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Synopsis

Endoscopic ultrasonography is an advanced medical procedure that combines endoscopy and ultrasonography to create detailed images of the digestive tracts and organs. It can detect many problems, like tumours, inflammations, and blockages. Gleneagles Hospital is a premier endoscopic ultrasound centre in Bangalore that provides crucial insights in both diagnostic and therapeutic contexts.

Introduction

Endoscopic ultrasonography is a minimally invasive procedure that uses a camera device called an endoscope alongside high-frequency waves of ultrasound to evaluate and diagnose conditions in and around the gastrointestinal tract. EUS can also be used to detect conditions in nearby organs like the pancreas and liver. It is generally an outpatient procedure, which means you can go home the very same day. Choose Gleneagles Hospitals, the top endoscopic ultrasound centre in Bangalore, for the best results with EUS.

What is Endoscopic Ultrasonography?

Endoscopic ultrasonography is a medical procedure that utilises both endoscopy and ultrasound to create images of the digestive tract and nearby organs. EUS can help find diseases and administer treatment in organs such as the lungs, pancreas, gallbladder, liver, and lymph nodes. Endoscopic ultrasound is a highly advanced procedure that helps doctors check for damage in the tissue, find out whether cancer is present, see how much of the cancer has spread to other tissues, stage the cancer, drain fluid from cysts, and deliver medicines to a targeted region.

Types of Endoscopic Ultrasonography

Endoscopic ultrasonography, or EUS, is categorised by the type of scope, specific purpose, and therapeutic procedures.

 

  • By Scope Types
  1. Radial EUS: It provides a 360-degree view of the surrounding tissues and organs, which is similar to a CT scan.
  2. Linear EUS: It uses a scope with a narrower and more longitudinal view that is beneficial for needle aspiration and biopsies. 

 

  • By Procedure Types
  1. EUS-guided FNA (Fine Needle Aspiration): It is a procedure that collects cells from the GI tract and abdomen for analysis.
  2. EUS-guided FNB (Fine Needle Biopsy): It is a more advanced procedure to procure tissue samples that cannot be obtained through EUS FNA.
  3. Contrast-enhanced EUS: It improves visualisation during EUS by using contrast agents that help distinguish between different types of tissues and lesions.
  4. EUS for Staging Cancer: EUS can be used to stage gastrointestinal cancers that include oesophagal, pancreatic, and lung cancer. 

 

  • Therapeutic EUS Types
  1. EUS-guided Drainage: This therapeutic EUS procedure drains fluid collection in cases of pancreatic pseudocysts or bile duct obstruction.
  2. EUS-guided Stenting: EUS can guide stent placements to relieve obstruction in the bile duct and gastrointestinal tract.
  3. EUS-guided Gastrojejunostomy: It is a procedure that creates a new passage between the stomach and the jejunum to bypass the obstruction.
  4. EUS-guided Cystogastrostomy: It is a procedure that aims to drain a pancreatic pseudocyst into the stomach.
  5. EUS-guided Gallbladder Drainage: It is a procedure that drains the gallbladder in case of acute cholecystitis.
  6. EUS-guided Intervention For Other Conditions: EUS can be used to treat other conditions like oesophagal varices and bleeding ulcers.

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Why Choose Endoscopic Ultrasonography?

EUS is an advanced, minimally invasive procedure that is performed at the endoscopic ultrasound centre in Bangalore. It does not involve any exposure to radiation, provides real-time imaging, and is often used in conjunction with other techniques to improve diagnostic accuracy. Here are some common cases when EUS is opted for:

 

  • Cancer Staging: EUS is especially useful for staging cancer in the oesophagus, stomach, and rectum to determine the extent of the damage and whether the cancer has spread to nearby organs.
  • Pancreatic and Biliary Diseases: EUS helps diagnose conditions like chronic pancreatitis, pancreatic tumours, and bile duct stones.
  • Gastrointestinal Disorders: EUS can be used to detect various gastrointestinal disorders like ulcers, inflammation, and tumours.
  • Submucosal Tumours: EUS can help doctors understand the origin of submucosal tumours.

Preparation for Endoscopic Ultrasonography

Before undergoing endoscopic ultrasonography, patients need to prepare for the procedure for enhanced outcomes. Here are some steps recommended before EUS:

 

  • Pre-Procedure Guidelines: Your doctor will closely evaluate your medical condition and give you specific instructions to follow before the procedure. You must inform your doctor about any blood thinners, diabetes medicine, and anticoagulants.
  • Fasting Requirements: You should avoid solid food for at least 6-8 hours before the procedure.
  • Medication Adjustments: Blood thinners may need to be stopped or adjusted before the procedure. If you have diabetes, the doctor may modify the schedule of insulin and oral medicines.
  • Bowel Preparation (If Required): If the EUS involves the lower GI tract, you may have to take a bowel cleansing solution the night before.
  • Anaesthesia & Sedation Considerations: EUS is typically performed under sedation or anaesthesia. Arrange for transportation and home care beforehand to deal with the lingering effects of sedation.
  • Special Conditions: Patients with heart disease, respiratory issues, and previous surgeries should inform the doctor for tailored precautionary measures.

