CION Cancer Clinics
Where to get pancreatic surveillance EUS in and around Hyderabad | CION Cancer Clinics
Endoscopic ultrasound for pancreatic surveillance is done in Hyderabad at large gastroenterology hospitals and at some multi-speciality hospitals with their own unit. It is rarely available in district towns, though the MRI half of surveillance often is. This page explains which centres to look for, what to ask before you book, and how families outside the city usually arrange a round. At CION Cancer Clinics in Hyderabad, our oncologists review your family history with you and guide you to the right genetic counselling and testing.
On this page
- Where can I get pancreatic surveillance in Hyderabad?
- What kinds of centre offer endoscopic ultrasound?
- How do you arrange a round of pancreatic surveillance?
- What should you ask a centre before booking?
- Hyderabad or your district town: what differs?
- What this page cannot tell you
- Four things families tell us about pancreas checks, and what is true
- Common questions about finding pancreatic surveillance
The short answer
Where can I get pancreatic surveillance in Hyderabad?
In Hyderabad, endoscopic ultrasound for surveillance is done at large gastroenterology hospitals and at some multi-speciality hospitals with their own endoscopic ultrasound unit. The procedure needs a specialist endoscopist and a team that does it often. Most district towns in Telangana and Andhra Pradesh do not yet offer it for surveillance.
Two tests, often in two places
Surveillance usually combines an MRI of the pancreas, called MRCP, with endoscopic ultrasound, called EUS. Some programmes alternate the two. The MRI is far more widely available, including in several district towns. The endoscopic ultrasound is the part that usually brings families into the city.
Why the team matters more than the machine
Small changes in the pancreas are common and mostly harmless. Deciding which ones to watch, and which need surgery, takes a team that sees many high-risk people. A centre that does the scope well but has no surgeon or radiologist to review findings may leave you with a worrying report and nobody to act on it.
What families from the districts usually do
Many families plan one trip into Hyderabad for each round. Where possible, the endoscopic ultrasound and the MRI are booked on the same day or on consecutive days, and the results are explained before the family goes home or by phone afterwards. Planning this way keeps time off work and travel costs down, especially when an older parent has to come along.
Surveillance is only for people at high inherited risk. Most people, including most gene carriers, do not need it.Where to look
What kinds of centre offer endoscopic ultrasound?
Different kinds of centre in and around Hyderabad do the procedure. They differ in waiting time, cost and how joined-up the follow-up is.
Large gastroenterology hospitals
Hospitals built around digestive disease usually have several endoscopists who do endoscopic ultrasound every week. They see many pancreatic cysts and have surgeons on site.
Usually suited to
- A first surveillance round
- Reviewing a finding from elsewhere
- A needle sample, if one is needed
Multi-speciality hospitals
Many large private hospitals run an endoscopic ultrasound service in their gastroenterology department. Ask how often it is used for surveillance, rather than for diagnosing people who already have symptoms.
Government teaching hospitals
Some government teaching hospitals in Hyderabad have gastroenterology departments that offer endoscopic ultrasound. Costs are lower and waiting lists can be longer. Ask whether scheme cover applies before the day.
District diagnostic centres
Useful for the MRI half of surveillance, if the centre can do an MRCP and send the images to your specialist. For endoscopic ultrasound, most families still travel to the city.
Not sure whether this applies to you?
Ask an oncologistStep by step
How do you arrange a round of pancreatic surveillance?
-
Confirm that surveillance applies to you
A genetic counsellor or gastroenterologist checks your gene result and family history against current guidelines. Carrying a fault is usually not enough on its own.
-
Get a referral letter
It should name the gene, the relatives who had pancreatic cancer and the reason for surveillance. The endoscopist plans the procedure around it.
-
Book the scope and the MRI together
Ask whether both can be done on the same trip. Families from the districts can often manage a whole round in one or two visits.
-
Plan for sedation
Endoscopic ultrasound is done under sedation, with nothing to eat beforehand. You cannot drive afterwards, so bring someone to take you home.
-
Ask who reviews the results
The findings should be looked at by the endoscopist, a radiologist and a pancreatic surgeon together. Ask who will explain the result to you, and when.
Before you book
What should you ask a centre before booking?
- Does the endoscopist do endoscopic ultrasound every week?
- Does the team routinely follow people at inherited risk?
- Is there a pancreatic surgeon who reviews findings with them?
- Can they compare today's pictures with your earlier scans?
- Will you receive the images as well as the written report?
- What does one round cost, and will your scheme or insurer pay?
Leave a number, we will call you
One field. No form to fill in, and no charge for the call.
Side by side
Hyderabad or your district town: what differs?
Being straight with you
What this page cannot tell you
It cannot tell you whether you need pancreatic surveillance at all. That depends on the exact gene and on who in your family had pancreatic cancer. What your specific variant means is a question for the counsellor who ordered the test. This page also cannot rank individual hospitals, because services, staff and waiting times change.
Who this does not apply to
Most people with a gene fault do not qualify. Carriers of BRCA1, BRCA2 or a Lynch gene usually also need a close relative with pancreatic cancer. People with no gene fault and one older relative with pancreatic cancer are generally not offered it. A CA 19-9 blood test is not a screening test for the pancreas and does not replace surveillance.
