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Instructions

INSTRUCTIONS FOR ENDOSCOPIC ULTRASONOGRAPHY (EUS)

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CHECK LIST
Please contact our office immediately if you have any questions or concerns about the procedure.

Please answer the following questions:

  • Do you take any medication in the morning?
  •     Yes, please ask our procedure coordinator which medication to hold and which one to take the morning of the procedure.
  •     No, please start your preparation as instructed.
  • Are you on Blood thinner?
  •     Yes, please let us know immediately before your procedure. Approval must be obtained prior to stop taking the medication.
  •     No,please start your preparation as instructed.
  • Marijuana, alcohol and/or substance use?
  •     Yes, please do not use it on the day of the procedure.
  •     No,please start your preparation as instructed.
  • Are you taking Ozempic, Wegovy, Mounjaro, Rybelsus and or other Glucagon like peptide-1 (GLP1)
  •     Yes,please let us know immediately before your procedure. Approval must be obtained prior to stopping taking the medication. For patient that is currently on GLP1, patient is recommended to have light lunch the date before the procedure and no dinner.
  •     No, please start your preparation as instructed.
  • Do you currently have any cardiac, pulmonary and/or blood clotting disorder?
  •     Yes, please let us know immediately before your procedure. Approval must be obtained prior to the procedure.
  •     No, please start your preparation as instructed.

What is EUS?
Endoscopic ultrasonography (EUS) allows your doctor to examine your esophageal and stomach linings as well as the walls of your upper and lower gastrointestinal tract. The upper tract consists of the esophagus, stomach and duodenum; the lower tract includes your colon and rectum. EUS is also used to study other organs that are near the gastrointestinal tract, including the lungs, liver, gall bladder and pancreas.

Endoscopists are highly trained specialists who welcome your questions regarding their credentials, training and experience. Your endoscopist will use a thin, flexible tube called an endoscope that has a built-in miniature ultrasound probe. Your doctor will pass the endoscope through your mouth or anus to the area to be examined. Your doctor then will use the ultrasound to use sound waves to create visual images of the digestive tract.

Five to Seven Days before Your Procedure

  • DO NOT take any aspirin, products containing aspirin, non-steroidal anti-inflammatories/NSAIDS (e.g. Aleve, Motrin, ibuprofen, naproxen), COX-2 Inhibitors (e.g. Celebrex), Pentoxyfylline (Trental), Nabumetone (Relafen)
  • DO NOT take iron supplements, vitamins or herbal supplements.
  • DO NOT take clopidogril (Plavix), dipyridamole (Aggrenox, Persantine), or warfarin (Couinadin).

    • If you cannot stop taking these medications, please discuss this with your provider.


Note: Acetaminophen products (e.g. Tylenol) are safe to use before your procedure. Arrange for transportation as you will not be allowed to drive after the procedure.


Day of EUS

  • Do NOT eat or drink anything after midnight (minimum of 8 hours before your procedure). If you must take your medication, you may take it with a few small sips of water.
  • If you are DIABETIC , do not take your medication the morning of the procedure. If you must take your medication, take only half of your regular dose. Continue to check your blood sugars as you normally do.
  • You may brush your teeth.
  • Please arrive at the facility on time.
  • You should not wear jewelry to the procedure.
  • You will not be allowed to drive home. You may have a relative or friend drive you home. You may also go home in a taxi or by bus and must always be accompanied even upon arrival home.

What are the possible complications of 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. You might have a slight sore throat for a day or so. Nonprescription anesthetic type throat lozenges help soothe a sore throat.

Other potential but uncommon risks of EUS include a reaction to the sedatives used, aspiration of stomach contents into your lungs, infection, and complications from heart or lung diseases. One major but very 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 needle biopsy is performed during the EUS examination, including an increased risk of pancreatitis or infection. These risks must be balanced against the potential benefits of the procedure and the risks of alternative approaches to the condition.

sgc-eus

Please ensure you have a follow up appointment to discuss the test results with your provider. Feel free to call our office with any questions or concerns. Good luck!

A minimum of 48 hours notice is required for cancellations for all procedures and office visits.

Why is EUS done?EUS provides your doctor with more information than other imaging tests by providing detailed images of your digestive tract. Your doctor can use EUS to diagnose certain conditions that may cause abdominal pain or abnormal weight loss.

EUS is also used to evaluate known abnormalities, including lumps or lesions, which were detected at a prior endoscopy or were seen on x-ray tests, such as a computed tomography (CT) scan. EUS provides a detailed image of the lump or lesion, which can help your doctor determine its origin and help treatment decisions. EUS can be used to diagnose diseases of the pancreas, bile duct and gallbladder when other tests are inconclusive or conflicting.

sgc-eus detail

Why is EUS used for patients with cancer?

EUS helps your doctor determine the extent of spread of certain cancers of the digestive and respiratory systems. EUS allows your doctor to accurately assess the cancer’s depth and whether it has spread to adjacent lymph glands or nearby vital structures, such as major blood vessels. In some patients, EUS can be used to obtain a needle biopsy of a lump or lesion to help your doctor determine the proper treatment.

What can I expect during EUS?

Practices vary among doctors, but for an EUS examination of the upper gastrointestinal tract, some endoscopists 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 endoscopist will pass the ultrasound endoscope through your mouth, esophagus and stomach into the duodenum. The instrument does not interfere with your ability to breathe. The actual examination generally takes less than 60 minutes. Many do not recall the procedure. Most patients consider it only slightly uncomfortable, and many fall asleep during it.

