GASTROENTROLOGY & HEPATOBILIARY

What is embolisation in oncology?

Tumours need a consistent supply of blood in order to grow. Embolisation is a minimally invasive procedure performed by interventional radiologists, in which the blood supply to masses or vessels which are causing symptoms in a patient is cut off, relieving the symptoms the patient experiences. In oncology, this involves using liquid, particles or microspheres to block blood vessels, redirecting blood flow away from the tumour. This causes the tumour to shrink and die.

What is TIPS?

A shunt is an artificial passage which allows fluid to move from one part of your body to another. A transjugular intrahepatic portosystemic shunt (TIPS) connects the vein which brings blood from your gastrointestinal tract and intra-abdominal organs to your liver, and the vein from your liver to the right part of your heart.

What is stenting?

Stenting is the placement of a stent inside your body. A stent is a mesh tube made out of metal which can be inserted into a passage in the body (such as a vein) to act as a skeleton and keep it open. You may be advised to have a stent placed if you have a blockage in your gullet or bowel which is caused by a tumour.

Symptoms of a blockage in the gullet, stomach or small intestine include being unable to consume an adequate amount of food, nausea and vomiting. If you have a blockage in your large intestine you may find it difficult to go to the toilet.

A stent may also be used to keep a fistula open, which is a connection between the gastrointestinal tract and the organs or tissues around it.

What is the embolisation procedure for bleeding?

Embolisation is a minimally invasive treatment which uses materials to block the affected vessel and so stop bleeding. There are a number of possible causes of bleeding severe enough to require this treatment, including trauma, blood clotting disorders, infections, anatomical defects and tumours.

What is Y90 Radioembolisation

Radioembolisation is a palliative treatment for primary liver lesions and liver metastatic disease which uses ionising radiation to shrink tumours. It is generally used to relieve the symptoms of liver tumours rather than to cure the underlying condition. The liver has two sources of blood supply: the hepatic artery and the portal vein. Liver tumours tend to rely on the hepatic artery for their blood supply. During a radioembolisation procedure, an interventional radiologist injects microspheres filled with the radioactive isotope yttrium (known as Y-90) into the vessels feeding the tumour.

What is Y90 Radioembolisation

Radioembolisation is a palliative treatment for primary liver lesions and liver metastatic disease which uses ionising radiation to shrink tumours. It is generally used to relieve the symptoms of liver tumours rather than to cure the underlying condition. The liver has two sources of blood supply: the hepatic artery and the portal vein. Liver tumours tend to rely on the hepatic artery for their blood supply. During a radioembolisation procedure, an interventional radiologist injects microspheres filled with the radioactive isotope yttrium (known as Y-90) into the vessels feeding the tumour.

What is percutaneous Tumour Ablation?

Percutaneous tumour ablation refers to a range of techniques, which destroy tumour tissue via needles placed through the skin. Thermal ablation techniques destroy tumours by using different kinds of applicators to heat the tumour, such as radiofrequency ablation, laser ablation, microwave ablation

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