What should be known prior to performing EUS?

Abstract:

:Direct referral of patients for EUS - instead of preprocedural consultation with the endosonographer - has become standard practice (like for other endoscopic procedures) as it is time- and cost-effective. To ensure appropriate indications and safe examinations, the endosonographer should carefully consider what information is needed before accepting the referral. This includes important clinical data regarding relevant comorbidities, the fitness of the patient to consent and undergo the procedure, and the anticoagulation status. In addition, relevant findings from other imaging methods to clarify the clinical question may be necessary. Appropriate knowledge and management of the patients' anticoagulation and antiplatelet therapy, antibiotic prophylaxis, and sedation issues can avoid unnecessary delays and unsafe procedures. Insisting on optimal preparation, appropriate indications, and clear clinical referral questions will increase the quality of the outcomes of EUS. In this paper, important practical issues regarding EUS preparations are raised and discussed from different points of view.

journal_name

Endosc Ultrasound

journal_title

Endoscopic ultrasound

authors

Dietrich CF,Arcidiacono PG,Braden B,Burmeister S,Carrara S,Cui X,Di Leo M,Dong Y,Fusaroli P,Gilja OH,Healey AJ,Hocke M,Hollerbach S,Garcia JI,Ignee A,Jürgensen C,Kahaleh M,Kitano M,Kunda R,Larghi A,Möller K,Napo

doi

10.4103/eus.eus_54_18

subject

Has Abstract

pub_date

2019-01-01 00:00:00

pages

3-16

issue

1

eissn

2303-9027

issn

2226-7190

pii

EndoscUltrasound_2019_8_1_3_252234

journal_volume

8

pub_type

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