An EUS examination of the lower gastrointestinal tract can often be performed safely and comfortably without medications, but you’ll 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 rectum generally take less than 45 minutes. You should know that if a needle biopsy of a lesion or drainage of a cyst is performed during the EUS, then the procedure will be longer and may take up to two hours.

List of Aspirin or Aspirin Related Drugs


4-Way Cold Tablets

Adprin - B Tablets

A.S.A. Enseals

A.S.A. Tablets

Aches-N Pain Tablets

Advil

Alcohol

Aleve Tablets

Alka-Seltzer Products

Amigesic capsules

Anacin Tablets and Capsules

Anaprox, Anaprox DS Tablets

Anodynos Tablets

Ansaid Tablets

APC

Argesic Tablets

Artha-G Tablets

Arthralgen Tablets

Arthritis Bayer Timed Release Aspirin

Arthritis Pain Formula Tablets

Arthritis Strength Buffering Tablets

Arthropan Liquid

Arthrotec

Ascodeen

Ascriptin, All products

Asperbuf Tablets

Aspergum [chewing gum]

Aspirin

Asprimox Tablets

Axdone

Axotal Tablets

Bayer, All products

BC Tablets and Powder

Brufen

Buf-Tabs

Buff-A Comp No. 3 Tablets with codeine

Buff-A Comp Tablets and Capsules

Buffaprin Tablets

Bufferin, All products

Buffets II Tablets

Buffex Tablets

Buffinol Tablets

Cama Arthritis Pain Relieve

CataFlam Tablets

Cephalgesis

Cheracol

Children Aspirin

Children's Advil Suspension

Children's Motrin Suspension

Congesprin

Cope Tablets

Coricidin

Coumadin

Darvon Compound Pulvules

Darvon with A.S.A. Pulvules

Darvon Compound-65

Darvon-N with A.S.A.

Dasin Capsules

Daypro Tablets

DiFlunisal

Disalcid Capsules

Doan’s Pills

Dolobid Tablets

Dristan

Duoprin-S Syrup

Duradyne Tablets

Easprin

Ecotrin Tablets

Emagrin Tablets

Empirin Tablets

Emprazil

Endodan Tablets

Epromate Tablets

Equagesic Tablets

Equazine M Tablets

Etodolac

Excedrin Tablets and Capsules

Feldene Capsules

Fenoprofen Tablets

Fiorgen PF Tablets

Fiorinal Tablets

Fluriprofen Tablets

Gelpirin Tablets

Gensan Tablets

Goody's Headache Powder

Halfprin Tablets

Haltran Tablets

Ibu-Tab Tablets

Ibuprin Tablets

Ibuprohm Tablets and Caplets

Indochron E-R Capsules

Indocin Capsules/Suspension/ Suppositories

Indocin-SR Capsules

Indomethacin Capsules

Indomethacin Suspension

Isollyl Improved Tablets & Capsules

Ketrolac Tablets

Ketoprofen Capsules

Lanorinal Tablets

Lodine Capsules /Tablets

LodineXL

Lortab

Magan Tablets

Magnaprin Arthritis Strength Captabs

Magsal Tablets

Mamal Capusles

Marthritic Tablets

Maximum Bayer Aspirin

Measurin Tablets

MecloFenamate Capsules

Meclomen Capsules

Medipren Tablets and Caplets

Menadol Tablets

Meprogesic Tablets

Micrainin Tablets

Midol 200 Tablets

Midol, All products

Mobidin Tablets

Mobigesic Tablets

Momentum Tablets

Motrin Tablets

Nalfon Capsules/Tablets

Nalfon Pulvules

Naprosyn Tablets/Suspension

Naproxen Tablets

Neocylate Tablets

Norgesic & Norgesic Forte Tablets

Norwich Extra-Strength Tablets

Nuprin Tablets and Caplets

Orphengesic

Orudis Capsules

Oruvail Capsules

Pabalate

Pabalate-SF Tablets

PAC Tablets

Pamprin-IB Tablets

Pepto-Bismol Tablets and Suspension

Percodan and Percodan Demi Tablets

Phenaphen

Piroxicam Capsules

Ponstel Capsules

Presalin Tablets

Relafen Tablets

Robaxisal Tablets

Rufen Tablets

S-A-C

Saleto Tablets Capsules,

Saleto-200 Tablets

Saleto-400,600,800 Tablets

SalFlex Tablets

Salocol Tablets

Salsalate Tablets

Salsitabs Tablets

Sine-Aid

Sine-Off

SK-65 Compound Capsules

Soma

Soma CMD

St. Joseph Adult Chewable Aspirin

St. Joseph Cold Tablets for Children

St. Joseph Aspirin for Children

Sulindac Tablets

Supac

Synalgos Capsules

Synalgos-DC Capsules

Talwin Compound Tablets

Tolectin 200,600 Tablets

Tolectin DS Capsules

Tolmetin Tablets/Capsules

Toradol

Injection/Tablets

Trendar Tablets

Tricosal Tablets

Tri-Pain Tablets

Trigesic

Trigesic Tablets

Trilisate Tablets and Liquid

Vanquish Caplets

Verin

Voltaren Tablets

Zactin

Zorprin Tablets

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