Endotherapy of Pancreatic Stones with Extracorporel Shock Wave Lithotripsy (ESWL)
Steps Involved in IVF:
Procedure Description
Endotherapy of pancreatic stones using Extracorporeal Shock Wave Lithotripsy (ESWL) is an advanced non-surgical treatment designed to break down calcified pancreatic stones that cause severe pain and blockage. The procedure involves the use of shock waves generated externally to fragment the stones within the pancreas, making them small enough to be passed naturally or removed endoscopically.
ESWL works by directing high-energy shock waves through the body to target the stones precisely. These waves are focused on the calcified stones using advanced imaging techniques, such as ultrasound or fluoroscopy, to ensure pinpoint accuracy. The energy from these shock waves breaks the stones into smaller particles without invasive surgical intervention.
This endoscopic approach is particularly beneficial for patients with chronic pancreatitis, a condition that often leads to the formation of pancreatic stones. By eliminating these stones, ESWL helps to alleviate pain, improve pancreatic duct function, and prevent further complications. The procedure has gained popularity as it avoids open surgery and reduces hospital stays, contributing to faster recovery times.
Procedure Duration
The duration of an ESWL procedure for pancreatic stones can vary based on the size and number of stones present. Typically, the procedure lasts between 45 minutes to 2 hours. During the treatment, the patient is placed in a position that allows optimal access to the pancreatic region, and sedatives or local anesthesia are administered to ensure patient comfort.
ESWL treatment is performed in phases, starting with the positioning of the patient and imaging guidance to locate the stones. Once the stones are identified, a series of shock waves is delivered at set intervals to fragment them. Depending on the density and location of the stones, the number of shock waves and treatment duration can differ. Post-procedure, patients may need to rest for a few hours for observation.
Recovery after ESWL for pancreatic stones is generally swift, but it may take a few days to a week for patients to resume normal activities. During this time, patients might experience mild discomfort or bruising in the treated area. Hydration is essential post-treatment to facilitate the natural expulsion of fragmented stone particles.
Benefits
- Non-invasive Approach: No incisions or major surgeries are required, reducing recovery time.
- Pain Relief: Effective in significantly reducing or eliminating pain associated with pancreatic stones.
- Quick Recovery: Most patients can resume daily activities within a few days post-procedure.
- Reduced Hospital Stay: Often performed on an outpatient basis or with minimal hospital stay.
- Improved Pancreatic Function: Helps restore the natural drainage of the pancreatic duct.
Potential Destinations
- India: Known for its highly skilled specialists and state-of-the-art medical facilities, India is a popular destination for ESWL procedures at competitive prices.
- Thailand: Medical tourists are attracted to Thailand for its advanced technology, excellent patient care, and renowned medical expertise in gastroenterology.
- Turkey: Offers world-class treatment facilities with experienced gastroenterologists and comprehensive care at affordable rates.
- Mexico: Provides convenient access for North American patients seeking top-quality treatment without extensive travel.
- South Korea: Known for cutting-edge medical technology and expertise, South Korea has hospitals that specialize in advanced pancreatic treatments, including ESWL.
Risks & Considerations
- Residual Stone Fragments: In some cases, not all stone fragments are expelled, potentially requiring further treatment.
- Mild Discomfort or Pain: Patients may experience discomfort or bruising in the treated area post-procedure.
- Pancreatitis Flare-Up: There is a small risk of inflammation or exacerbation of pancreatitis symptoms.
- Infection Risk: Although rare, there is a potential for infection following the procedure.
- Effectiveness for Larger Stones: ESWL may be less effective for extremely large or numerous stones, necessitating additional interventions.
How to Choose the Right Doctor and Hospital
When selecting a doctor and hospital for ESWL treatment of pancreatic stones, prioritize facilities with advanced imaging and ESWL technology. Ensure that the healthcare provider has a strong track record in endoscopic and non-invasive gastroenterology procedures. Look for hospitals with internationally recognized certifications and a team of specialists experienced in handling complex pancreatic conditions.
It is also advisable to review patient testimonials and success rates to gauge the quality of care provided. Consider reaching out to international patient services at hospitals to discuss treatment plans and any support services offered to medical tourists, such as translation services and post-treatment care coordination.
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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