Imphal 19^th August 2017: Yet again, for the first time in Manipur, Shija performed the first Endoscopic Ultrasound procedure (EUS) to confirm diagnosis of a swelling in the abdomen. A 25 year lady from Manipur but working in Dimapur, was diagnosed as a case of possible cancer of pancreas at Guwahati and surgery advised. At Shija, she underwent Endoscopic Ultrasound (EUS) guided FNAC (extraction of cells from tumour by fine needle for microscopic examination). Patient was extremely relieved to know that it was not cancer. The swelling is a very rare condition and very small numbers have been reported worldwide. To be able to diagnose it accurately before surgery is very important as the exact surgery for the condition can now be planned for the patient.

EUS is a newly developing modality of investigation and treatment. Apart from the endoscopic view provided by the endoscope there is an ultrasound transducer attached to the tip. Using this instrument it is now possible to enter the stomach and intestine (duodenum) and perform ultrasound examination from the inside. It is a very versatile instrument and can be used to minutely investigate difficult and perplexing diseases within the abdomen. It can also be used to treat many diseases within the abdomen and thus avoid many advanced and complicated surgeries.
 

EUS biopsy being taken

Pancreas swelling seen during EUS

Thus the Endoscopy Centre at Shija Hospitals becomes one of the very few centres in the world to provide EUS facilities.

T. Premkumar
Dy. Manager-Business Development
Shija Hospitals & Research Institute Pvt. Ltd.