Comprehensive EUS (Endoscopic Ultrasound)

Dr. Devani combines high-resolution internal imaging with advanced interventional techniques to provide surgical-grade results without traditional incisions.

Diagnostic EUS & Oncology Staging

Utilizing EUS for superior visualization of the gastrointestinal tract and adjacent organs compared to standard CT or MRI.

Cancer Diagnosis & Staging

Precision staging for esophageal, gastric, rectal, and pancreatic malignancies, as well as biliary and neuroendocrine tumors.

Pancreatic & Biliary Evaluation

Detailed assessment of solid masses, cysts (IPMN, pseudocysts), bile duct strictures, and gallbladder polyps.

Subepithelial Lesions

High-definition evaluation of GISTs, leiomyomas, and other wall lesions to determine the need for resection.

Targeted Tissue Sampling

Expert performance of Fine Needle Aspiration (FNA) and Fine Needle Biopsy (FNB) for accurate diagnosis and molecular testing.

Adjacent Organ Assessment

Evaluation of mediastinal lymph nodes, left adrenal gland lesions, and left-lobe liver lesions.

Advanced Imaging & Characterization

High-resolution imaging with contrast enhancement and elastography for detailed tissue characterization and differentiation of benign versus malignant lesions.

Therapeutic & Interventional EUS

Advanced "interventional ultrasound" procedures that offer minimally invasive solutions for complex conditions.

Pancreatic Collection Management

Drainage of pseudocysts and walled-off necrosis utilizing Lumen-Apposing Metal Stents (LAMS) and direct necrosectomy.

EUS-Guided Biliary & Gallbladder Drainage

Creating internal bypasses or drainage pathways (hepaticogastrostomy) when traditional ERCP is not feasible.

EUS-Guided Gastroenterostomy

Management of gastric outlet obstruction and afferent limb syndrome through minimally invasive endoscopic bypass.

Pancreatic Duct Interventions

Specialized ductal drainage and stent placement using rendezvous techniques.

Abscess & Collection Drainage

Minimally invasive drainage of intra-abdominal, pelvic, and mediastinal fluid collections.

EUS-Guided GATE & EDGE Procedures

Minimally invasive endoscopic techniques that create temporary internal channels to the bypassed stomach, allowing for complex therapeutic interventions and ERCP in patients with prior surgical reconstructions like Roux-en-Y gastric bypass.

Endohepatology

Dr. Devani is at the forefront of EUS-guided vascular and liver procedures for patients with advanced hepatobiliary disease.

Portal Pressure Gradient (PPG) Measurement

Direct, minimally invasive measurement of portal vein pressure to accurately assess the severity of cirrhosis.

Gastric Variceal Therapy

High-precision treatment of varices using targeted coil embolization and glue therapy to prevent life-threatening bleeding.

EUS-Guided Liver Biopsy

A safer, more comfortable alternative to traditional percutaneous biopsy for targeted lesion evaluation.

Pain Management & Targeted Tumor Therapy

Utilizing EUS to improve quality of life and enhance the efficacy of oncological treatments.

Celiac Plexus Neurolysis & Block

Targeted injections to manage chronic abdominal pain associated with pancreatic cancer or chronic pancreatitis.

Tumor Ablation

Minimally invasive radiofrequency or ethanol ablation of GI tumors.

Fiducial Marker Placement

Precise placement of markers to guide stereotactic radiation therapy for GI and pancreatic tumors.

Why Choose EUS?

Minimally Invasive

High Diagnostic Accuracy

Reduced Need for Surgery

Faster Recovery & Shorter Hospital Stays