Dr. Khushboo Madaan is a Consultant Gastroenterologist & Hepatologist at Paras Health, Gurugram, specializing in advanced endoscopy and comprehensive digestive care. Book Appointment
- Email Us: khushboomadaan23@gmail.com
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Advanced Endoscopic Ultrasound (EUS)
Endoscopic Ultrasound (EUS) combines high-resolution endoscopy with ultrasound imaging to evaluate the digestive tract and surrounding organs, including the pancreas, liver, bile ducts, lymph nodes, and gallbladder. It provides exceptional diagnostic accuracy for detecting gastrointestinal cancers, pancreatic diseases, submucosal lesions, and biliary disorders while enabling real-time tissue sampling through Fine Needle Aspiration (FNA) and Fine Needle Biopsy (FNB).
Precision Diagnosis with Endoscopic Ultrasound
EUS plays a crucial role in accurately staging gastrointestinal cancers by assessing the depth of tumor invasion, lymph node involvement, and spread to adjacent structures. It facilitates targeted procedures such as FNA and FNB for histopathological confirmation, evaluates esophageal and gastric varices, and provides comprehensive information that helps clinicians determine the most appropriate medical, endoscopic, surgical, or oncological treatment strategy.
Therapeutic Endoscopic Ultrasound Procedures
Beyond diagnosis, EUS offers advanced minimally invasive therapeutic interventions for complex pancreatic and biliary disorders. Procedures such as EUS-guided cyst gastrostomy with SEMS or double pigtail stent placement effectively drain pancreatic fluid collections, while EUS-guided choledochoduodenostomy (CDS) provides internal biliary drainage when conventional ERCP is unsuccessful. These advanced techniques reduce the need for surgery, improve patient recovery, and deliver effective treatment with lower procedural risk.
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Diagnostic Endoscopic Ultrasound (EUS): Fine Needle Aspiration (FNA)
Accurate tissue sampling using endoscopic ultrasound for precise disease diagnosis
- Reduce need for invasive surgical diagnostic procedures significantly
- Support personalized treatment planning through accurate tissue diagnosis
- Evaluate enlarged lymph nodes using targeted ultrasound guided aspiration
- Diagnose benign and malignant gastrointestinal diseases with high accuracy
- Obtain cytology samples from gastrointestinal and pancreatic lesions safely
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Fine Needle Biopsy (FNB)
Advanced tissue biopsy providing core samples for detailed pathological evaluation
- Obtain core tissue samples with preserved histological architecture
- Improve diagnostic yield compared with conventional aspiration techniques
- Diagnose pancreatic gastrointestinal and mediastinal lesions accurately
- Guide targeted treatment using comprehensive pathological assessment
- Minimize procedural risks with minimally invasive ultrasound guidance
Variceal Assessment
Detailed evaluation of gastrointestinal varices using advanced endoscopic ultrasound imaging
- Guide individualized treatment planning for complex variceal disease
- Improve long term outcomes through comprehensive vascular assessment
- Evaluate bleeding risk before therapeutic endoscopic intervention
- Identify collateral veins associated with portal hypertension effectively
- Assess esophageal and gastric varices with high precision
Local GI Cancer Invasion Assessment
Precise staging of gastrointestinal cancers using endoscopic ultrasound evaluation
- Determine depth of tumor invasion into gastrointestinal wall layers
- Assess involvement of adjacent organs and surrounding structures accurately
- Guide multidisciplinary treatment planning with accurate local staging
- Improve therapeutic decision making through detailed cancer assessment
- Stage gastrointestinal cancers before surgery or oncological treatment
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Therapeutic Endoscopic Ultrasound (EUS): Cyst Gastrostomy and SEMS DPT Placement
Minimally invasive drainage of pancreatic fluid collections using endoscopic ultrasound
- Drain pancreatic pseudocysts through endoscopic ultrasound guided procedures
- Avoid major surgery with minimally invasive therapeutic techniques
- Promote faster recovery with advanced endoscopic drainage procedures
- Relieve pain infection and pressure caused by fluid collections
- Place SEMS or double pigtail stents for effective drainage
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Choledochoduodenostomy (CDS)
Endoscopic ultrasound guided biliary drainage for obstructed bile ducts safely
- Create internal biliary drainage when ERCP is unsuccessful
- Restore bile flow using advanced endoscopic ultrasound guidance
- Relieve obstructive jaundice caused by malignant biliary obstruction
- Provide minimally invasive alternative to percutaneous biliary drainage
- Reduce symptoms and improve liver function effectively
Our Expert Doctors
About Doctor
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Gastroenterologist, Hepatologist
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AddressParas Hospital, Gastroenterology department, Sushant Lok Phase I, Sector 43, Gurgaon 122002, Haryana
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- Email: khushboomadaan23@gmail.com
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