":"J CY Ngu","year":"2020","journal-title":"J Gastrointest Oncol"},{"issue":"03","key":"ref12","doi-asserted-by":"crossref","first-page":"577","DOI":"10.1007\/s00464-008-9884-1","article-title":"Minimally invasive surgery for colorectal cancer: quality of life, body image, cosmesis, and functional results","volume":"23","author":"M Scarpa","year":"2009","journal-title":"Surg Endosc"},{"issue":"03","key":"ref13","doi-asserted-by":"crossref","first-page":"161","DOI":"10.1159\/000363415","article-title":"Quality of life after laparoscopic and open resection of colorectal cancer","volume":"31","author":"P Ihn\u00e1t","year":"2014","journal-title":"Dig Surg"},{"issue":"05","key":"ref14","doi-asserted-by":"crossref","first-page":"472","DOI":"10.5946\/ce.2013.46.5.472","article-title":"Endoscopic management of refractory benign colorectal strictures","volume":"46","author":"Y H Kwon","year":"2013","journal-title":"Clin Endosc"},{"issue":"06","key":"ref15","doi-asserted-by":"crossref","first-page":"634","DOI":"10.1111\/j.1365-2036.2009.04225.x","article-title":"The response of Crohn's strictures to endoscopic balloon dilation","volume":"31","author":"T Mueller","year":"2010","journal-title":"Aliment Pharmacol Ther"},{"issue":"02","key":"ref16","doi-asserted-by":"crossref","first-page":"380","DOI":"10.1097\/MIB.0000000000000627","article-title":"Long-term outcomes in patients with small intestinal strictures secondary to Crohn\u02bcs disease after double-balloon endoscopy-assisted balloon dilation","volume":"22","author":"K Sunada","year":"2016","journal-title":"Inflamm Bowel Dis"},{"issue":"05","key":"ref17","doi-asserted-by":"crossref","first-page":"368","DOI":"10.3109\/00016925309136722","article-title":"Catheter replacement of the needle in percutaneous arteriography; a new technique","volume":"39","author":"S I Seldinger","year":"1953","journal-title":"Acta Radiol"},{"issue":"01","key":"ref18","doi-asserted-by":"crossref","first-page":"e000150","DOI":"10.1136\/bmjsit-2022-000150","article-title":"Iterative evaluation of novel access techniques for small bowel obstruction: combining image guided, percutaneous, and endoscopic methods","volume":"5","author":"K Matsuo","year":"2023","journal-title":"BMJ Surg Interv Health Technol"},{"issue":"07","key":"ref19","doi-asserted-by":"crossref","first-page":"E331","DOI":"10.1055\/a-1516-3533","article-title":"Novel percutaneous access to the large intestine using a double-balloon endoluminal platform for excision of a large polyp","volume":"54","author":"S Urakawa","year":"2022","journal-title":"Endoscopy"},{"key":"ref20","doi-asserted-by":"crossref","first-page":"9363","DOI":"10.2147\/CMAR.S220976","article-title":"Benefits and limitations of a multidisciplinary approach in cancer patient management","volume":"12","author":"R Berardi","year":"2020","journal-title":"Cancer Manag Res"},{"key":"ref21","doi-asserted-by":"crossref","first-page":"95","DOI":"10.2147\/JMDH.S128629","article-title":"The importance of a multidisciplinary approach to hepatocellular carcinoma","volume":"10","author":"O Siddique","year":"2017","journal-title":"J Multidiscip Healthc"},{"issue":"16","key":"ref22","doi-asserted-by":"crossref","first-page":"1376","DOI":"10.1136\/heartjnl-2016-310598","article-title":"Multidisciplinary team approach to heart failure management","volume":"104","author":"G Morton","year":"2018","journal-title":"Heart"},{"issue":"07","key":"ref23","doi-asserted-by":"crossref","first-page":"592","DOI":"10.1016\/j.jmig.2024.04.016","article-title":"Patient experiences with a multidisciplinary fibroid program","volume":"31","author":"K