Endoscopic Ultrasound Commonly Know As EUS

Endoscopic Ultrasound Commonly Know As EUS

EUS (Endoscopic Ultrasound) EUS, also known as Echo-Endoscopy in which endoscopy is pooled with ultrasound to create images of internal organs. It entails insertion of an ultra thin tube into the mouth, down through the esophagus into the stomach and the initial part of the small intestine. The tip of thetube features a minute ultrasound

EUS (Endoscopic Ultrasound) EUS, also known as Echo-Endoscopy in which endoscopy is pooled with ultrasound to create images of internal organs. It entails insertion of an ultra thin tube into the mouth, down through the esophagus into the stomach and the initial part of the small intestine. The tip of thetube features a minute ultrasound probe which emits sound waves that bounces off  against the surrounding organs which include the stomach, small intestine,  bile ducts, pancreas and the liver. These sound waves in turn are echoed back  and eventually converted into black and white images for interpretation by the attending physician. As the pancreas is located near the stomach and small intestine, the process permits the medic to observe detailed images of the pancreas. It is usually performed as an outpatient medical examination that takes around 30 to 45 minutes.

 

Why EUS is needed?

Since EUS or Endoscopic Ultrasound helps achieving detailed imaging as well as analysis of the pancreas, it is much favored test for evaluating host of disease conditions relating to the pancreas. However, some of the more acute disease conditions for which EUS proves essential are  listed below.

  • Acute Pancreatitis
  • Chronic Pancreatitis
  • Pancreatic Cyst
  • Pancreatic masses and Tumors
  • Autoimmune Pancreatitis

One of the key reasons for which patients are referred for EUS of the pancreas revolves round evaluating abnormal findings through CAT scan, MRI or USG of the abdomen. It is also needed for investigating into abnormal blood tests that include elevated liver function tests (AST, ALT,Bilirubin) or elevated pancreatic enzymes (amylase, lipase). Patients complaining of severe abdominal pain are often referred for EUS. Nevertheless, referrals for EUS cover the following:

  • Dilated Pancreatic duct
  • Dilated bile duct
  • Swollen or inflamed Pancreas
  • Formation of stone in Pancreas duct or bile duct
  • Evidence of blockage of the Pancreas or bile duct
  • History of recurrent episodes of Acute Pancreatitis

 

Pancreatic Biopsies can be taken when EUS is performed

Pancreatic biopsies can be obtained at the time of the examination, while those referred to as FNA (Fine-Needle Aspiration) can allow for the attending physician to collect tissue samples that may be analyzed under a powerful microscope later. Special needles designed to used with the EUS scope also permits the attending physician to insert a small needle into the pancreas through the wall of  the intestine.  Since it is performed at  the time of the EUS, the physician becomes able to direct the need accurately, while watching the performance.

FNA is usually performed for evaluating masses or tumors of the pancreas, in order to determine if cancerous cells are present.  Yet another common reason for performing an FNA is in the evaluation of pancreatic cysts.  In these cases, the needle is used to sample the fluid which is contained in the cyst.  This fluid can be sent for biochemical, cytologic, and molecular analysis in order to help characterize the type of pancreatic cyst the patient has.

 

Risks involved while EUS is performed

Since general anesthesia is often used during EUS, there could be a risk of cardiac or pulmonary complications while EUS is performed.

Also, endoscopic procedures are often linked with some risk involving bleeding or tearing of the GI tract. However, these are also treated endoscopically, although emergency situations may require on-the-spot surgery. But all said and done, such complications are very low, less than 1% of the time, to be precise. 

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Based on 43 reviews.
Shiv kumar Thakur
Shiv kumar Thakur
2022-01-09
Dr. Vijay rai is the best doctor.
PRANAB BARIK
PRANAB BARIK
2022-01-09
Dr, rai is the best person , the best place to visit,
Prabir Das
Prabir Das
2022-01-09
Dr Rai is the best doctor we have come across but reception staffs is poor,
saurwita brahma
saurwita brahma
2021-12-31
Good place. Safe and secured. Good treatment. Doctor is deft and experienced. All other staff are cooperative and supportive
Prodip kumar Majumder
Prodip kumar Majumder
2021-12-30
Satisfied
Sanjiv Singh
Sanjiv Singh
2021-12-30
Very good clinic for all stomach issues under the supervision of one of the best doctor and excellent staff
Rajeev Singh
Rajeev Singh
2021-12-29
Visiting a clinic is not a good feeling but thanks to Dr Vijay Rai and Monica Rai mai it is a releiving experience due to satisfactory treatment and awesome service, kudos to Live Gastro and blessings
THERESA MENDES
THERESA MENDES
2021-12-26
To those of you who may have a gastric issue and want a masterclass Gastroenterologist who builds excellent rapport with his patients, you could do well to meet Dr Vijay Kumar Rai of Liv-Gastro. Dr Vijay Kr Rai is hands down one of Kolkata’s best Gastroenterologists. His presentation of self, decorum, services and treatment processes are definitely top notch. Undoubtedly he represents one of the best health care professionals in his field. Dr. Vijay Kr. Rai’s newest venture Liv-Gastro is testimony of his hard work, grit, innovative ideas and determination to bring the best into his arena of practice; in order to achieve maximum treatment options thereby leading to positive outcomes. He has worked relentlessly with steadfast intent and passion to build and expand on his ideas and Liv Gastro is evidence of all that and more. A tour of the campus and floors reveal pristine, cheerful, brightly lit, consultation rooms, diagnostic laboratories, examination rooms, Dr’s clinics, waiting rooms and reception. The warm decor where detailed attention has been given to ensure a patient friendly ambience and the kind, courteous and graceful staff all add to a cheerful exuberance. Some of the services offered are: 1.Day care 2. ERCP 3.EUS 4.Capsule Endoscopy 5. Manometry 6. Fibroscan Dr Vijay Kumar Rai is a very supportive Dr who takes his patients seriously putting their needs first. He has a well rounded knowledge and expertise in his area of practice and inspires confidence. As a patient I was always sure of quality management of my condition and his ability to zero in on the problem is truly amazing. His persistence in dealing with my health issues has been accurate and he has seen me right through to recovery refusing to give in. I could not ask for more. It’s great to find a Dr who combines care and concern along with the prescription which always leaves one with a “feel good”feeling. I do not hesitate to recommend Dr. Vijay Kumar Rai and the team at Liv Gastro to friends and wider circles.