Endoscopic ultrasound (EUS)

Category: Endoscopy & Camera Tests · All endoscopy & camera tests

Endoscopic ultrasound (EUS) — Endoscopy & Camera Tests

What it is

Endoscopic ultrasound combines an endoscope with an ultrasound probe at its tip, giving very detailed pictures of the gut wall and nearby organs such as the pancreas, bile ducts and lymph nodes from inside the body. A fine needle can be passed to sample tissue.

Why it is done

It is used to investigate and stage tumours of the gullet, stomach, pancreas and rectum, to assess pancreatic and bile duct problems, and to obtain tissue samples from places that are hard to reach from outside.

How to prepare

You will fast for several hours (longer in some cases) and have medicines reviewed, especially blood thinners if a needle sample is likely. Sedation or general anaesthetic is used, so arrange an escort and expect a period of observation.

What happens during the procedure

The scope is passed through the mouth (or occasionally the back passage) under sedation. Ultrasound pictures are taken from inside, and if a sample is needed the needle is passed through the scope under direct ultrasound vision. It takes about 30 to 60 minutes.

Afterwards — recovery & results

You recover in the unit until sedation wears off and go home the same day in most cases, with an escort. A sore throat and bloating are common. Sample results usually take one to two weeks.

Risks & considerations

Risks are those of endoscopy and sedation, plus a small risk of bleeding or infection after needle sampling, and rarely inflammation of the pancreas if it is sampled. Serious complications are uncommon.

Frequently asked questions

Why not do a normal CT scan instead?

EUS sees some organs, especially the pancreas, more clearly than CT because the probe sits right next to them — and it can take tissue samples in the same procedure.

Will I feel the needle biopsy?

With sedation, most people feel nothing and remember little. Tell the team if you are uncomfortable at any point.

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Please note: This page is educational information about a medical procedure or test. It does not replace the instructions of your own care team, who know your situation and whose preparation, fasting and medication advice you should follow if it differs from anything here. If you have symptoms that worry you, or an appointment you do not understand, contact your clinical team.