Musselman","year":"2024","journal-title":"J Minim Invasive Gynecol"},{"issue":"S 03","key":"ref24","doi-asserted-by":"crossref","first-page":"5","DOI":"10.1080\/00325481.2020.1757305","article-title":"Interdisciplinary approach to chronic pain management","volume":"132","author":"A Danilov","year":"2020","journal-title":"Postgrad Med"},{"key":"ref25","doi-asserted-by":"crossref","first-page":"1415","DOI":"10.2147\/JMDH.S362550","article-title":"From \u201ccure\u201d to \u201ccare\u201d: the role of the multidisciplinary team on colorectal cancer patients' satisfaction and oncological outcomes","volume":"15","author":"A Lucarini","year":"2022","journal-title":"J Multidiscip Healthc"},{"issue":"11","key":"ref26","doi-asserted-by":"crossref","first-page":"1080","DOI":"10.1007\/s004649900244","article-title":"Fluoroscopy. A valuable ally during difficult colonoscopy","volume":"10","author":"W C Cirocco","year":"1996","journal-title":"Surg Endosc"},{"issue":"04","key":"ref27","doi-asserted-by":"crossref","first-page":"291","DOI":"10.1016\/j.dld.2009.04.022","article-title":"Colon anatomy based on CT colonography and fluoroscopy: impact on looping, straightening and ancillary manoeuvres in colonoscopy","volume":"42","author":"A Eickhoff","year":"2010","journal-title":"Dig Liver Dis"},{"issue":"06","key":"ref28","doi-asserted-by":"crossref","first-page":"698","DOI":"10.1007\/s00261-005-0328-2","article-title":"Virtual CT colectomy by three-dimensional imaging using multidetector-row CT for laparoscopic colorectal surgery","volume":"30","author":"M Matsuki","year":"2005","journal-title":"Abdom Imaging"},{"issue":"10","key":"ref29","doi-asserted-by":"crossref","first-page":"4849","DOI":"10.21873\/anticanres.15990","article-title":"Intraoperative holographic guidance using virtual reality and mixed reality technology during laparoscopic colorectal cancer surgery","volume":"42","author":"S Ryu","year":"2022","journal-title":"Anticancer Res"},{"issue":"01","key":"ref30","doi-asserted-by":"crossref","first-page":"92","DOI":"10.2214\/AJR.22.28712","article-title":"Cone-beam CT with enhanced needle guidance and augmented fluoroscopy overlay: applications in interventional radiology","volume":"221","author":"B M Key","year":"2023","journal-title":"AJR Am J Roentgenol"},{"issue":"02","key":"ref31","doi-asserted-by":"crossref","first-page":"1593","DOI":"10.1007\/s00464-022-09637-5","article-title":"Use of a novel endoscopic overtube with bilateral tool channels for endoscopic resection of experimental lesions and repair of intestinal defects in the right colon: preclinical trial","volume":"37","author":"S Urakawa","year":"2023","journal-title":"Surg Endosc"}],"container-title":["Seminars in Interventional Radiology"],"original-title":[],"language":"en","link":[{"URL":"http:\/\/www.thieme-connect.de\/products\/ejournals\/pdf\/10.1055\/s-0044-1801335.pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,5,7]],"date-time":"2025-05-07T22:31:05Z","timestamp":1746657065000},"score":1,"resource":{"primary":{"URL":"http:\/\/www.thieme-connect.de\/DOI\/DOI?10.1055\/s-0044-1801335"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2025,1,29]]},"references-count":31,"journal-issue":{"issue":"01","published-online":{"date-parts":[[2025,5,7]]},"published-print":{"date-parts":[[2025,2]]}},"URL":"https:\/\/doi.org\/10.1055\/s-0044-1801335","archive":["Portico","CLOCKSS"],"relation":{},"ISSN":["0739-9529","1098-8963"],"issn-type":[{"value":"0739-9529","type":"print"},{"value":"1098-8963","type":"electronic"}],"subject":[],"published":{"date-parts":[[2025,1,29]]}}}