Endoscopic service

 

Due to the presence in the department of a wide range of endoscopic equipment of world level, namely video endoscopic system expert class OLYMPUS EVIS EXERA III and video endoscopic system HD-500 (SonoScape), electrosurgical unit ARCO 3000 Soring with mono- and bipolar coagulation and argonoplasmic coagulation, anesthesia systems for sedation, for the last 5 years the following diagnostic studies have been implemented:

  • Expert-class videoesophagogastroscopy.
  • Duodenoscopy.
  • RHPG.
  • Transnasal esophagogastroduodenoscopy.
  • Expert-class videocolonoscopy;
  • The following minimally invasive endoscopic interventions have been implemented:
  • Removal of gastrointestinal neoplasms by various methods (polypectomy, endoscopic resection of the mucosa, endoscopic submucosal dissection).
  • Balloon dilatation with various gastrointestinal narrowings.
  • Argonoplasmic ablation in Barrett’s esophagus.
  • Treatment of benign and malignant gastrointestinal strictures by bulging, dilatation, and stenting.
  • Transpapillary interventions in the pancreatobiliary area (PST, literate, lithotripsy, stenting, balloon papilloma and stricture).
  • Ligation of varicose veins of the esophagus.
  • Transmural interventions for pancreatic cysts. • Endoscopic treatment of various benign tumors and early gastrointestinal cancer, which avoids major surgery.

In 2021, endosonography with elastometry, implemented using the SonoScape UR-500 system, was introduced.

The SonoScape UR-500 system is represented by a video rack and endoscope with an ultrasonic sensor and a Doppler digital ultrasonic system with elastography function. This has expanded the possibilities in diagnostics:

  • submucosal neoplasms of the esophagus, stomach, duodenum and colon (fibroma, lipoma, leiomyoma);
  • tumors of the digestive tract and determining the stage of the malignant process and the depth of the lesion;
  • changes in the parenchyma and duct of the pancreas in various types of chronic pancreatitis and its complications;
  • volume formations of software, intraductal tumors, as well as stages of their spread;
  • benign changes in the gallbladder, bile ducts (choledocholithiasis);
  • changes Fater’s papilla;
  • lymphadenopathy and mediastinal tumors;
  • portal hypertension (varicose veins of the esophagus);

The following minimally invasive endoscopic interventions have been implemented:

  • Removal of gastrointestinal neoplasms by various methods (polypectomy, endoscopic resection of the mucosa, endoscopic submucosal dissection).
  • Balloon dilatation with various gastrointestinal narrowings.
  • Argonoplasmic ablation in Barrett’s esophagus.
  • Treatment of benign and malignant gastrointestinal strictures by bulging, dilatation, and stenting.
  • Transpapillary interventions in the pancreatobiliary area (PST, literate, lithotripsy, stenting, balloon papilloma and stricture).
  • Ligation of varicose veins of the esophagus.
  • Transmural interventions for pancreatic cysts.
  • Endoscopic treatment of various benign tumors and early gastrointestinal cancer, which avoids major surgery.

These studies and endoscopic interventions can be performed under intravenous sedation and using the UventA ventilator and monitor the patient’s vital signs using a PHILIPS cardiomonitor.

 

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