EUS (Endoscopic Ultrasound):
Diagnostic and interventional EUS services and includes evaluating pancreaticobiliary diseases, neoplasms including sub-epithelial tumors, cancer diagnosis and staging, pseudocyst drainage, peri-rectal pelvic abscesses drainage, Fiducials placement for image-guided radiation therapy, rendezvous access for biliary and pancreatic duct access and drainage in complex disease states that are not feasible by conventional ERCP, gastrogastric anastomosis for gastric remnant/duodenal access for ERCP and other intervention in gastric bypass patients, gastroenteric anastomosis for palliation of malignant gastric outlet obstruction, celiac plexus block and neurolysis for palliative control of debilitating pain related to pancreatic and metastatic diseases.
Celiac artery and SMA vascular anatomy from descending aorta.
Pancreatic duct anatomy – body of pancreas
Main pancreatic duct and large cystic dilation of a side branch in patient with obstructing PD stricture from chronic pancreatitis
EUS/FNA of suspected malignant bile duct stricture confirmed as cholangiocarcinoma:
Terminal bile duct with stricture and thickened wall and post obstructive proximal dilation
EUS FNA from duodenal bulb with 25 gauge needle in to thickened bile duct/stricture
Rapid On Site Evaluation Diff Quik analysis confirming malignancy, further evident on cell block.
EUS guided rendezvous access for obstructed pancreatic duct:
Pseudocyst Drainage:
