Endoscopic Ultrasound (EUS)

    • Purpose: Examines the digestive tract and surrounding tissues and organs.
    • Procedure: Combines endoscopy and ultrasound to obtain images of the digestive tract and nearby structures.
    • Note: The information provided here applies to elective Endoscopic Ultrasound (EUS) procedures under standard conditions. However, specifics may vary depending on individual patient factors, such as the presence of gastrointestinal or pancreatic conditions, patient tolerance, or any complications that might arise during or after the procedure. The patient’s overall health, the complexity of the examination, and the need for additional interventions, such as biopsy or drainage, can also influence the procedure and recovery process.

      Inpatient/Outpatient
      Endoscopic Ultrasound (EUS) is typically performed as an outpatient procedure. This minimally invasive procedure allows most patients to return home the same day. It is often conducted in a hospital or specialized clinic, and patients are monitored briefly afterward to ensure they recover safely from sedation.

      Hospital Stay Duration
      Patients undergoing EUS generally do not require an overnight hospital stay. The procedure itself usually takes about 30 to 90 minutes, depending on whether additional interventions, such as a fine-needle aspiration (FNA) biopsy, are performed. After the procedure, patients are monitored for a short period to ensure they are stable and can usually be discharged within a few hours.

      Type of Anesthesia
      EUS is typically performed under conscious sedation, which helps the patient relax and minimizes discomfort while allowing them to remain partially awake. In some cases, deeper sedation or general anesthesia may be used, especially if complex interventions are anticipated or if the patient has specific health considerations.

      Travel After Procedure
      Patients are generally advised to avoid driving and long-distance travel for the remainder of the day after the procedure, especially if sedation was used. It is recommended that patients have someone accompany them to drive them home. Most patients can resume normal activities the following day, but they should follow specific recommendations from their healthcare provider regarding travel and activity levels.

      Pre-procedure Preparation
      Preparation for EUS typically involves fasting for at least 6 to 8 hours before the procedure to ensure the stomach is empty, reducing the risk of aspiration. Patients may also need to adjust or stop taking certain medications, particularly blood thinners, as directed by their healthcare provider to minimize the risk of bleeding if a biopsy is planned. The healthcare provider will provide specific pre-procedure instructions tailored to the patient’s needs.

      Procedure Duration
      The EUS procedure typically takes about 30 to 90 minutes, depending on the complexity of the examination and whether any additional procedures, such as biopsy or drainage, are performed. The endoscope, which has an ultrasound device at its tip, is inserted through the mouth (or rectum, depending on the area being examined) to obtain detailed images of the digestive tract and surrounding organs.

      Recovery Time
      Recovery from EUS is generally quick, with most patients able to resume light activities within a day. If sedation was used, patients should rest for the remainder of the day and avoid operating heavy machinery or making important decisions. Full recovery, including the resolution of any mild throat discomfort or bloating, usually occurs within a day or two.

      Estimated Cost
      The cost of EUS can vary depending on the hospital, geographic location, and whether any additional procedures, such as biopsy or stent placement, are performed during the examination. For accurate cost information, patients should contact their healthcare provider or treatment center directly.

      Post-procedure Care
      Post-procedure care for EUS involves monitoring for any signs of complications, such as persistent abdominal pain, bleeding, or fever, which could indicate a rare complication like infection or perforation. Patients may experience mild throat discomfort due to the endoscope, but this typically resolves quickly. If a biopsy was performed, patients may receive additional instructions regarding activity levels and dietary restrictions. Follow-up appointments may be necessary to discuss the results of the EUS and any further treatment if abnormalities were detected.