Advanced Endoscopic Procedures

Endoscopic Ultrasound

The Yale Interventional Endoscopy Program gastroenterologists perform the most endoscopic ultrasounds in Connecticut and have dedicated expertise in evaluating the pancreas and performing fine needle aspiration (FNA) biopsies of pancreatic tumors. The combination of EUS and FNA offers patients at Yale the state-of-the-art method of pancreatic biopsies with greater accuracy and lower risk of tumor spread than a biopsy through the skin. Following a biopsy procedure, Yale Cytopathology provides skilled evaluation of pancreatic tissue biopsies to determine if a tumor exists, the type of tumor present, and to assist in the staging of the disease in conjunction with the findings of specialized CT scans and EUS. Yale’s expert cytologists are present at the time of EUS-guided biopsies to ensure that optimal tissue sampling is achieved. Pain resulting from pancreatic cancer can also be improved with the performance of EUS-guided blocking of the nerves that transmit pain (celiac plexus neurolysis).

ERCP (Endoscopic Retrograde Cholangiopancreatography)

The Yale Interventional Endoscopy Program also has expertise in the performance of ERCP, an endoscopic procedure that evaluates the pancreas and bile ducts. ERCP can also be used to alleviate jaundice by placing a stent in the bile duct or to eliminate a blockage of the intestinal tract using a stent in the small intestine.

Animation - Understanding EUS-FNA

Animation - Understanding EUS-FNA

This animation describes Endoscopic Ultrasound-Guided Fine-Needle Aspiration (EUS-FNA), an endoscopic procedure used to obtain detailed images of the digestive tract, including the pancreas and surrounding abdominal organs and tissue samples for analysis. This procedure helps your doctor to diagnose, stage, or even rule out the presence of pancreatic disease or cancer, to determine the best course of treatment.

Animation - Understanding ERCP

Animation - Understanding ERCP

This animation describes Endoscopic Retrograde Cholangiopancreatography (ERCP), which is an endoscopic procedure used to examine and treat a specific finding within either the pancreatic duct or biliary tree (bile duct). This procedure helps your doctor make critical decisions concerning your health.