Endoscopic Ultrasound (EUS) is offered by Braemar specialists Dr Frank Weilert and Dr Jerry Chin.

Endoscopic Ultrasound has significant advantages over traditional ultrasound because it produces images of a much higher quality, providing precise information, which in turn means more accurate targeting of abnormalities. A small ultrasound probe is installed on the tip of the endoscope which allows it to act as a window to the organs of the body.

EUS allows the specialist to obtain precise images and information about the digestive tract and surrounding tissues and organs, while also undertaking a range of procedures. These include obtaining tissue samples, pain management, draining of abscesses (from, for example, pancreatitis), unblocking ducts or placing fiducials for marking tumours.

EUS is done from inside the body, near or even touching the targeted area, so that finer higher frequency imaging energy can be used. The superior resolution also provides continuous data avoiding the unseen and unrecorded gaps between still images of scans. Because the instrument has a working channel, different sized instruments such as needles can be put through the channel to obtain tissue samples. In some cases, it means unnecessary surgery can be avoided.

Meanwhile Braemar Hospital also utilises other leading technology in the endoscopy area.

Q-Chip technology colonoscopies and gastroscopes set a new standard for the examination and treatment of the upper and lower gastrointestinal tract, with the ability to capture images, manoeuvre the scope in many directions and they have an extra-wide, 140-degree, field of view.

Capsule endoscopy or pillcam is a small video camera in a capsule. The patient swallows the pill (about the size of a vitamin capsule) and the capsule travels through the body, sending images to a data-recorder worn at the waist. The pill has its own camera and light source, taking two frames a second and nearly 60,000 images in total which are then viewed by the specialist.

It can be used as a first-line tool in the detection of abnormalities in the small bowel and can help diagnose diseases of the small intestine including Crohn’s Disease, coeliac disease and other mal-absorption issues, tumours, vascular disorders and medication-related small bowel injury.

Meanwhile Braemar Hospital also offers Bravo pH monitoring to test for gastro oesophageal reflux disease. During a gastroscopy, a small capsule is temporarily attached to the wall of the oesophagus and it transmits pH data wirelessly to a receiver worn at the waist for two days. Patients must press certain buttons when they are experiencing symptoms then after the 48-hour period, the capsule is designed to detach and simply pass through the patient’s system. The test data is then analysed by the specialist.


March 2024