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.