Endoscopic Ultrasound (EUS)

An EUS is a test performed at Forsyth Medical Center by our physicians that allows your doctor to examine the lining and the walls of your upper and lower gastrointestinal tract. The upper tract is the esophagus, stomach and duodenum; the lower tract includes your colon and rectum. An EUS is also used to study internal organs that lie next to the gastrointestinal tract, such as the gall bladder and pancreas. Your doctor will pass a thin, flexible tube (called an endoscope) through your mouth or anus to the area to be examined. Your doctor then will turn on the ultrasound component to produce sound waves that create visual images of the digestive tract.

Why is an EUS done?
An EUS provides your doctor more detailed pictures of your digestive tract anatomy. Your doctor can use an EUS to diagnose the cause of conditions such as abdominal pain or abnormal weight loss. Or, if your doctor has ruled out certain conditions, an EUS can confirm your diagnosis and give you a clean bill of health.
An EUS is also used to evaluate an abnormality, such as a growth, that was detected at a prior endoscopy or by x-ray. An EUS provides a detailed picture of the growth, which can help your doctor determine its nature and decide upon the best treatment. In addition, an EUS can be used to diagnose diseases of the pancreas, bile duct and gallbladder when other tests are inconclusive.

How should I prepare for the procedure?
In most cases, you should have nothing to eat or drink (including water) six hours before the examination. Your doctor will tell you when to start fasting.
For an EUS of the rectum or colon, your doctor will instruct you to either consume a special cleansing solution or to follow a clear liquid diet combined with laxatives or enemas prior to the examination. The procedure might have to be rescheduled if you don’t follow your doctor’s instructions carefully.
Due to the sedatives affecting your judgement and reflexes, you won’t be allowed to drive after the procedure. Therefore, you should arrange for a ride home and plan to have someone stay with you after the examination.

What about my current medications or allergies?
Tell your doctor in advance of the procedure about all medications that you’re taking and about any allergies you have. He will tell you whether or not you can continue to take your medications as usual before the EUS examination. In general, you can safely take aspirin and nonsteroidal anti-inflammatories (Motrin, Advil, Aleve, etc.) before an EUS, but it’s always best to discuss their use with your doctor.
If you have an allergy to latex you should inform your doctor prior to your test. Patients with latex allergies often require special equipment and in some cases may not be able to have an EUS examination.

Do I need to take antibiotics?
Antibiotics aren’t generally required before or after EUS examinations. If your doctor feels you need antibiotics, they might be ordered during the EUS examination or after the procedure to help prevent an infection. Your doctor might prescribe antibiotics if you’re having specialized EUS procedures, such as to drain a fluid collection or a cyst using EUS guidance. Again, tell your doctor about any allergies to medications.

What can I expect during an EUS?
Practices vary among doctors, but for an EUS examination of the upper gastrointestinal tract, your endoscopist might spray your throat with a local anesthetic before the test begins. Most often you will receive sedatives intravenously to help you relax. You will most likely begin by lying on your left side. After you receive sedatives, your doctor will pass the ultrasound endoscope through your mouth, esophagus and stomach into the duodenum. The instrument does not interfere with your ability to breathe.
An EUS examination of the lower gastrointestinal tract can often be performed safely and comfortably without medications, but you will probably receive a sedative if the examination will be prolonged or if the doctor will examine a significant distance into the colon. You will start by lying on your left side with your back toward the doctor. Most EUS examinations of the lower gastrointestinal tract last from 10 to 30 minutes.

What happens after an EUS?
If you received sedatives, you will be monitored in the recovery area until most of the sedative medication’s effects have worn off. If you had an upper EUS your throat might be sore, however this can be relieved with nonprescription anesthetic-type throat lozenges and painkillers. You might feel bloated because of the air and water that were introduced during the examination. You’ll be able to eat after you leave the procedure area, unless you’re instructed otherwise.
Your doctor generally can inform you of the results of the procedure that day, but the results of some tests will take longer.

What are the possible complications of an EUS?
Although complications can occur, they are rare when doctors with specialized training and experience perform the EUS examination. Bleeding might occur at a biopsy site, but it’s usually minimal and rarely requires follow-up. Other potential (but uncommon) risks of EUS include a reaction to the sedatives used, backwash of stomach contents into your lungs, infection and complications from heart or lung diseases. One major (but also uncommon) complication of EUS is perforation. This is a tear through the lining of the intestine that might require surgery to repair.
The possibility of complications increases slightly if a deep needle aspiration is performed during the EUS examination. These risks must be balanced against the potential benefits of the procedure and the risks of alternative approaches to the condition.