• Skip to main content
  • Skip to primary sidebar

Call for appointment +91 63555 64601

Facebook Twitter Linkedin Youtube Instagram Pinterest
Robotic cancer surgeon in Ahmedabad
Menu
  • Home
  • About Us
  • Our Services
    • Onco
      • Liver cancer
      • Pancreas cancer
      • Esophagus Cancer
      • Gallbladder cancer
      • Stomach Cancer
      • Colon Cancer
      • Rectal Cancer
      • Robotic Surgery
      • CRS & HIPEC
    • Non Onco
  • Patient Reviews
    • Patient Reviews
    • Patient Video Reviews
  • Gallery
    • Event Gallery
    • Image Gallery
    • Video Gallery
      • Surgical Video Gallery
      • Endoscopy Video Gallery
    • Presentations
    • Case Reports
      • Liver cancer
      • Pancreas cancer
      • Esophagus cancer
      • Gallbladder cancer
      • Stomach cancer
      • Colon cancer
      • Rectal cancer
      • Robotic surgery
      • HIPEC
  • Blogs
    • Esophagus
    • Stomach
    • Liver
    • Gallbladder & Bile Duct
    • Pancreas
    • Spleen
    • Small Bowel
    • Large Bowel
    • Rectum
    • Anus
  • Contact Us
Tele consult

Call for appointment +91 63555 64601

Call for Appointment
Robotic-cancer-surgeon-in-Ahmedabad
Menu
  • Home
  • About Us
  • Our Services
    • Onco
      • Liver cancer
      • Pancreas cancer
      • Esophagus Cancer
      • Gallbladder cancer
      • Stomach Cancer
      • Colon Cancer
      • Rectal Cancer
      • Robotic Surgery
      • CRS & HIPEC
    • Non Onco
  • Patient Reviews
    • Patient Reviews
    • Patient Video Reviews
  • Gallery
    • Event Gallery
    • Image Gallery
    • Video Gallery
      • Surgical Video Gallery
      • Endoscopy Video Gallery
    • Presentations
    • Case Reports
      • Liver cancer
      • Pancreas cancer
      • Esophagus cancer
      • Gallbladder cancer
      • Stomach cancer
      • Colon cancer
      • Rectal cancer
      • Robotic surgery
      • HIPEC
  • Blogs
    • Esophagus
    • Stomach
    • Liver
    • Gallbladder & Bile Duct
    • Pancreas
    • Spleen
    • Small Bowel
    • Large Bowel
    • Rectum
    • Anus
  • Contact Us

Investigations

CT/MRI

March 6, 2023 by Dr. Harsh J Shah – Pancreas, Liver, Gastro & Cancer Surgeon Leave a Comment

6. CT MRI blog
English
ગુજરાતી
हिंदी
What are CT scans?
  • A CT scan requires a large X-ray system. It is a type of X-raying. Often, CT scans are known as CAT scans.
    A CT scan is typically used for
    • To detect tumours
    • To detect swellings & fluid collection such as pancreatitis
    • Cancer monitoring
    • Finding internal bleeding
    • Bone Fractures
    You will lie on a table during a CT scan. The table shifts to take you inside the machine which takes a cross-section view of your body.
What is the difference between CT and MRI?
A CT scan is a mixture of a variety of X-ray images obtained from multiple angles; the CT uses a computer to obtain images from those X-rays.
An MRI (magnetic resonance imaging) is a scan that allows a detailed impression of the body’s soft tissue and bones by magnetic fields and radio waves.
Which are the problems with an MRI?
  • Both CT and MRI scans are usually reasonably safe & secure. However, some minor problems can occur.

    MRI scans of patients with aneurysm clips (vessel clips in the brain) can not be undertaken until these clips have been known to be safe for MRI because such clips can be taken off, and the brain patient will be harmed.

    Another issue with the MRI is that there are certain heart pacemakers or defibrillators  (battery-operated machines) because the magnets can cause malfunctions. Metal devices, for instance, the presence of metals in the liver, eye, or extremity, that can be pulled out by a magnetic field. In addition, other metal canisters (such as certain oxygen tanks) must be held away from MRI devices, as they can draw the magnet and harm the patient.

    These issues are not present in the CT scans, but they subject the patient to a very small dose of radiation. Certain types of CT scans may not be appropriate during pregnancy.

    Contrast injected during CT scan or MRI may sometimes cause an allergic reaction.

    Patients who are claustrophobic may feel uncomfortable during an MRI procedure.

What Are the Risks Associated with a CT Scan?
  • The complications of a CT scan are very few. Even though CT scans subject you to more radiation than traditional X-rays, if you have just one scan, the chance of radiation cancer is small. If you have several X-rays or CT scans, you will higher chance of cancer over time. In children with CT scans, especially in the chest and abdomen, the risk of cancer is increased.

    One may have an allergic reaction. Most agents used in CT scans have iodine, so make sure that you alert your doctor if you have had an adverse iodine reaction in the past. If you are allergic to iodine but have to be given a comparison, your doctor may give you allergy drugs or steroids to counteract any potential side effects.

