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Advanced endoscopy:
ERCP and EUS

ERCP or EUS procedures are a type of endoscopy. The procedures are used to obtain extra information about your gastrointestinal tract. They help your specialist make recommendations about treatment options, if symptoms or conditions are discovered.
  • Advanced endoscopy is part of our gastroscopy services at Gutworks Perth
  • The choice of procedure depends on the details in your GP or specialist referral
  • Dr. Vanoo Jayasekeran will help you understand the process, the findings and the follow-up steps as a specialist gastroenterologist
  • At Gutworks Perth, your gastroenterologist provides advanced endoscopy techniques. You can count on an unrushed consultation and we always aim to offer clear communication about the process
Dr Vanoo Jayasekaran | Gastroenterologist Perth

What is ERCP?

An Endoscopic Retrograde Cholangio Pancreatography is commonly called an ERCP procedure. It is a specialised procedure we use to manage disorders of the bile duct. When the flow of bile is blocked or disrupted, your specialist may recommend it as part of your treatment journey. It means that we use an endoscope (a flexible instrument) to manoeuvre fine instruments into the bile duct. This type of endoscopic procedure is supported by targeted X-rays.
ERCP endoscopy perth murdoch

Gastroenterologist Perth

We are here to help, and to organise your tests and the follow-up. The goal is to give you clear information before, during and after your procedure.
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At Gutworks Perth, we offer a range of upper GI endoscopy services. Dr. Jayasekeran and his team will always start by making sure that you understand the reasons to suggest a specific test. Quite often your GP or your specialist may have requested this test. The goal is to get more detailed information about symptoms linked to your gastrointestinal tract.

What are the reasons to plan an ERCP?

Your gastroenterologist will suggest this type of endoscopy procedure when there are specific indications:

  1. Gallstones in the bile duct that need to be removed
  2. Jaundice (a yellow discolouration of the eyes or the skin) due to a blocked flow of bile
  3. For stent placement. A stent is a slim plastic or metal tube, inserted into the bile duct. A stent bypasses the area of the blockage to relieve your jaundice or pain.
  4. To reverse infection caused by blockage of bile flow
  5. To obtain cell samples (brushings) to help distinguish a benign condition from cancer of the pancreas or bile duct.

Gastroenterologist Perth

As a specialist gastroenterologist, Dr. Vanoo Jayasekeran will make sure that you are well informed. We are here to give you all the information you need, about the procedure and the steps that are involved.
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Before we make recommendations we look at your health history. Our team at Gutworks Perth will first assess your personal circumstances. This may include the enquiries and referral from your GP, or from your specialist.
And thanks to that information we will be able to make recommendations for a specific type of advanced endoscopy.

What is EUS?

Endoscopic ultrasound (EUS) is a specialised endoscope. It uses ultrasound technology (high-frequency sound waves), to see through your gut wall. It allows your specialist to obtain detailed images of the lining of the upper digestive tract. In addition, it allows for excellent visualisation of organs such as the stomach, pancreas, bile duct, liver and lymph nodes.
EUS endoscopy perth murdoch
These organs are located next to and just outside the digestive tract. In addition to diagnostic information, the procedure allows targeted sampling (biopsy) of any abnormal findings with fine needle aspiration (FNA). This is often used to confirm cancer of the pancreas and investigate any swelling or growths of the digestive system. For example, a biopsy sample often helps to find out the type of growth you may have in your stomach or pancreas.

What are the reasons for undertaking EUS?

Endoscopic ultrasound is most commonly recommended for the following:

  1. To further evaluate conditions of the pancreas (e.g. cysts* and lesions)
  2. To further evaluate a growth in the wall of the stomach or duodenum
  3. To obtain a specimen sample from a growth using an FNB** needle
  4. To help stage cancer of the upper digestive tract before surgery

* A cyst is a thin-walled sac or a cluster of sacs often containing fluid. As some cysts may be precancerous in the pancreas, an enlarging cyst may require analysis of the fluid content.

