endoscopic ultrasound

Endoscopic Ultrasound (EUS)

Endoscopic  ultrasound  (EUS)  combines  endoscopy  and ultrasound  to  create  images  of  the digestive  tract  and  its surrounding organs and tissues. Endoscopy uses a long, thin tube,  inserted  into  either  the  patient’s  mouth  or  rectum  that contains  a  camera  (endoscope) to  see  inside  the  body. Ultrasound uses sound waves to create images of the inside of the body. With these two technologies, your doctor can create more detailed images of the digestive tract, Endoscopic ultrasound is a minimally invasive, outpatient procedure.

The latest endoscopic technology at Shifa International Hospital, Islamabad provides the operators with a high definition image capture of digestive tract. The procedure is performed by our internationally trained & experienced interventional gastroenterologist assisted by a dedicated team of technicians and support staff working tirelessly to provide the best healthcare services to our valued patients. An integrated reporting system is set in place to support the intervention ensuring the highest standards of care and safety

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The state of the art Endoscopic Ultrasound (EUS) Facility at Shifa International Hospital, Islamabad is among few centers in the region offering vast range of diagnostic and therapeutic endoscopic interventions. Our doctors are extensively trained in performing endoscopic procedures for common to rare diseases and conditions.

Diagnostic Services

  • Pancreatic Lesions/ Cysts
  • Mediastinal Lymph
  • CBD Stones
  • GIST

Tissue Acquisition

  • Fine Needle Aspiration
  • Fine Needle Biopsy

Therapeutic Interventions

  • Pancreatic Fluid Collection
  • Cliac Axis Block
  • Bile & Pancreatic Duct Drainage
  • Gallbladder Drainage
  • EUS Guided RFA for Pancreatic Cancer
  • Pancreatic Cyst Ablation
  • EUS Guided Liver Biopsy
  • Portal Pressure Gradient Management

Why Endoscopic Ultrasound (EUS) is recommended?

The  images  created  from  an  EUS  procedure  are  detailed ultrasound  pictures  of  the  pancreas,  bile  duct  and  digestive tract.  An EUS allows a doctor to determine the size and location of a tumor in the pancreas and whether the tumor has spread to nearby lymph nodes or invaded nearby blood vessels or other structures. During this procedure, a thin needle that does not cause pain can also be passed through the endoscope into the tumor to obtain tissue samples. This is a type of biopsy called fine-needle aspiration, or FNA.  Cells obtained from the biopsy are examined with a microscope to see if they are cancerous.

What is difference between EUS & other Imaging Techniques ? 

EUS  is  one  of  the  most  common imaging procedures used to diagnose pancreatic lesions. It is often the best procedure to obtain samples to make a definitive diagnosis of pancreatic lesions. EUS may be able to find small pancreatic masses that have not been detected by CT-Scan or MRI Scan but suspected  by the doctor as a result of symptoms  and/or blood test results.

What are Patient Guidelines for EUS Procedure?

  • Don’t eat or drink anything from midnight before procedure
  • Doctor may recommend antibiotics to avoid infection
  • Due to sedation ehect, patient must bring an attendant

What complications might occur with an EUS procedure?

  • Rare chances of infection of pancreatic cyst, pancreatitis & gastrointestinal bleeding
  • Endoscope can also cause tearing & anesthesia medication can have reaction
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