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Fortis Escorts Hospital, Jaipur have installed New Endoscopy System EVIS EXERA III CV190 with GIF HQ190, CF-HQ190 L and TJF150E (Olympus Make, Manufactured in Japan) for better clinical outcome. Better, Early and Pain Free Diagnose Key features of EVIS EXERA III CV 190 Olympus endoscopic system are: - • Loaded with Advance technologies for better and early diagnose, the new Endoscopy system raises the bar for routine Endoscopy. • Brighter, More Powerful Imaging – Narrow band imaging (NBI) now delivers significantly increased brightness providing twice the viewable distance compared to earlier scope models. It increases the sharpness and clarity of still images captures and improved signal processing significantly reduced levels of halation and noise.

 • Optimal Depth of field at the touch of the button – It allows the User to select between two focus setting to achieve the desired depth of field for optimal observation. With dual focus, Olympus is helping to revolutionise routine endoscopy. • Minimizes the Efforts and time for the Procedure – A new waterproof connector design minimizes the efforts and time required for set up prior to and in between cases. An integrated Water Jet channel not only allow operator to identify the bleeding source during haemostasis but is also helpful during complex therapeutic procedures, by ensuring always a clear view of the endoscopic site.

 • Minimize the pain and discomfort of the patient – The setup, technology and fast performance of the system minimizes the discomfort and Pain in patients. Unique Responsive insertion technology to facilitate complete colonoscopies by improving scope handling, ese of insertion and ergonomics.
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Endoscopic Retrograde Cholangiopancreatography - Procedure and Results..Sometimes, when it comes to problems in the abdominal area, an ultrasound is not clear enough for a diagnosis. In such cases, an Endoscopic Retrograde Cholangiopancreatography (ERCP) may be performed. This procedure gives the doctor a clear view of the duodenum, bile duct, pancreatic ducts, gallbladder and papilla of Vater.This procedure is usually performed under intravenous sedation without general anesthesia. This procedure involves the use of a duodenoscope, which can be described as a thin, long, flexible tube with a camera at one end. It also has a fiber optic bundle that transmits lights to the camera and a chip to transmit video images to a TV screen.This is inserted through the patient’s mouth and sent down the throat through the food pipe to the stomach and duodenum while the patient is lying on his or her back. The air pipe is left undisturbed so as to not interfere with the patient’s breathing. Since the patient is not under general anesthesia, he or she can move and turn according to the doctor’s needs. The papilla of Vater is a small nipple like structure with an opening to the bile duct and pancreatic duct. Once this has been identified, a small plastic catheter is passed through the duodenoscope into the bile duct or pancreatic duct through the papilla. Dye is then injected into the area and X-rays are taken of the bile ducts and pancreatic duct. In cases where a biopsy is needed, other instruments can also be passed through the endoscope. Plastic or metal stents can also be passed through this to relieve obstructions in the bile ducts and pancreatic ducts.ERCP can be used to diagnose and treat a number of conditions in the liver, bile ducts, gall bladder, pancreas and papilla of Vater. These include:• Blockage of the bile duct by gallstones, cancer, scars, tumors or compression from adjacent organs.• Jaundice due to an obstructed bile duct. This can also cause light stools and dark urine.• Persistent upper abdominal pain• Unexplained weight loss and loss of appetite• Diagnosing a Dysfunctioning Sphincter of Oddi within the Papilla of VaterERCP can also be used to confirm pancreatic cancer and cancer of the bile duct. Once the diagnosis is confirmed, the doctors can customize treatment according to the patient’s needs.
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COLON / RECTAL CANCEROVERVIEWColon cancer is cancer of the large intestine while rectal cancers occur in the last part of the colon. The two are combined and known as colorectal cancers and often begin as non-cancerous tissues known as polyps. The polyps over a period of time grow into cancerous cells. Polyps themselves do not have any symptoms but with their metamorphosis into cancerous cells they begin to exhibit certain evident symptoms.Regular check-up to identify the presence of polyps and their removal is suggested to ensure that the risk of colon cancer is lowered. Colorectal Cancer is caused by the genetic mutation of cells turning them from normal to abnormal cells in the colon. The exact cause of the mutation is yet unascertained.Adhering to a healthy lifestyle and staying away from smoking, drinking & drug abuse helps decrease the risk of cancer. Including fibers in diet and following a healthy fitness regime is also helpful.SYMPTOMSThe common symptoms of Colorectal Cancer can be enumerated as the following• Rectal bleeding or blood in stools• Frequent diarrhea or constipation• Abdominal discomfort - gas, cramps etc., • Unexplained weight loss• Excessive & frequent fatigueCAUSES & RISK FACTORSColorectal Cancer is caused by the genetic mutation of cells turning them from normal to abnormal cells in the colon. The exact cause of the mutation is yet unascertained. A low-fiber, high-fat diet also increases the risk of colorectal cancer as does type-2 diabetes, sedentary lifestyle and excessive smoking and drinking.DiagnosisStool testColonoscopy (painless)Sigmoidoscopy
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