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Reply was posted 09/16/2006 04:04 pm by Anonymous E-mail Address: Message Text .
5. What Can I Expect During My EUS? During the procedure, everything will be done to help you be as comfortable as possible. Your blood pressure, pulse, and the oxygen level in your blood will be carefully monitored. You will be relaxed and drowsy, but you will remain awake enough to cooperate. You will not, however, be completely anesthetized as in a surgery.
As the echoendoscope is slowly and carefully inserted, air is introduced through it to help your doctor see better. As this is done, you should feel some slight pressure but no pain and it should not interfere with your breathing. The echoendocope is carefully advanced into the duodenum (for upper EUS) or the sigmoid colon (for rectal EUS). At this time, after the endoscopic images have been obtained, the GI tract is suctioned to remove surrounding air and the echoendoscope is withdrawn and the appropriate structures are imaged. If an abnormality is seen, a fine needle aspiration may be performed. Once the appropriate images/tissue are obtained, the procedure is completed. Typically, an EUS procedure lasts between 30 and 90 minutes. Top 6. What Type of Diagnostic Tests and Therapy Can Be Performed During My EUS? Depending on the abnormality seen, your doctor may elect to collect some tissue samples during the procedure. This can be done with a biopsy forceps or via the fine needle aspiration (FNA) procedure. If a fluid collection is seen, it can be suctioned through the scope and the fluid sent for analysis. Occasionally, if there is a large cyst in the pancreas that needs drainage, your doctor may place a stent through the stomach or small bowel into the pancreatic cyst. This process is called a cyst-gastrostomy or a cyst-duodenostomy.
For patients with pancreatic cancer and severe pain, medications can be injected into the nerves responsible for transmitting this pain. This serves to lessen the pain in these patients for a period of up to several months. This is called a celiac-plexus blockade. Based on current evidence, it appears to work better for patients with pancreatic cancer than it does for patients with chronic pancreatitis. Top 7. What are the Possible Complications from an EUS? EUS has been shown to be a safe procedure, similar to other types of endoscopy. The risks are similar to regular endoscopy except when fine needle aspiration is performed.
First, there is a small risk of having a reaction to the sedative medications or antibiotics that may be given prior to your procedure. This usually results in nausea or a skin rash and usually goes away quickly. In addition, the medications used for sedation may cause alterations in your heart rate or blood pressure. This is why you are monitored throughout your procedure and during your recovery period. Medications to reverse the effects of the sedatives are available, if necessary.
For patients undergoing EUS without FNA (also known as diagnostic EUS), the risks of endoscopy are about 0.05%. This is about a 1 in 2000 chance of a significant complication. The During these procedures, the major risks are perforation (a puncture of the intestinal wall), which could require surgical repair, and bleeding, which could require transfusion. Again, these complications are unlikely. They typically occur from passing the scope through a large tumor or 'stretching' or dilating a tumor before or during the EUS procedure.
For patients undergoing EUS with FNA, complications still only occur between 0.5% - 1.0% of the time (this corresponds to a risk of 1 in 100 to 1 in 200). The risks associated with FNA include bleeding, pancreatitis (rarely, and only if the pancreas undergoes FNA), or infection. In patients undergoing a rectal FNA or FNA of any cystic lesion, intraprocedural antibiotics are given and followed up with a 5 day course of oral antibiotics after the procedure.
Be aware that, occasionally, minor problems may persist, such as a mild sore throat, bloating, or cramping. These symptoms typically disappear in 24 hours or less.
Be sure to discuss any specific concerns you may have with your doctor. Top 8. What Can I Expect After My EUS? When your EUS is completed you'll be cared for in a recovery area until most of the effects of the medication have worn off. Typically, this takes 1-2 hours, which is longer than for standard endoscopy. This is because more medications are needed to sedate you adequately for a longer procedure such as EUS. You may have a mild sore throat or bloating. Patients can usually eat once they are awake and alert. Your doctor will also inform you about the results of the procedure and provide any additional information you need to know. EUS procedures do not require in-hospital observation except in rare circumstances, so you will likely be going home after the procedure. You will be given a prescription for a 5 day course of oral antibiotics if an FNA of a cyst or rectal lesion was performed. You will also be given guidelines for resuming your normal activity before leaving the endoscopy unit.
By the time you're ready to go home, you should feel stronger and more alert. Nevertheless, you should plan on resting for the remainder of the day. This means not driving, so you'll need to have a family member or friend take you home. Top 9. What Symptoms Should I Look For After My Procedure That I Need to Contact the Doctor For? Occasionally, minor problems may persist, such as a mild sore throat, bloating, or cramping; these should disappear in 24 hours or less. Should you experience severe abdominal pain, difficulty swallowing, fever, vomiting up blood, bloody bowel movements, or extreme dizziness/weakness, please contact your physician regarding these symptoms. Early recognition of possible complications is important. Top 10. Summary EUS is an advanced procedure that is performed comfortably with light to moderate sedation. The procedure provides significant diagnostic information upon which further treatment is usually based. In select cases, therapy can be administered directly through the echoendoscope. Serious complications rarely occur as a result of this procedure.
EUS Procedure was posted 09/16/2006 04:25 pm by Dorothy M E-mail Address: Message Text I had the EUS done in June with Fine Needle Aspiration to get something to biopsy. I felt like I had had the best nap of all time when I became aware of being in the recovery room. My husband and I went to the formal gardens in the local zoo where we could let me rest and still be in comfortable surroundings. Bird noises and butterflies were everywhere. We spent about 2 hours there and he drove us home and by the time I got home I felt nearly 'normal'.
Anesthesia was posted 09/16/2006 05:23 pm by Didi E-mail Address: Message Text For a couple of hours you are likely to be pretty drowsy -- not safe to drive. They never let a patient drive after anesthesia - not even after a less difficult procedure like a colonoscopy. Can you have a friend come and pick you up?
EUS was posted 09/16/2006 07:07 pm by AA-NYC E-mail Address: Message Text Slight sore throat, worst the first day and goes away pretty quickly.
EUS was posted 09/16/2006 08:30 pm by Mary Y - PA E-mail Address: Message Text The EUS is fairly easy. EUS stands for Endoscopic Ultrasound. This procedure takes about four hours and is done on an outpatient basis. The first hour is primarily prep time, getting you into hospital gown, taking your BP, and other vitals, starting an IV and giving you a light dose of an anestesia (sp) which will make you slightly sleepy (in my case I always fell asleep). Then they wheel you into the procedure room where your throat will be sprayed with a numbing med and the endoscope will be threaded down to the 'problem area'. This normally takes about 45 to 90 minutes, after which you'll be wheeled out into a recovery area.
As soon as the nurses are satisfied that you are awake and able to drink something, they normally will let you get dressed and send you home. This takes normally anywhere beteen 45 minutes to an hour.
Since you are still slightly 'groggy' that is why you must have someone drive you home.
You might have a slight sore throat but that's extremely rare...I never had any side affects at all from this, with the exception of being sleepy.
Results normally come back relatively fast and I had more anxiety attacks over MRI's than with this, the ERCP or MRCP so please, rest easy.
I'll be praying for you.
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