Once you are completely awake, your doctor will share the results of your test with you. If biopsies were obtained or fluid was removed, it may take several days to get the final results of the procedure. If you have had an upper GI endoscopic ultrasound, you may have a sore throat, but gargling with salt water should help to soothe any discomfort. If you had a lower GI endoscopic ultrasound, you may feel bloated by the air that was introduced during the procedure.
These symptoms should only be temporary and should resolve over the course of a few hours. Endoscopic ultrasound offers medical professionals clear, detailed images of your gastrointestinal tract to help diagnose upper and lower GI issues. If you have further questions about EUS, please contact your gastroenterologist. Request an Appointment. EUS has several purposes, but it can help to: Evaluate stages of cancer of the digestive and respiratory system.
Examine abnormalities or tumors in organs like the pancreas, gall bladder or liver. Locate stones in the bile duct or gall bladder. You may have the back of your throat sprayed with something to numb it to lessen discomfort of the EUS scope. A plastic bite block may be placed between your teeth to protect your teeth and the endoscope. You will lie on your left side. Once you are fully relaxed, the EUS scope will be carefully passed through your mouth, into your esophagus the tube that links your mouth and your stomach and into your stomach and duodenum, the first section of your small bowel.
Your doctor will be able to see the EUS scope images the inside lining of the gastrointestinal [GI] tract and the ultrasound images at the same time.
In some cases, the doctor may need to take a sample of tissue by fine needle aspiration FNA. Your doctor will use the ultrasound image to guide a thin, flexible needle through the EUS scope to take a biopsy a tissue sample that will be examined under a microscope.
You will not be able to feel this. After the doctor is done looking inside, the endoscope will be removed and you will wake up in recovery as the medicine wears off. During the test, everything will be done to make sure that y ou are at ease, safe and comfortable. You may feel a little bloated at times, but you should feel little to no pain. The doctor will use a EUS scope a thin [about the width of your little finger], flexible tube with a tiny camera and a mini ultrasound probe at the end.
Once you are fully relaxed, the EUS scope will be carefully passed through your anus into your colon. Your doctor will be able to see the endoscopy images the inside lining of the gastrointestinal [GI] tract and the ultrasound images at the same time.
After the doctor is done looking inside, the EUS scope will be removed and you will wake up in recovery as the medicine wears off. After Your doctor will tell you more specifically what you can expect after the test. Some things may include: When your endoscopic ultrasound EUS is done, you will be cared for in a recovery room until the medicine wears off and you are more alert. Your doctor or nurse will review the EUS results with you and give you any other details or next steps you may need.
If a biopsy taking a small piece of tissue to look at under the microscope was taken, your doctor or nurse will tell you when those results will be available. They will tell you if any other testing or follow-up is needed. You will be told how soon you can eat and drink , plus other steps to take for getting back to your normal routine.
Plan to take it easy for the rest of the day after your EUS. This means not driving, working or making important decisions. You will need to arrange to have a family member or friend listen to the discharge instructions and take you home. You should plan to resume your normal activities driving and working the day following your exam. You may feel some minor issues , such as mild sore throat upper EUS or mild bloating swelling or cramping. These is should go away in less than 24 hours.
Safety Endoscopic ultrasound EUS is very safe with few risks when performed by gastroenterologists specially trained in this procedure.
Complications from the test are rare , but can include: Sore throat upper EUS — can usually be managed with over-the-counter OTC lozenges or gargles. Reaction to the medicine given to make you sleepy. Perforation — a tear in the intestinal wall that may require surgery to repair. Aspiration upper EUS — fluid from mouth or stomach contents entering into the lungs. Your doctor or nurse will explain the procedure to you in detail.
If you have a history of heart or lung disease, you may be required to get a letter from your heart or lung doctors stating that it is safe for you to have an endoscopy and receive sedation.
On the day of your EUS, you will arrive in the endoscopy suite. An IV catheter will be placed in your hand or arm so that you can receive intravenous fluids and sedatives during the procedure.
Once you are brought into the endoscopy room, you will lay down on a bed, usually on your left side like you are watching TV. In order to monitor your vital signs during the procedure, a blood pressure cuff will be placed on your arm, an oxygen monitor will be placed on your finger, and EKG leads will be placed on your chest.
A small nasal cannula will be placed in your nose to give you oxygen during the procedure. Sedatives will be injected into your IV before the procedure begins.
The procedure usually lasts from minutes, but can be shorter or longer. The vast majority of patients do not feel or experience any discomfort during the procedure, as they are usually asleep during the procedure. When the procedure is finished, you will be brought to a recovery area where you will lay in bed until you are awake.
Your vital signs will continue to be monitored during this time. When you are awake, you will be given some juice and a small snack. The recovery period usually lasts between 20 minutes to 1 hour. Before you are discharged home, you will have an opportunity to meet with your physician to discuss the results of the EUS, and receive further instructions regarding your medications.
What are the reasons why I need an EUS? Examples of such pancreatic conditions for which EUS can be extremely useful are: Pancreatic masses and tumors Pancreatic cysts Chronic pancreatitis Autoimmune pancreatitis Acute pancreatitis One of the most common reasons that patients are referred for an EUS of the pancreas is to evaluate abnormal findings on a CT CAT scan , MRI, or ultrasound of the abdomen, or for further investigation of abnormal blood tests such as elevated liver function tests AST, ALT, bilirubin or elevated pancreatic enzymes amylase, lipase.
When you arrive, you will register and give your medical history. During EUS:. Once the procedure is finished, you will need to recover from the sedatives. Your doctor will discuss the findings with you. Then you may go home, and you should rest for the remainder of the day. Fax Numbers: Gastroenterology: Hepatology: Request your next appointment through My Chart! Whether you're crossing the country or the globe, we make it easy to access world-class care at Johns Hopkins. Contact us or find a patient care location.
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