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Gastro-intestinal Interventions 

  • PTBD + Biliary Stent: Malignant obstructive jaundice managed by percutaneous transhepatic biliary drainage (PTBD) and biliary stenting, especially in patients who are unable to undergo ERCP.
  • Transjugular Intrahepatic Portosystemic Shunt (TIPS): A tract is created by connecting the portal vein to the hepatic vein within the liver and a stent is placed. 

  • Balloon-occluded retrograde transvenous obliteration (BRTO): This is a minimally invasive procedure used in addition to or as an alternative to transjugular intrahepatic portosystemic shunt. The varices of the dilated vessels are blocked to reduce the risk of rupture and internal bleeding.  

  • Portal vein recanalization: Portal vein (PV) recanalization is performed in cirrhotic patients with portal vein thrombosis (PVT). 

  • Management of Budd-Chiari syndrome: In Budd-Chiari syndrome, the hepatic veins are narrow or obstructed by blood clot formation. Relief of the obstruction can be achieved by Hepatic vein stenting/ TIPS / DIPS procedures. 

  • Hepatic venous pressure gradient (HVPG) measurement: HVPG is a procedure performed in patients with liver cirrhosis.

  • Transjugular liver biopsy (TJLB)  and Percutaneous liver biopsy: A specimen of the liver is obtained using a biopsy needle. 

  • Radiological Insertion of Gastrostomy (RIG): The procedure involves inserting a tube percutaneously into the stomach to provide nutrition for patients with conditions such as oesophageal obstruction, or leak, and other swallowing disorders. 

  • Liver abscess drainage: A catheter is inserted into the abscess to drain the infected collection. 

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