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Endoscopic Ultrasound Scan
Endoscopic ultrasound (EUS) is a minimally invasive procedure to assess diseases of the digestive (gastrointestinal) tract and other nearby organs and tissues.

What is an endoscopic ultrasound scan?
An endoscopic ultrasound scan (EUS) combines 2 types of tests – endoscopy and ultrasound.
The diagnostic procedure allows detailed images to be obtained not only of the lining of the upper gut (as with standard endoscopy), but also of areas beyond the gut lining, including the lungs, pancreas, liver, gallbladder and stomach.
At Welbeck, EUS is performed by our gastroenterology specialists in our state-of-the-art Digestive Health centre.
Your consultant will have recommended that you have an endoscopic ultrasound to detect and assess diseases of the gastrointestinal tract, such as IBD, colon cancer, and pancreatitis.
What's involved in having an endoscopic ultrasound?
An endoscopic ultrasound uses a device called an echo-endoscope, which is a thin, flexible tube (about as wide as a finger), on the end of which is a bright light and a tiny digital camera, and a small ultrasound probe. The endoscope is passed by your doctor through your mouth and down the oesophagus, through your stomach and into the duodenum.
To begin the procedure, a local anaesthetic may be sprayed to numb your throat. You will also be given sedation by injection through a vein to make you sleepy and relaxed. You will feel sleepy during the procedure, but you will not be unconscious, and you will be aware of what is going on around you, unless you are having a general anaesthetic.
You will be asked to lie on your left side, and a guard will be placed in your mouth to protect your teeth. While in this position, the doctor will pass the endoscope through your mouth and down your throat. The endoscope will not interfere with your breathing and will not cause any pain.
The examination usually takes about half an hour, but if you're also having a therapeutic procedure at the same time, this may take longer. This test is performed in our outpatient clinic, and you will be able to return home soon after.
The echo-endoscope can also be inserted into the back passage and through the colon, to analyse structures in the wall of the lower gut and beyond. The endoscope also has a 'side channel' down which instruments can pass.
Additional procedures that may be required include:
- EUS and biopsy/ fine needle aspiration (FNA)
- EUS-guided stent placement
- EUS and coeliac plexus block
The need for specific procedures during EUS will be discussed with you by your consultant before the EUS procedure is performed.
Risks of endoscopic ultrasound
As with all diagnostic procedures, endoscopy can result in complications, such as reactions to medications or slight abdominal discomfort afterwards. A diagnostic EUS will not carry any more risks than an ordinary endoscopy.
If biopsies are done, there may be a possibility of experiencing some pain after the procedure, but it's rarely severe. If biopsies are taken from the pancreas, there's a small risk of acute pancreatitis (less than 2%), and of bleeding (less than 2%). Specific types of EUS (for example, involving the insertion of stents or drains) may carry higher risks, and this will be discussed before you have the procedure.
Preparing for an endoscopic ultrasound
7 days before the examination:
- your endoscopist will need to know about all medications that you take, in particular blood thinners, which may need to be stopped or adjusted up to 1 week before the procedure (in particular if there is a need to take samples at the time of EUS)
- if you take Clopidogrel or other blood thinners, it may be necessary to check with your cardiologist (or other specialist) to be sure that these can be discontinued prior to your EUS
- there is usually no need to stop takingaspirin prior to EUS
- please continue to take any other medication (including laxatives) as usual
- if you're diabetic and take insulin, it's important that you continue taking your insulin, but it's suggested that you reduce your dose on the day and night before the procedure. If you are concerned, then contact your local diabetes nurse for advice. Remember to check your blood sugar every 3 to 4 hours
- if you're taking tablets for your diabetes, please do not take them on the day of the procedure until after the procedure is complete. Please bring your diabetic tablets or insulin to the hospital with you
On the day of the procedure
- to allow a clear view, you should not eat anything or drink any milk for 6 hours before the appointment
- you may drink a small amount of clear fluids up to 2 hours prior to the procedure (your usual prescription medicines can be taken with a sip of water)
What happens after the procedure?
Some abdominal discomfort and bloating are common, which usually settle down after a few hours. Your throat may feel numb and slightly sore, and because of the local anaesthetic and sedation, you should not attempt to take anything by mouth for at least 1 hour.
Why choose Welbeck?
At Welbeck, our gastroenterologists are experts in their field and are dedicated to providing world-class care to every patient.
With access to colleagues across other specialties, our consultants are also able to refer within the Welbeck ecosystem if required to ensure you receive the treatment you need as quickly as possible, all under one roof.
All appointments, testing, treatment, and follow-up appointments take place within our state-of-the-art facilities, enabling us to deliver accurate diagnostics and advanced treatments.
Booking a private endoscopic ultrasound scan
To book an endoscopic ultrasound scan, you must be referred by either your GP or a gastroenterologist following a consultation with them. Self-referrals are not accepted for this test.
If you would like to schedule a consultation with a gastroenterologist, please get in touch to make an appointment. Your health is important to us, so we strive to offer same-day appointments whenever possible.
Our consultants are recognised by the major health insurance companies. If you have private health insurance, your treatment at Welbeck can begin once you have obtained authorisation. We also provide care to self-paying patients. Learn more about the different payment options at Welbeck.
FAQS
Can an EUS be used to check areas other than the digestive system?
Yes. While an endoscopic ultrasound is most often used to look at the digestive tract, it can also help examine nearby structures such as blood vessels, lymph nodes, or nearby organs like the pancreas and lungs.
Will I need someone to come with me on the day of my EUS?
Yes, because sedation is usually given during the procedure, you won’t be able to drive yourself home. We recommend arranging for a friend or family member to accompany you, or to collect you afterwards.
Can EUS be used to guide treatment as well as diagnosis?
In some cases, yes. EUS can be used to help doctors guide fine needle aspiration, drain fluid collections, or deliver certain treatments directly to the affected area, making it both a diagnostic and therapeutic tool.
Are there other tests that could be used instead of an EUS?
Depending on your individual needs, there may be a need for you to have additional imaging tests such as CT scans or standard ultrasound scans. However, an EUS often provides clearer and more detailed images because the camera and ultrasound probe can be manoeuvred closely to the area being examined.
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