How strong the evidence is
Studies so far suggest surveillance finds cancers at an earlier stage in high-risk people. They are still small, and none has yet shown clearly that it saves lives across a large group. Surveillance also has a downside. A scan can show something that proves harmless only after more tests, and occasionally after surgery that was not needed. A good team will tell you all of this before your first round.
If you are unsure whether you qualify, ask for a counselling review before booking a scope.Commonly believed
Four things families tell us about pancreas checks, and what is true
Ordinary endoscopy looks at the lining of the food pipe and stomach. Endoscopic ultrasound needs a different scope and extra training. Many hospitals with a busy endoscopy unit do not offer it.
For most BRCA2 carriers, surveillance is offered only if a close blood relative has had pancreatic cancer. Your counsellor checks your family against current guidelines, which do change.
CT uses radiation, and repeating it year after year adds up over a lifetime. Surveillance programmes use MRI and endoscopic ultrasound, which avoid that. CT is kept for when a specific finding needs it.
Small cysts in the pancreas are common, and most never cause harm. Usually they are simply watched at the next round. Only a few features lead a team to suggest a needle sample or surgery.
Questions we are asked
Common questions about finding pancreatic surveillance
Is endoscopic ultrasound available outside Hyderabad?
Some larger towns have gastroenterologists who do it, but availability for surveillance is patchy and changes over time. Ask your counsellor or gastroenterologist for a named centre before you plan travel. Many families have the MRI locally and travel only for the endoscopic ultrasound.
Does endoscopic ultrasound hurt?
You are sedated, so most people remember little of it. Afterwards the throat may feel sore for a day, and you may feel bloated. Serious problems are uncommon, and more likely if a needle sample is taken. The team explains the risks before you agree.
Can I have the MRI in my district and the scope in Hyderabad?
Often yes, if the district centre can do an MRCP and send the images, not just the report, to your specialist. Ask the Hyderabad team first whether they accept outside images. Some teams prefer both tests done where they can compare them directly.
How often is surveillance repeated?
Most programmes repeat once a year. If something is being watched, the next check may come sooner. Your specialist sets the interval for your situation, and it may change as results come in or as guidelines are updated.
Does Aarogyasri or insurance cover surveillance?
Schemes and policies are mostly built around treating illness, so cover for a scan in a well person varies. Check in writing before the day. If a finding needs treatment, different cover rules may apply. Keep your gene report and referral letter ready for the paperwork.
Who should come with me?
Someone who can take you home, because sedation means you cannot drive or travel alone that day. It helps if the same person hears the results. Bring your gene report, your earlier scan images and a list of the medicines you take.
What happens if the centre finds something?
Most findings are small and are watched rather than treated. If one looks concerning, the team may take a needle sample or discuss surgery. Ask for time to understand the options, and for a joint review with a pancreatic surgeon before any operation is agreed.
Can CION help me find a centre?
Yes. Call the CION helpline with your gene result and family history. Someone will explain whether surveillance applies to you and help you find a centre that does endoscopic ultrasound regularly. The same number serves every CION centre.
Meet CION's oncologists. Bring your family history or genetic report to them.
Our medical oncologists see people with a strong family history of cancer, arrange genetic counselling and testing where it fits, and plan the checks that follow.
Dr. C. Raghavendra Reddy
MBBS(Gold Medal), DNB(General Medicine), DM(Medical Oncology)(Gold Medal)
Dr. Bharati Devi Gorantla
MBBS, MD(General Medicine), DM(Medical Oncology)(Adyar,Chennai), ECMO, MRCP SCE(UK)
Dr. Owais Mohammed
MBBS, MD (General Medicine), DrNB (Medical Oncology), ECMO, MRCP SCE (Medical Oncology) (UK)
Want a specific doctor for your case? Mention them when booking.
Book Free ConsultationBook an appointment with our specialist
Share your name and number — we'll call you back within 30 minutes to schedule your consultation.
Patient stories
Hear it from people we have treated
Every story is a video, in the patient's own words. Nothing here is a written testimonial.
Accreditation and empanelment
- NABH
- NABL
- ISO 9001:2015
- ArogyaSri empanelled
- CGHS accepted
- ECHS accepted
- EHS accepted
- Major cashless insurers
Paying for it
Insurance, schemes and payment
What you actually pay usually differs a great deal from the sticker figure.
Where to find us
Our centres in and around Hyderabad
Addressed by landmark, because that is how this city navigates. One helpline books a consultation at any of these centres, and your team will tell you where counselling and testing take place.
Sources
- National Cancer Institute — Pancreatic Cancer Screening (PDQ) - Patient Version
- NCCN — Genetic/Familial High-Risk Assessment: Breast, Ovarian, Pancreatic, and Prostate
- Cancer Research UK — Risks and causes of pancreatic cancer
- National Cancer Institute — Genetic Testing for Inherited Cancer Susceptibility Syndromes
This page is general information, not a prescription. Do not change or stop any treatment based on what you read here. If anything is worrying you, contact your own treating team — or call our helpline and we will help you reach the right specialist.
Keep reading
Related pages
Talk to us
Not sure where your pancreas checks should be done?
Tell us your gene result, who in the family had pancreatic cancer and where you live. We will explain whether surveillance applies and help you find a centre that does it regularly. One helpline serves every CION centre.