Adults Endoscopic ultrasound used to diagnose problems in the upper gastrointestinal tract. These problems may associate with growths or obstructions in the ducts including the esophagus, stomach, duodenum, and adjacent organs (such as the pancreas).
It involves passing a small tube (scope) over your tongue. Down your gullet, into your stomach and duodenum. This is a flexible tube with a light, a small ultrasonic device, and a camera in its tip. Air then put into the stomach allowing the endoscopist to carry out the examination.
BENEFITS OF THE PROCEDURE:
This procedure can help us to:
- identify very small growths (less than 1cm).
- identify gallstones.
- examine glands.
- obtain a biopsy (tissue sample).
- establish whether need surgery and the best method.
Although complications rare you should aware of the following:
- Loose teeth, crowns, and bridgework can dislodge.
- A small hole, called a perforation, can be made during the procedure (the risk approximately one in 1000). This risk slightly raised if abnormality such a narrowing or growth is encountered (one in 500). If therapeutic intervention (treatment) performed stretching the narrowing. The possibility of up to one in 10 procedures. You may need to stay in the hospital if it happens.
- Very frail and/or elderly patients can get pneumonia from stomach juices getting into the lung.
- The sedation (if given) can cause agitation, difficulty breathing (which can increase the risk of pneumonia), or respiratory arrest (though this is very rare).
A CT scan performed, but the investigation less sensitive, and small lesions (less than 1cm) can miss.
- A barium meal can provide x-ray images of the gastrointestinal tract, but a biopsy cannot be obtained.
Please tell us if any allergies
DURING THE PROCEDURE:
Before the procedure takes place, a nurse will show you to your cubicle and ask you to put on a hospital gown. After you changed, you can then relax on your trolley until it is your turn to examined Adults Endoscopic ultrasound.
Please tell a member of staff if any mobility problems may require to roll from side to side on the trolley during the procedure.
Before the procedure must remove the following as they can cause discomfort and will interfere with the instruments used:
- Contact lens
- Jewelry (including body piercing)
- False teeth (you can keep these in until immediately before the procedure)
Hearing aids can leave in-situ throughout the procedure.
You will attach it to a monitor and given oxygen. You will then be asked to lie on your left side and a mouth guard will be placed in the mouth. This enables the scope to pass through. When the ultrasound scope is inserted in the appropriate position, ultrasound images will be generated. No radiation involved. A nurse will remain with you to reassure you and to clear away any saliva from your mouth. During the examination, the endoscopist may take some biopsies (tissue samples). This is painless. To put you at ease you will be given intravenous analgesic (painkillers) and sedatives. The medicine will be given via a cannula (small tube) in your hand or arm. It will relax you and may make you drowsy but will not put you to sleep. You will able to hear and respond to any instructions given to you.
You may want to bring something to read – don’t forget your reading glasses, as you will need to sign your consent form. We will give you a hospital gown to protect your own clothing so you do not need to bring anything to change into.
DURATION OF THE PROCEDURE:
The actual procedure takes about 30-45 minutes, but please be prepared to remain with us all morning or afternoon, depending on your appointment time adult endoscopic ultrasound. If someone accompanied you they are welcome to stay or we can contact them later when you are ready to go home.
AFTER THE PROCEDURE:
Please remember the following points
- You will have to stay with us for one or two hours as the sedation will make you a little sleepy.
- You accompanied home by a responsible adult and have someone with you overnight.
- The effect of the sedative can last up to 36 hours so you must not drive, operate machinery, or drink alcohol during that time.
- If any polyps are removed or any biopsies taken, you may notice a small amount of blood next time your bowels open. Adults Endoscopic ultrasound You may wish to limit your general activity for a day or two.
- As soon as you are ready you will be offered tea or coffee.
- You may experience mild stomach cramps from the air that introduced into your stomach during the procedure of adult endoscopic ultrasound. This will soon disappear.
- A report will be sent to your referring doctor.