Endoscopic Ultrasonography Procedure

Learning about the EUS procedure beforehand in detail would help alleviate anxiety in the patient and allow for greater mental preparation. Here is a complete look at the EUS procedure at the endoscopic ultrasound centre in Bangalore:

 

  • Pre-Procedure Preparation: Before the EUS procedure, you will be asked to avoid food for at least 6-8 hours. EUS is typically performed under sedation or anaesthesia to reduce discomfort. You may be given a local numbing spray for upper EUS, and you might need bowel preparation for lower EUS.
  • Procedure Steps: In the case of an upper EUS, a thin and flexible endoscope with ultrasound is inserted through the mouth. The doctor then carefully examines the oesophagus, stomach, and duodenum. The ultrasound transducer creates a detailed image of the internal organs and structures. If needed, a fine needle biopsy is performed to collect tissue samples. In the case of a lower EUS, the endoscope is inserted through the rectum to get a detailed view of the lower digestive tract. Similar to EUS, the ultrasound provides a detailed view and a biopsy can be performed if required.
  • Post-Procedure Care: You will be monitored in the recovery room until the sedation wears off. You might have temporary throat discomfort and bloating.
Endoscopic Ultrasonography Procedure

Recovery and Aftercare

It is important to get proper aftercare to recover from the EUS procedure with minimal discomfort and complications. You should avoid food or water until the numbing effect wears off. Eat light meals and stay hydrated throughout the day. Since there might be an aftereffect of the sedation or anaesthesia, do not operate heavy machinery for 24 hours. Get proper rest and avoid heavy activities that can cause strain.

Risk and Complications After Endoscopic Ultrasonography

According to the endoscopic ultrasound centre in Bangalore, EUS, especially when it involves fine needle aspirations, can have common risks and complications like bleeding, infection, pancreatitis, and perforation. However, EUS is typically a safe procedure, and the complications are quite rare.

  • Bleeding: Bleeding is a common complication that can occur during or after the procedure. Additional procedures are usually required to remedy the complication.
  • Infections: Infections are a possibility in EUS-FNA and can be very serious if left untreated.
  • Pancreatitis: Acute pancreatitis is a rare but possible complication of fine-needle aspiration of the pancreas.
  • Perforation: Tearing of the digestive tract is a serious complication that needs medical attention.

Why Choose Gleneagles Hospitals for Endoscopic Ultrasonography?

Gleneagles Hospitals is a premier endoscopic ultrasound centre in Bangalore, providing advanced medical technology and specialist care. It is consistently ranked as one of the top hospitals in Asia for gastroenterology and endoscopy services.

  • Expertise of Specialist Doctors: Our highly experienced gastroenterologists and endoscopists perform the procedure for greater precision.
  • State-of-the-Art Facilities: The hospital is equipped with superior procedure labs, recovery units, and private rooms to provide absolute comfort.
  • Minimally Invasive Techniques: EUS is a minimally invasive technique that causes few complications at the hands of the experts from Gleneagles Hospitals.
  • State-of-the-art technology: We are equipped with high-resolution ultrasound endoscopes and advanced fine-needle aspiration biopsy capabilities.
  • High Success Rate: The hospital has performed countless EUS with a high success rate.

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Frequently Asked Questions

1. What is endoscopic ultrasonography (EUS)?

Endoscopic ultrasonography is an advanced, minimally invasive procedure that combines endoscopy and ultrasound to diagnose and treat conditions in and around the digestive tract.

2. When can the patient go home after endoscopic ultrasonography (EUS)?

It is an outpatient procedure done at Endoscopic Ultrasound Centre in Bangalore. The patients can typically go home sometime after the procedure is done.

3. Why do doctors use endoscopic ultrasonography (EUS)?

Endoscopic ultrasonography is used by doctors to stage cancer in the GI tract and nearby organs, pancreatic and biliary diseases, gastrointestinal disorders, and submucosal tumours.

4. How long does it take to recover from endoscopic ultrasonography?

Recovery from EUS (Endoscopic Ultrasonography) is quite swift, and most patients can resume normal activities within 24-48 hours.

5. What are some common risks associated with endoscopic ultrasonography?

Risks and complications in a procedure like EUS are rare but not impossible. Some risks associated with EUS are bleeding, infection, pancreatitis, and perforation.

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