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EUS guided interventions
Endoscopic Ultrasound (EUS) guided interventions are advanced procedures that leverage real-time ultrasound imaging to navigate and precisely target internal structures near the gastrointestinal tract. This technique allows for fine-needle aspiration or biopsy of lesions, cyst drainage, and therapeutic interventions like celiac plexus neurolysis or fiducial marker placement. EUS guidance enhances diagnostic accuracy and therapeutic precision, making it a valuable tool in the management of various gastrointestinal and adjacent organ conditions. The minimally invasive nature of EUS procedures often contributes to reduced patient discomfort and quicker recovery.
About the Speaker
Dr Jatin Yegurla
Consultant Gastroenterologist at Apollo Hospitals, Jubilee Hills, Hyderabad
Dr Jatin Yegurla MBBS (Osm), MD (PGIMER Chandigarh), DM (AIIMS New Delhi), FAGIE (AIIMS New Delhi), ESEGH (London, UK); Gold Medalist
Upcoming Case Discussions
H. pylori Treatment with PYELRA®: Best Practices
PYLERA® is a medication used for the treatment of Helicobacter pylori (H. pylori) infection, a common cause of stomach ulcers and gastritis. It contains a combination of three active ingredients: bismuth subcitrate potassium, metronidazole, and tetracycline. This combination works synergistically to eradicate H. pylori bacteria and reduce associated symptoms. Treatment with PYLERA® typically involves taking multiple capsules four times a day for a specified duration, as prescribed by a healthcare provider. It is important to follow the treatment regimen as directed and to discuss potential side effects
Management of Pulmonary Fibrosis
Pulmonary fibrosis is diagnosed through a combination of medical history, imaging studies (like high-resolution CT scans), pulmonary function tests, and sometimes lung biopsies. Treatment often involves medications such as corticosteroids, immunosuppressants (like azathioprine or mycophenolate), and antifibrotic drugs (such as pirfenidone or nintedanib) to slow disease progression and manage symptoms.Supplemental oxygen therapy is commonly prescribed to relieve shortness of breath and improve oxygen levels in the blood. This program combines exercise training, education, and breathing techniques to improve overall physical condition and quality of life. Patients with pulmonary fibrosis should receive vaccinations against influenza and pneumococcal pneumonia to reduce the risk of respiratory infections. In severe cases, lung transplantation may be considered for eligible patients to improve survival and quality of life. Treatments like nutritional support, psychological counseling, and palliative care can provide comprehensive support and symptom management.
Alcoholic Hepatitis: Management Strategies
Management of alcoholic hepatitis involves a comprehensive approach aimed at halting disease progression, managing symptoms, and promoting liver recovery. The cornerstone of treatment involves complete alcohol cessation to prevent further liver damage and promote healing. Patients often have malnutrition, so nutritional therapy with a focus on adequate protein intake and vitamin supplementation is crucial. Corticosteroids like prednisolone may be prescribed in severe cases to reduce liver inflammation and improve survival rates. In severe cases unresponsive to medical therapy, liver transplantation may be considered, although strict criteria must be met. Diuretics may be used cautiously to manage ascites while monitoring for renal function. Prophylactic measures such as beta-blockers may be used to reduce the risk of variceal bleeding.
Pneumonia in Children
Pneumonia in children is often caused by viral or bacterial infections, leading to inflammation of the lungs. Symptoms may include cough, fever, rapid breathing, and chest pain. Diagnosis typically involves physical examination, chest X-ray, and sometimes blood tests or other imaging studies. Treatment may include antibiotics for bacterial pneumonia, supportive care such as rest, fluids, and fever management, and in severe cases, hospitalization for oxygen therapy and close monitoring. Vaccination against common pathogens like Streptococcus pneumoniae and Haemophilus influenzae type b can help prevent pneumonia in children.
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Dr Jatin Yegurla's Talks on Assimilate
- 3rd-January-2024, TIME : 05:00PM - 06:00PM
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Endoscopic Ultrasound (EUS) guided interventions are advanced procedures that leverage real-time ultrasound imaging to navigate and precisely target internal structures near the gastrointestinal tract. This technique allows for fine-needle aspiration or biopsy of lesions, cyst drainage, and therapeutic interventions like celiac plexus neurolysis or fiducial marker placement. EUS guidance enhances diagnostic accuracy and therapeutic precision, making it a valuable tool in the management of various gastrointestinal and adjacent organ conditions. The minimally invasive nature of EUS procedures often contributes to reduced patient discomfort and quicker recovery.