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Interventional & Specialized

Advanced Endoscopy (ERCP/EUS)

State-of-the-art interventional endoscopy procedures providing minimally invasive solutions for complex pancreatic, biliary, and gastrointestinal diseases in Tumakuru.

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Cutting-Edge Minimally Invasive Interventions

Advanced Endoscopy encompasses complex interventional procedures like ERCP (Endoscopic Retrograde Cholangiopancreatography) and EUS (Endoscopic Ultrasound). These modalities combine endoscopic visualization with fluoroscopy (X-rays) or high-frequency ultrasound to diagnose and treat diseases of the pancreas, gallbladder, bile ducts, and deep GI tract wall layers.

Led by certified ERCP specialist and EUS specialist Dr. Balakrishna A. in Tumakuru, our advanced endoscopy unit at Siddaganga Hospital is equipped to handle complex stone removals, biliary drainage, cyst clearance, and fine-needle tumor biopsies. These procedures provide patient-friendly alternatives to major open abdominal surgeries, with faster recovery.

Advanced Endoscopy ERCP EUS Medical Illustration
Clinical Referrals

Clinical Indications for Advanced Endoscopy

Patients are typically referred for ERCP or EUS when standard ultrasound, CT, or MRI scans show:

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Obstructive Jaundice

Skin/eye yellowing and severe itching due to gallstones or tumors blocking the main bile duct.

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Bile Duct Dilation

Abnormal widening of the common bile duct, which requires direct camera visualization (Spyglass) or ultrasound staging.

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Pancreatic Mass or Cyst

Suspected tumors or fluid collections within the pancreas, requiring high-resolution EUS imaging and tissue biopsy.

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Recurrent Pancreatitis

Multiple unexplained episodes of pancreatic inflammation, suggesting structural anomalies or hidden micro-stones.

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Bile Duct Stones (Choledocholithiasis)

Gallstones that have migrated out of the gallbladder and become trapped inside the common bile duct.

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GI Strictures

Narrowing of the esophagus, duodenum, or colon from scar tissue or tumors that prevents normal digestive flow.

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Urgent Biliary and Pancreatic Emergencies

Certain blockages can quickly become life-threatening. Seek immediate hospital admission if you experience:

  • High fever, chills, and worsening jaundice (Ascending Cholangitis)
  • Severe, unrelenting upper abdominal pain radiating to the back with vomiting (Acute Pancreatitis)
  • Sudden drop in blood pressure or mental confusion accompanying fever
  • Severe upper abdominal bloating and inability to pass gas or stool
Procedures Offered

Interventional Endoscopic Services

We perform advanced interventional procedures using state-of-the-art clinical devices:

01

ERCP (Stone & Stricture Drainage)

Combining endoscopy and X-rays to locate blockages in the bile and pancreatic ducts and immediately place drainage tubes or stents.

02

CBD Stone Removal

Direct removal of trapped stones from the Common Bile Duct using specialized balloon sweeps and basket retrievers during ERCP.

03

CBD Stricture Management

Dilating narrow bile ducts and placing plastic or self-expanding metal stents to maintain flow and relieve jaundice.

04

Electrohydraulic Lithotripsy (EHL)

Using shockwaves generated inside the bile duct to shatter large, stubborn gallstones into easily sweepable fragments.

05

Laser Lithotripsy

Direct fragmentation of large biliary stones using target-guided laser fibers threaded through a cholangioscope.

06

Spyglass Cholangioscopy

Inserting a micro-camera directly inside the bile ducts to visually examine duct lining and obtain targeted biopsies of suspected tumors.

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Endoscopic Ultrasound (EUS)

Employing an ultrasound transducer at the tip of the scope to capture high-resolution images of organs lying adjacent to the stomach wall.

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Diagnostic EUS & FNA

Performing real-time ultrasound-guided fine-needle aspiration (FNA) or biopsy of pancreatic masses and lymph nodes to obtain cell samples.

09

Therapeutic EUS Interventions

Using EUS guidance to deliver targeted therapies, such as injecting medications directly into nerves to block severe pancreatic pain.

10

EUS-guided Cystogastrostomy

Creating a non-surgical drainage channel between a pancreatic pseudocyst and the stomach using specialized metal stents.

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EUS-guided Biliary Drainage

An advanced bypass procedure to drain blocked bile ducts when standard ERCP attempts have failed, avoiding external bags.

Clinical Advantages

Why Advanced Endoscopy is Chosen

Interventional endoscopy provides precise diagnosis and treatment with minimal patient impact.

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Avoid Major Surgery

Relieves bile duct obstructions and drains cysts through internal scopes, avoiding large surgical wounds.

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High Resolution Imaging

EUS provides highly detailed images of pancreatic lesions, outperforming standard external scans.

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Immediate Relief

Stent placement resolves painful blockages and jaundice within hours of the procedure.

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Precise Tissue Biopsies

EUS-FNA secures high-quality cell samples from deep structures safely and accurately.

Dr. Balakrishna A.

Consultation with Dr. Balakrishna A.

Consultant Gastroenterologist & Hepatologist | DM Gastroenterology | 10+ Years Experience

Learn More About Doctor
FAQ

Advanced Endoscopy FAQ

Common questions regarding ERCP and EUS interventional procedures.

ERCP is a specialized procedure used to diagnose and treat diseases of the bile ducts and pancreatic duct. It is primarily therapeutic, allowing the doctor to clear duct stones, dilate strictures, and place drainage stents under X-ray guidance.

EUS combines endoscopy and ultrasound to examine the lining and walls of the upper and lower digestive tract and adjacent organs (like the pancreas and liver). It allows the doctor to take high-resolution images and perform real-time needle biopsies of deep tissues.

Yes. Because these procedures require precision and patience, they are performed under deep conscious sedation or general anesthesia managed by an anesthesiologist. This ensures that you remain asleep and feel no pain throughout the procedure.

Spyglass cholangioscopy is an advanced technique where a very thin, flexible camera is inserted directly into the bile ducts during ERCP. This allows direct visual inspection of the duct walls to distinguish between benign and malignant strictures, and perform targeted biopsies.

Most diagnostic and minor therapeutic EUS procedures are outpatient, allowing you to return home the same day. ERCP patients, especially those undergoing stone extraction or complex stenting, are often monitored in the hospital overnight as a safety precaution.

Need to Refer a Patient or Schedule an Evaluation?

Contact Dr. Balakrishna A., a leading ERCP and EUS specialist in Tumakuru, for advanced interventional endoscopy.

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