Central Gastro

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Endoscopic Ultrasound (EUS)

Overview
Endoscopic Ultrasound (EUS) is an advanced, minimally invasive procedure that combines endoscopy and ultrasound technology to provide detailed images of the digestive tract and surrounding tissues, including the pancreas, liver, gallbladder, and lymph nodes. EUS is a powerful tool for diagnosing, staging, and guiding the treatment of various gastrointestinal and abdominal conditions.

Purpose of Endoscopic Ultrasound
EUS is recommended for:

  • Diagnosing conditions such as pancreatic cysts, tumors, or chronic pancreatitis.
  • Staging cancers of the esophagus, stomach, pancreas, and rectum by assessing tumor size and spread.
  • Evaluating abnormalities detected by imaging tests like CT or MRI.
  • Identifying causes of unexplained abdominal pain or weight loss.
  • Therapeutic EUS to treat complex conditions like pancreatic cysts, necrosis, abscess and malignant obstructions.

What to Expect During the Procedure

  1. Preparation
    • Fasting for 6–8 hours before the procedure is required to ensure an empty stomach.
    • Inform your doctor about any medications or medical conditions, as adjustments may be necessary.
  2. Procedure Steps
    • The procedure is typically performed under sedation for comfort.
    • A thin, flexible tube (endoscope) with an ultrasound probe at the tip is inserted through the mouth or rectum, depending on the area being examined.
    • The ultrasound probe produces high-frequency sound waves, creating detailed images of the digestive tract and nearby organs.
    • If needed, a fine needle may be used to collect tissue or fluid samples for further testing.
  3. Duration
    • The procedure usually takes 30–90 minutes, depending on the complexity.
  4. Recovery
    • After the procedure, patients are monitored until the sedative wears off.
    • Normal activities can typically be resumed the following day, although driving or operating machinery should be avoided for 24 hours if sedatives were used.

Benefits

  • Provides high-resolution images of the digestive tract and surrounding organs.
  • Allows for early detection and staging of cancers.
  • Enables minimally invasive biopsies for accurate diagnoses.
  • Guides therapeutic interventions, such as draining cysts or abscesses.

Risks
EUS is generally safe, but potential risks include:

  • Mild discomfort or sore throat after the procedure.
  • Bleeding or infection, especially after fine-needle aspiration.
  • Rare complications such as perforation or adverse reactions to sedation.

When to Contact a Doctor
Seek immediate medical attention if you experience:

  • Severe abdominal pain or chest discomfort.
  • Fever, chills, or signs of infection.
  • Vomiting blood or passing black stools.
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