Endoscopic Palliation of Duodenal Obstruction

Steps Involved in IVF:

Procedure Description:

Endoscopic palliation of duodenal obstruction is a minimally invasive procedure designed to relieve obstructions in the duodenum, typically caused by malignant tumors or other significant growths. This approach improves patient quality of life by alleviating symptoms such as nausea, vomiting, and severe weight loss. The procedure employs the use of an endoscope, a thin, flexible tube equipped with a camera and light source, which allows medical professionals to visualize and treat the obstruction internally.

The endoscope is inserted through the mouth and guided down the esophagus and stomach to reach the duodenum. Once the obstruction is located, a stent—a small, expandable metal or plastic tube—is placed at the site to keep the passage open. This facilitates the normal movement of food and digestive fluids, bypassing the obstruction and preventing further complications.

Endoscopic palliation is often recommended for patients who are not ideal candidates for surgery due to underlying conditions or when the tumor has spread to an extent that surgical removal is not feasible. It is regarded as an effective palliative measure that can significantly improve the patient’s comfort and nutritional intake.

Procedure Duration:

The endoscopic palliation of duodenal obstruction is a relatively short procedure that can be completed within 30 minutes to 2 hours, depending on the complexity of the case. Patients typically undergo local anesthesia or conscious sedation, ensuring that they remain comfortable throughout the procedure.

Preparation for the procedure usually includes fasting for several hours prior to minimize the risk of aspiration. The medical team may also perform preliminary diagnostic imaging, such as an endoscopic ultrasound (EUS) or computed tomography (CT) scan, to accurately assess the obstruction and plan the placement of the stent.

Recovery from the procedure is generally swift. Most patients can resume a liquid diet within a few hours post-procedure, transitioning to a soft or regular diet within 24 to 48 hours. Hospital stays, if required, are short and primarily depend on the patient’s overall health and any additional treatments needed. Follow-up appointments may be scheduled to monitor the effectiveness of the stent and manage any potential complications.

Benefits:

  • Minimally Invasive: Reduces surgical risks and recovery time.
  • Symptom Relief: Effectively alleviates nausea, vomiting, and pain.
  • Improved Nutritional Intake: Allows for a normal diet post-procedure.
  • Quick Recovery: Short hospital stay and minimal downtime.
  • Enhanced Quality of Life: Helps patients maintain independence and comfort.

Potential Destinations:

1. Thailand

Thailand is renowned for its advanced medical facilities and skilled gastroenterologists. The country offers cost-effective endoscopic treatments with state-of-the-art equipment and personalized patient care, making it a preferred destination for medical tourists.

2. India

India has established itself as a global leader in affordable, high-quality healthcare. With numerous accredited hospitals offering endoscopic palliation, patients benefit from experienced specialists and comprehensive post-procedure care.

3. Turkey

Turkey is well-known for its modern medical infrastructure and internationally trained doctors. Medical centers in Turkey provide excellent endoscopic procedures at competitive prices, ensuring high standards of safety and comfort.

4. Mexico

Mexico’s proximity to North America and its reputation for professional healthcare services make it a popular choice for medical tourists. Hospitals in Mexico provide cutting-edge treatment options and patient-centric care.

5. Spain

Spain’s healthcare system is among the best in Europe, featuring advanced medical technology and experienced specialists. It is particularly known for its holistic approach to patient care and well-equipped medical facilities.

Risks & Considerations:

  • Stent Migration: The stent may shift from its original position, which could necessitate additional procedures.
  • Perforation: Although rare, there is a risk of perforating the duodenal wall during the procedure.
  • Bleeding: Some patients may experience bleeding at the site of stent placement.
  • Infection: As with any invasive procedure, there is a potential risk of infection that requires monitoring and, if necessary, antibiotic treatment.
  • Stent Blockage: Over time, the stent may become blocked by tumor growth or food particles, requiring further intervention.

How to Choose the Right Doctor and Hospital:

When selecting a provider for endoscopic palliation of duodenal obstruction, it is crucial to consider the expertise of the medical team and the reputation of the facility. Look for hospitals with a proven track record in endoscopic procedures and ensure that the medical staff includes board-certified gastroenterologists and surgeons specializing in minimally invasive techniques.

Check for accreditations that indicate adherence to international healthcare standards and read patient reviews to gain insight into their experiences. Choosing a provider that offers comprehensive pre- and post-procedure care will contribute to better outcomes and a smoother recovery process.

To receive a free quote for this procedure please click on the link: https://www.medicaltourism.com/get-a-quote

Patients are advised to seek hospitals that are accredited by Global Healthcare and only work with medical tourism facilitators who are certified by Global Healthcare Accreditation or who have undergone certification from the Certified Medical Travel Professionals (CMTP). This ensures that the highest standards in the industry are met. GHA accredits the top hospitals in the world. These are the best hospitals in the world for quality and providing the best patient experience. Click the link to check out hospitals accredited by the Global Healthcare Accreditation: https://www.globalhealthcareaccreditation.com

Frequently Asked Questions

What actually happens during hyperstimulation of the ovaries?

The patient will take injectable FSH (follicle stimulating hormone) for eight to eleven days, depending on how long the follicles take to mature. This hormone is produced naturally in a woman’s body causing one egg to develop per cycle. Taking the injectable FSH causes several follicles to develop at once, at approximately the same rate. The development is monitored with vaginal ultrasounds and following the patient’s levels of estradiol and progesterone. FSH brand names include Repronex, Follistim, Menopur, Gonal-F and Bravelle. The patient injects herself daily.

What happens during egg retrieval?

When the follicles have developed enough to be harvested, the patient attends an appointment  where she is anesthetized and prepared for the procedure. Next, the doctor uses an ultrasound probe to guide a needle through the vaginal wall and into the follicle of the ovary. The thin needle draws the follicle fluid, which is then examined by an embryologist to find the eggs. The whole process takes about 20 minutes.

What happens to the eggs?

In the next step, the harvested eggs are then fertilized. If the sperm from the potential father, or in some cases, anonymous donor, has normal functionality, the eggs and sperm are placed together in a dish with a nutrient fluid, then incubated overnight to fertilize normally. If the sperm functionality is suboptimal, an embryologist uses Intracytoplasmic Sperm Injection to inject a single sperm into a single egg with an extremely precise glass needle.  Once fertilization is complete, the embryos are assessed and prepared to be transferred to the patient’s uterus.

How are the embryos transferred back to the uterus?

The doctor and the patient will discuss the number of embryos to be transferred. The number of successfully fertilized eggs usually determines the number of eggs to be placed in the uterus. Embryos are transferred to the uterus with transabdominal ultrasound guidance. This process does not require anesthesia, but it can cause minor cervical or uterine discomfort. Following transfer, the patient is advised to take at least one days bed rest and two or three additional days of rest, then 10 to 12 days later, two pregnancy tests are scheduled to confirm success. Once two positive tests are completed, an obstetrical ultrasound is ordered to show the sac, fetal pole, yolk sac and fetal heart rate.

Embryoscope©

Built into this technology there is a microscope with a powerful camera that allows the uninterrupted monitoring of the embryo during its first hours of life. In this way, we can keep a close eye on the embryo, from the moment when the oocyte is inseminated and begins to divide into smaller and smaller cells, until it can be transferred to the uterus.

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