    If you are pregnant, it is also necessary to inform your doctor. An ultrasound or MRI scan may be advised by your physician to reduce the risk.

Which one is better - CT Scan or an MRI ?
    • The internal body systems can be seen from both MRIs and CT scans. A CT scan is, however, quicker and can include images of tissues, muscles, and the skeletal system.

      An MRI scan can produce better images at certain parts of body such as liver & rectum. Your doctor will decide which one is better for you.

Facebook
Twitter
LinkedIn
WhatsApp
Email
Skype
Telegram

Filed Under: Pancreas, Investigations

ERCP

March 6, 2023 by Dr. Harsh J Shah – Pancreas, Liver, Gastro & Cancer Surgeon Leave a Comment

5. ERCP blog
English
ગુજરાતી
हिंदी
What is an ERCP? (Endoscopic Retrograde Cholangio-Pancreatography)
  • ERCP is a technique that enables your doctor to examine the pancreatic and bile ducts.
    They carry digestive juices from your liver and pancreas to the intestines.

Why is ERCP done?
Doctors use ERCP to treat problems of the bile and pancreatic ducts.
Doctors perform ERCP when your bile or pancreatic ducts have become narrowed or blocked due to one of the following conditions:
  • Stone in bile duct
  • Pancreatitis
  • Jaundice
  • Bile duct or pancreatic tumour
What happen Before the Procedure ?
  • ERCP is done in a clinic or hospital. It is often done with sedation. You are not completely asleep during the procedure, but you are given injections called “sedatives” that make you relaxed and sleepy.

    Sometimes ERCP must be done under general anesthesia, with you completely asleep. If you need general anesthesia, your doctor will discuss it with you. You might need a full physical examination. You might also need some tests to make sure you are healthy enough for surgery.

    The doctor who will perform your ERCP will talk with you about the risks and benefits of the procedure. Then you will sign a form saying you understand and agree to the procedure. Your doctor’s office will tell you what to do and avoid before surgery. The exact instructions depend on your doctor, but here are some common things to do.

    – Stop eating and drinking about 6 hours prior to the procedure

    –  Stop taking certain medicines such as blood thinners (Clopidogrel, Aspirin 150mg)

What Happens During ERCP?
  • During an ERCP, a gastroenterologist (doctor who specializes in treating diseases of the gastrointestinal system), uses a special endoscope (a long, flexible tube with a light and camera at the end) to examine the inside of the digestive system . The doctor identifies the place where the bile duct comes into the intestine and then feeds a tiny catheter (a plastic tube) into the duct and squirts in a contrast agent while X-rays are taken. The contrast agent allows the doctors to see the bile ducts and the pancreatic duct on the X-rays.

    Once the source of the problem is identified, the doctor may then treat it by performing one of the following procedures.

    – This involves making a small incision (cut) in the opening of the pancreatic duct or the bile duct, which can help small gallstones , bile, and pancreatic juice to drain appropriately.

    – Stent placement : A stent is a drainage tube that is placed in the bile duct or the pancreatic duct to hold the duct open and allow it to drain.

    ERCP can remove gallstones from the bile duct, but not from the gallbladder itself.

What happens after ERCP?
    • After the procedure, you will be taken to the recovery room. Once your blood pressure, pulse, and breathing are stable and you are alert, you will be taken to your hospital room or discharged home. If this procedure was done as an outpatient, plan to have someone drive you home.

      You will not be allowed to eat or drink anything until your gag reflex has returned. You may have a sore throat and pain with swallowing for a few days. This is normal.

      Many times, a rectal suppository of a certain medicine is given after the ERCP to decrease the risk of pancreatitis.

      You may go back to your usual diet and activities after the procedure, unless your healthcare provider tells you otherwise.

      Tell your healthcare provider if you have any of the following:

      – Fever or chills

      – Redness, swelling, or bleeding or other drainage from the IV site

      – Abdominal pain, nausea, or vomiting

      – Black, tarry, or bloody stools

      – Trouble swallowing

      – Throat or chest pain that worsens

       
       
Facebook
Twitter
LinkedIn
WhatsApp
Email
Skype
Telegram

Filed Under: Pancreas, Investigations

EUS

March 6, 2023 by Dr. Harsh J Shah – Pancreas, Liver, Gastro & Cancer Surgeon Leave a Comment

4. EUS blog
English
ગુજરાતી
हिंदी
What is an EUS (Endoscopic Ultrasound)?
  • Endoscopic ultrasonography (EUS) allows your doctor to examine the walls of your upper and lower gastrointestinal tract. The upper tract consists of the esophagus, stomach and duodenum; the lower tract includes your colon and rectum. EUS is also used to study other organs that are near the gastrointestinal tract, including the lungs, liver, gall bladder and pancreas.

Why is EUS done?

EUS provides your doctor with more information than other tests by providing detailed images of your digestive tract. Your doctor can use EUS to diagnose certain conditions that may cause abdominal pain or abnormal weight loss.

