Admin November 23, 2023
Understanding EUS: Exploring Endoscopic Ultrasonography
EUS, or Endoscopic Ultrasonography, is a sophisticated and minimally invasive medical procedure that combines the principles of endoscopy and high-frequency ultrasound. This technique is employed for the examination of the digestive tract and nearby organs.
Dr. Sukrit Singh Sethi, a highly experienced gastroenterologist and hepatologist in Gurugram, Haryana At present, he is working as a Consultant of Gastroenterology and Hepatology at Narayana Super-speciality Hospital, Gurgaon.
Endoscopy involves the insertion of a slender tube equipped with a camera and light source into the gastrointestinal tract, either through the mouth or anus. In the case of endoscopic ultrasonography, a specialized endoscope known as an echoendoscope is utilized. This echoendoscope integrates an ultrasonic transducer into its tip, allowing for the creation of high-resolution images of the surrounding tissues, Gastro doctor in Gurgaon.
Decoding the Term:
The acronym EUS represents endoscopic ultrasound, also referred to as EUS endoscopy. "Endoscopy" finds its roots in Greek, combining "endo," meaning "within," with the verb "skopein," meaning "to view or observe." Essentially, it aptly describes the process of peering into the body by attaching a camera to the end of a long, thin probe.
Breaking Down Sonography:
The term "sonography" can be deconstructed into the Greek words "sonos" for sound and "graphia" for writing or describing. "Ultra" denotes beyond, making ultrasonography the use of sound waves beyond the audible range.
Diverse Applications of Endoscopic Ultrasound:
The applications of EUS can be broadly categorized into therapeutic and investigative, serving various purposes such as:
- Determining the cause of symptoms.
- Estimating the size and extent of cancer.
- Conducting tissue biopsies of specific lesions.
- Placing stents to alleviate blockages.
Organ-Specific Applications:
Endoscopic ultrasound's utility varies across different organs and conditions:
- EUS in the esophagus is primarily used for esophageal cancer staging and esophageal duplication cyst assessment.
- EUS in the stomach is vital for evaluating and staging carcinoma, with gastric cancer manifesting as diffuse thickening of the gastric wall.
- EUS in the bile duct includes staging of cholangiocarcinoma, detecting common bile duct stones, and evaluating biliary strictures.
- EUS in the gallbladder is employed to identify gallstones and sludge, with
- EUS-guided procedures being widely accepted, especially in cases of complications.
- EUS in the liver serves as the gold standard for diagnosing parenchymal liver disease, often performed by radiologists, especially in obese patients.
- EUS in the duodenum predicts the depth of duodenal tumor invasion and analyzes outcomes after endoscopic and transduodenal resection.
- EUS in the pancreatic duct involves drainage techniques for cases of symptomatic pancreatic duct obstruction or leakage.
- EUS in the pancreas is instrumental in identifying biliary microlithiasis and conducting pancreas biopsies, particularly useful in distinguishing between pancreatic carcinoma and chronic pancreatitis.
- EUS in the intestines is mainly used to determine the stage of gastrointestinal stromal tumors and identify obscure gastrointestinal bleeding, small-bowel tumors, and polyposis syndromes.
- EUS in the rectum evaluates benign rectal villous tumors, anal incontinence, and identifies perianal abscesses and complex fistulas.
- Moreover, individuals seeking EUS procedures in Gurugram or Gurgaon, Haryana, can rely on the expertise of Dr. Sukrit Singh Sethi, who provides comprehensive and advanced medical care in the field.
