Endoscopic ultrasound
Endoscopic ultrasound is a type of imaging test. It is used to see organs in and near the digestive tract.
How the Test is Performed
Ultrasound is a way to see the inside of the body using high-frequency sound waves. Endoscopic ultrasound does this with a thin, flexible tube device called an endoscope.
- This tube is passed either through the mouth or through the rectum and into the digestive tract.
- Sound waves are sent out the end of the tube and bounce off the organs in the body.
- A computer receives these waves and uses them to create a picture of what is inside.
- This test does not expose you to harmful radiation.
If a sample or biopsy is needed, a thin needle can be passed through the tube to collect fluid or tissue. This does not hurt.
The test takes 30 to 90 minutes to complete.
How to Prepare for the Test
Your health care provider will tell you what to do. You will be told when to stop drinking and eating before the test.
Give your provider a list of all the medicines you take (prescription and over-the-counter), herbs, and supplements. You will be told when you can take these. Some need to be stopped a week before the test. Ask your provider which medicines you should take on the morning of surgery.
Since you will not be able to drive or return to work on the day of this test, you will need someone to take you home.
How the Test will Feel
Before this test you will get medicine through an IV to help you relax (a sedative). You may fall asleep or not remember the test. Some people feel the test is slightly uncomfortable.
For the first hour after this test, you may feel sleepy and unable to drink or walk. You may have a sore throat. Air or carbon dioxide gas may have been put in your digestive tract during the test to move the tube more easily. This may make you feel bloated, but this feeling will go away.
When you are fully awake, you can be taken home. Rest that day. You may have fluids and light meals.
Why the Test is Performed
You may have this test to:
-
Find the cause of
abdominal pain
Abdominal pain
Abdominal pain is pain that you feel anywhere between your chest and groin. This is often referred to as the stomach region or belly.
-
Find the cause of
weight loss
Weight loss
Unexplained weight loss is a decrease in body weight, when you did not try to lose the weight on your own. Many people gain and lose weight. Uninten...
- Diagnose diseases of the pancreas, bile duct, and gallbladder
- Guide a biopsy of tumors, lymph nodes, and other tissue
- Look at cysts, tumors, and cancers
- Look for stones in the bile duct
This test can also stage cancers of the:
-
Esophagus
Esophagus
Esophageal cancer is cancer that starts in the esophagus. This is the tube that moves food from the mouth to the stomach.
- Stomach
-
Pancreas
Pancreas
Pancreatic cancer is cancer that starts in the pancreas.
-
Rectum
Rectum
Colon, or colorectal cancer, is cancer that starts in the large intestine (colon) or the rectum (end of the colon). Other types of cancer can affect ...
Normal Results
The organs will appear normal.
What Abnormal Results Mean
The results depend on what is found during the test. If you DO NOT understand the results, or have questions or concerns, talk to your provider.
Risks
Risks for any sedation are:
- Reactions to medicine
- Problems breathing
Complications from this test include:
- Bleeding
- A tear in the lining of the digestive tract
- Infection
- Pancreatitis
References
Lee LS. Endoscopic ultrasound. In: McNalley PR, ed. GI/Liver Secrets Plus . 5th ed. Philadelphia, PA: Elsevier Saunders; 2015:chap 71.
Pasricha PJ. Gastrointestinal endoscopy. In: Goldman L, Schafer AI, eds. Goldman's Cecil Medicine . 25th ed. Philadelphia, PA: Elsevier Saunders; 2016:chap 134.
Review Date: 7/22/2016
Reviewed By: Subodh K. Lal, MD, gastroenterologist with Gastrointestinal Specialists of Georgia, Austell, GA. Review provided by VeriMed Healthcare Network. Also reviewed by David Zieve, MD, MHA, Isla Ogilvie, PhD, and the A.D.A.M. Editorial team.