* FNB stands for Fine Needle Biopsy. It is obtained with an ultra-fine needle inserted through the EUS endoscope. It is used to target an abnormal area with great precision under ultrasound guidance.

Gastroenterologist Perth

As a specialist gastroenterologist, Dr. Vanoo Jayasekeran will make sure that you are well informed. We are here to give you all the information you need, about the procedure and the steps that are involved.
contact
Endoscopic ultrasound may be indicated when other prior investigations (e.g. ultrasound scan, CT or MRI or a gastroscopy) have identified a structural problem. Your gastroenterologist uses this tool to undertake a diagnostic assessment of your digestive system.
Such findings are often found by chance when investigating another problem. Therefore, EUS allows your specialist to further characterise the abnormal finding. This is often the first step to make an accurate diagnosis.

How to prepare for an advanced endoscopy procedure?

Your doctor at Gutworks Perth will help you prepare for your procedure by providing clear information. For both an ERCP and EUS he will give you specific instructions. For example:

  • Fasting for at least 6 hours before the procedure
  • Withhold all blood thinners - apart from aspirin - for a specific number of days before the procedure. This is to reduce the risk of bleeding if tissue samples are obtained.
If you have any questions, Dr. Jayasekeran will discuss the potential procedure risks with you in person. This happens well before the procedure, or on the day. We will also ask you to sign an informed consent document.

What to expect on the day?

You will have a chance to meet and discuss with your specialist anaesthetist. Deep sedation is the standard approach in terms of anaesthesia. General anaesthesia is sometimes required at the discretion of the anaesthetist depending on your specific health requirements. The procedure generally takes 30-45 minutes.

Gastroenterologist Perth

You may have questions about ERCP or EUS. Or perhaps you need more information about ERCP and stenting. Whatever your question, please contact the Gutworks team and we will be happy to help you out.
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And what happens after my ERCP or EUS?

Dr. Jayasekeran will discuss with you the findings following your procedure. Although ERCP and EUS may be day-case procedures, you may be kept in overnight for medical and nursing monitoring. Therefore it will be important that you are prepared for this possibility.

You would usually return to food intake within 6-12 hours after the procedure.

Arrangements will be made for you to visit either your referring doctor or Dr. Jayasekeran’s practice. You can then discuss any outstanding results of tests.

About Gutworks

Gutworks has the ethos of providing a prompt and friendly service for your gastro-intestinal problems.
If you are looking for a Perth Gastroenterologist who is caring and pays attention to detail, you have come to the right place. I will help you find an explanation for your gut symptoms. I carry out a variety of endoscopic procedures to help diagnose and treat gut conditions.

Our core procedures include:

Part of my mantra is to provide you with an unrushed experience during your clinic consultation and excellent follow up after your investigations.
Tests and procedures are just one aspect of modern medicine. What is important is that you have an opportunity to discuss your gut problems with ease with your specialist. Your gastroenterologist should utilize evidence-based medicine (EBM) to ensure you receive the best possible outcome for your gut condition.

Contact Gutworks

To discuss your gut problems, please contact our clinic.
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Endoscopy St John of God Hospital Murdoch

An endoscopy of the stomach is also called a gastroscopy. Common reasons for this procedure include any symptoms indicative of disorders of the oesophagus, stomach or duodenum. Helicobacter pylori infection is often found on the biopsy samples obtained during your gastroscopy. Treatment is usually indicated.
Endoscopy

When to see a gastroenterologist

Dr. Jayasekeran specialises in the investigation of stomach and intestine conditions and helps Perth patients at SJOG Murdoch Hospital. Your referring doctor may request a consultation or a endoscopy examination.
Gastroenterologist

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Contact Details

Phone: 08 9335 3411
Fax: 08 9335 6155

Office hours

Mon-Thu: 08:00 - 17:00
Fri: 08:00 - 16:00
Sat-Sun: closed

Consulting rooms address

111 South St, Beaconsfield WA 6162

Operating address

St John of God Murdoch Hospital
100 Murdoch Dr., Murdoch WA 6150