Patient Considerations
We know that patient teaching is important for a successful outcome. Let’s take a look at a few patient teaching considerations.
What Happens During an EUS?
During an EUS, the patient lies on his/her side while an endoscope with a small ultrasound probe built into the tip is passed through the patient’s mouth, the stomach and into the top part of the small intestine called the duodenum. Once in place, the ultrasound probe uses sound waves to create images of the pancreas and surrounding structures. Usually the EUS procedure will last 30-60 minutes, depending on additional treatments.Most patients receive IV anesthesia (Propofol); they are asleep and comfortable during the procedure.
What Should a Patient Do to Prepare for an EUS?
The healthcare team will give the patient exact instructions before an EUS procedure.The patient will be informed to remain NPO for six to eight hours prior to the procedure. Some patients receive antibiotics before the procedure to avoid infection. The doctor will inform the patient whether to continue taking these or other medications before the EUS procedure. EUS is usually performed under IV anesthesia (Propofol). Since the patient may feel drowsy after the procedure, arrangements should be made by the patient in advance to have someone else drive him/her home.
What is Expected After an EUS?
After the EUS procedure is completed, the patient will remain in the recovery room until the sedative medication has worn off. Since CO2 instead of room air is used almost routinely for insufflation during these procedures, the patient does not usually experience a feeling of fullness or the need to pass gas after the procedure. Also, the patient may experience changes in the bowel habits (for example, soft stool) after the procedure. The health care team will provide instructions regarding medications, eating, drinking and driving.
What Complications Can Occur with an EUS?
Complications are very rare, but they include infection of a pancreatic cyst, pancreatitis, gastrointestinal bleeding, perforation from the endoscope and reactions to anesthesia medications.
