Shadowing Practice: Endoscopic Ultrasound (EUS) Procedure | Cincinnati Children's - Learn English Speaking with Video
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Endoscopic ultrasound is an endoscopy procedure using a special endoscope with ultrasound capability.
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It is used for the purpose of evaluating internal organs of the chest and abdomen, along with the lining of the gastrointestinal tract.
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It can be used in children weighing more than 15 kilograms.
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The flexible echo endoscope is passed through the mouth into the stomach and small intestine.
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It can be used for diagnostic purposes to visualize adjacent organs, lymph nodes, and blood vessels.
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Here, we see ultrasound images of the pancreas.
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Use of the echo endoscope allows for visualization of the pancreas within close approximation of the stomach wall, particularly the tissue and ductal structures.
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In addition, EUS procedures can obtain tissue from organs
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or abnormal tissue adjacent to the stomach or small intestine to assist in making a diagnosis. In this example,
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a biopsy is obtained from the right lobe of the liver to assist with diagnosis in a patient with elevated liver enzymes.
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In addition to biopsies, endoscopic ultrasound guidance can be used for drainage of pancreatic pseudocysts or walled -off pancreatic necrosis
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along with other intra -abdominal fluid collections.
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Here, a needle is passed through the stomach wall into a pancreatic pseudocyst followed by a wire through the needle.
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The newly created cyst gastrostomy tract is then dilated with a balloon.
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Plastic stents are placed to keep the strect open and allow the cyst fluid to drain into the stomach.
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These will be removed in a few months when the pseudocyst has resolved.
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A larger, lumen opposing methyl stent may be used for walled off pancreatic necrosis.
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Cincinnati Children's provides endoscopic ultrasound and other advanced endoscopic procedures to patients of all ages.
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Vocabulario y notas de pronunciación para esta lección
Este vídeo tiene 18 frases y 279 palabras para practicar shadowing. La parte hablada dura 1:48. El hablante habla a un ritmo natural de unas 156 palabras por minuto, cercano a una conversación cotidiana. Solo el 59 % de las palabras está entre las 3.000 más comunes del inglés, por lo que el vocabulario es exigente.
Vocabulario clave de este vídeo
15 palabras menos comunes del vídeo, con su pronunciación y significado:
- stomach /ˈstʌmək/ (sustantivo) — estómago. An organ in animals that stores food in the process of digestion.
- ultrasound /ʌl.tɹə.saʊnd/ (sustantivo) — ultrasonido. Sound with a frequency greater than the upper limit of human hearing, which is approximately 20 kilohertz.
- procedure /pɹəˈsiː.d͡ʒə/ (sustantivo) — procedimiento. A particular method for performing a task.
- tissue /ˈtɪʃ.(j)u/ (sustantivo) — tejido. Thin, woven, gauzelike fabric.
- organ /ˈɔːɡən/ (sustantivo) — órgano. The larger part of an organism, composed of tissues that perform similar functions.
- assist /əˈsɪst/ (verbo) — ayudar, asistir. To help.
- obtain /əbˈteɪn/ (verbo) — obtener. To get hold of; to gain possession of, to procure; to acquire, in any way.
- fluid /ˈflu.ɪd/ (sustantivo) — fluido. Any substance which can flow with relative ease, tends to assume the shape of its container, and obeys Bernoulli's principle; a liquid, gas or plasma.
- diagnosis /daɪəɡˈnəʊsɪs/ (sustantivo) — diagnóstico, diagnosis. The process of, or an instance of, identification of the nature and cause of a medical condition or illness.
- adjacent /əˈd͡ʒeɪ.sənt/ (adjetivo) — adyacente, colindante. Lying next to, close, or contiguous; neighboring; bordering on.
- echo /ˈɛk.oʊ/ (sustantivo) — eco. A reflected sound that is heard again by its initial observer.
- needle /ˈniː.dəl/ (sustantivo) — aguja, yawri. A long, thin, sharp implement usually for piercing as in sewing, embroidery, acupuncture, tattooing, body piercing, medical injections, sutures, etc; or a…
- tract /tɹækt/ (sustantivo) — extensión. An area or expanse.
- wire /ˈwaɪɚ/ (sustantivo) — alambre, hilo. Metal formed into a thin, even thread, now usually by being drawn through a hole in a steel die.
- newly /ˈnuli/ (adverbio) — nuevamente, recién. Very recently/lately; in the immediate past.
Phrasal verbs que vas a escuchar
- pass through (verbo) — atravesar. To go through, to travel through, to transit or lie across a place or from one place to another.
Pronunciación a tener en cuenta
- Los sonidos de “sh” y “zh”: tissue /ˈtɪʃ.(j)u/, collections /kəˈlɛkʃənz/, approximation /əˌpɹɑk.sɪˈmeɪ.ʃən/, visualization /ˌvɪʒ.ʊ.ə.laɪˈzeɪ.ʃən/, visualize /ˈvɪʒuəˌlaɪz/
- Palabras largas — cuida el acento: capability /ˌkeɪ.pəˈbɪl.ɪ.ti/, diagnostic /ˌdaɪ.əɡˈnɑ.stɪk/, pancreatic /ˌpæŋ.kɹɪˈæ.tɪk/, approximation /əˌpɹɑk.sɪˈmeɪ.ʃən/, endoscopy /ɛnˈdɔ.skə.pi/
Cómo practicar con este vídeo
- Escucha el vídeo entero una vez sin hablar y anota las palabras que no conoces.
- Empieza a velocidad 0,75×, haz shadowing frase por frase y vuelve a la velocidad normal cuando te resulte fácil.
- Grábate y compara con el original, prestando atención a palabras como stomach, ultrasound, procedure.
Gramática en este vídeo
Las estructuras que más usa el hablante, con las palabras exactas del vídeo:
| Estructura | En el vídeo |
|---|---|
| Voz pasiva be + participio pasado — importa lo que ocurre, no quién lo hace | is passed · is obtained · is then dilated |
| Present perfect have/has + participio pasado — una acción pasada que sigue importando ahora | has resolved |
¿Qué es la Técnica de Shadowing?
Shadowing es una técnica de aprendizaje de idiomas respaldada por la ciencia, desarrollada originalmente para la formación de intérpretes profesionales y popularizada por el políglota Dr. Alexander Arguelles. El método es simple pero poderoso: escuchas audio en inglés nativo y lo repites en voz alta de inmediato, como una sombra que sigue al hablante con solo 1-2 segundos de retraso. A diferencia de la escucha pasiva o los ejercicios de gramática, el shadowing obliga a tu cerebro y músculos de la boca a procesar y reproducir simultáneamente patrones de habla reales. Las investigaciones muestran que mejora significativamente la precisión de la pronunciación, la entonación, el ritmo, el habla conectada, la comprensión auditiva y la fluidez al hablar, convirtiéndola en una de las metodologías más efectivas para la preparación del IELTS Speaking y la comunicación en inglés en el mundo real.