EUS is also used to evaluate known abnormalities, including lumps or lesions, which were detected at a prior endoscopy or were seen on x-ray tests, such as a computed tomography (CT) scan. EUS provides a detailed image of the lump or lesion, which can help your doctor determine its origin and help treatment decisions. EUS can be used to diagnose diseases of the pancreas, bile duct and gallbladder when other tests are inconclusive or conflicting.

Are there any risks of having an EUS?
  • EUS is generally safe when performed at a center with an experienced and expert health care team. Your doctor will discuss with you the risk of complications from EUS . These risks are most commonly associated with fine-needle aspiration.

    Risks may include:

    – Bleeding

    – Infection

    – Tearing (perforation) of the intestinal wall or throat

    – Pancreatitis, if fine-needle aspiration of the pancreas is done

How is EUS performed ?
  • Your endoscopist will use a thin, flexible tube called an endoscope that has a built-in miniature ultrasound probe. Your doctor will pass the endoscope through your mouth or anus to the area to be examined. Your doctor then will use the ultrasound to use sound waves to create visual images of the digestive tract.
What are the advantages of an EUS, compared to a CT scan & MRI for pancreatic problems?
    • There are many different tests which can be used to evaluate the pancreas. CT scans and MRI are types on non-invasive tests which allow for detailed imaging of the pancreas and the surrounding structures in the abdominal cavity. CT scans expose the patient to some amount of radiation. Furthermore, some patients are unable to receive IV contrast for their CT scans (due to allergies or kidney problems), and thus the quality of the pictures will be sub-optimal. A special kind of MRI called an MRCP can give high-quality pictures of the pancreas, the pancreas duct, and the bile ducts. However, some patients who are claustrophobic may decide against having an MRI performed.

      As discussed, EUS allows the physician to get in very close proximity to the pancreas, which results in very detailed imaging of the organ. The endoscopist can often times visualize details of the pancreas that cannot be seen with either CT or MRCP. Furthermore, there is no exposure to radiation and no need for contrast to be given. In addition, because the EUS scope has a video camera on it, endoscopic evaluation of the esophagus, stomach, and first part of the small intestine can also be evaluated at the time of the EUS. This is important for some patients who are having a work-up for abdominal pain as it allows for a complete examination of the upper GI system.

      The biggest advantage of EUS is that, unlike with CT or MRCP, pancreatic biopsies can be safely and easily obtained at the time of the exam.

What Happens After an EUS?
    • After the EUS procedure, the patient remains in the recovery room until the sedative medicine has worn off. The patient should not drive a vehicle after the procedure.

      Patients may feel full or the need to pass gas after the procedure. Also, the patient may have changes in bowel habits, such as soft stool. The healthcare team provides instructions on eating and drinking after an EUS.

      Call your doctor immediately or go to an emergency room if you experience any of the following signs or symptoms:

      – Fever

      – Chest pain

      – Shortness of breath

      – Black or very dark-colored stool

      – Severe or persistent abdominal pain

Facebook
Twitter
LinkedIn
WhatsApp
Email
Skype
Telegram

Filed Under: Pancreas, Investigations

Primary Sidebar

Categories

  • blog
    • Anus
      • Cancer
      • Fistula
    • Esophagus
      • Achalasia Cardia
      • Cancer
      • Investigations
      • Miscellaneous
      • Reflux Disease
      • Stricture
      • Symptoms
    • Gallbladder & Bile Duct
      • Cancer
      • Investigations
      • Stones
      • Surgery
      • Symptoms
    • Health Days
    • Health Tips
    • Large Bowel
      • Appendix
      • Cancer
      • Diverticular Disease
      • Infections
      • Investigations
      • Stricture
      • Surgery
      • Symptoms
      • Ulcerative colitis
    • Liver
      • Cancer
      • Cirrhosis
      • Fatty Liver
      • Infections
      • Investigations
      • Surgery
      • Symptoms
      • Transplant
      • Trauma
    • Pancreas
      • Acute Pancreatitis
      • Cancer
      • Investigations
      • Stones in Pancreas
      • Surgery
      • Symptoms
      • Transplant
      • Trauma
    • Rectum
      • Cancer
      • Investigations
      • Rectal Prolapse
      • Rectal Ulcer
      • Stricture
      • Surgery
    • Small Bowel
      • Celiac disease
      • Crohn’s Disease
      • Infections
      • Irritable Bowel Syndrome
      • Miscellaneos
      • Surgery
      • Symptoms
    • Stomach
      • Acid Poisoning
      • Cancer
      • Gastroparesis
      • Investigations
      • Surgery
      • Symptoms
      • Ulcer
September 2023
M T W T F S S
 123
45678910
11121314151617
18192021222324
252627282930  
« Apr    
The-Robotic-cancer-surgeon-in-Gujarat-India
Online Consult

Dr Harsh Shah is a well known GI & HPB Robotic Cancer Surgeon in ahmedabad. He treats cancers of esophagus, stomach, liver, pancreas, colon, rectum & small intestines. He is available at Apollo Hospital.

Facebook Twitter Youtube Instagram Pinterest

Contact Us

Phone Number

Call: +918980020898 , +916355564601
WhatsApp: +918980020898

Email

support@drharshshah.in

Request a call back

WhatsApp us