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Lower Gastrointestinal Endoscopic Ultrasonography
WHAT YOU NEED TO KNOW:
A lower gastrointestinal endoscopic ultrasound is used to help diagnose and treat diseases that affect the lower gastrointestinal (GI) tract. The lower GI tract includes some parts of the small intestine, the colon, and the rectum.
HOW TO PREPARE:
The week before your procedure:
- Write down the correct date, time, and location of your procedure.
- Arrange a ride home. Ask a family member or friend to drive you home after your surgery or procedure. Do not drive yourself home.
- Ask your caregiver if you need to stop using aspirin or any other prescribed or over-the-counter medicine before your procedure or surgery.
- Bring your medicine bottles or a list of your medicines when you see your caregiver. Tell your caregiver if you are allergic to any medicine. Tell your caregiver if you use any herbs, food supplements, or over-the-counter medicine.
- Tell your healthcare provider if you have had similar procedures and when they were done. These may include a colonoscopy, sigmoidoscopy, or upper or lower GI x-rays. He should also know if you had any surgeries of your GI tract.
- You may need to have blood tests, urine tests, or x-rays before your procedure. Talk to your healthcare provider about these or other tests you may need. Write down the date, time, and location for each test.
The night before your procedure:
- Ask caregivers about directions for eating and drinking.
- You may need an enema the night before your procedure. This is liquid put into your rectum to help empty your bowel.
The day of your procedure:
- Ask your caregiver before taking any medicine on the day of your procedure. These medicines include insulin, diabetic pills, high blood pressure pills, or heart pills. Bring a list of all the medicines you take, or your pill bottles, with you to the hospital.
- You or a close family member will be asked to sign a legal document called a consent form. It gives caregivers permission to do the procedure or surgery. It also explains the problems that may happen, and your choices. Make sure all your questions are answered before you sign this form.
- Caregivers may insert an intravenous tube (IV) into your vein. A vein in the arm is usually chosen. Through the IV tube, you may be given liquids and medicine.
- An anesthesiologist will talk to you before your surgery. You may need medicine to keep you asleep or numb an area of your body during surgery. Tell caregivers if you or anyone in your family has had a problem with anesthesia in the past.
WHAT WILL HAPPEN:
What will happen:
- You will be asked to lie on your left side and will need to raise one or both knees toward your chest. Your healthcare provider will examine your anus and use a finger to perform a digital rectal exam to check your rectum.
- The echoendoscope will be lubricated and gently placed into your anus. It will then be passed through the rectum and into the large intestine. The passage of the scope may cause a feeling of pressure and some discomfort. Your healthcare provider will slowly advance the scope while he watches its movement on a small video screen. He will also take pictures. Your healthcare provider may take tissue samples and send them to a lab for tests. He may also treat any known conditions you have. When the procedure is finished, the echoendoscope will be removed.
After your procedure:
You will be taken to a room to rest until you are fully awake. You will be monitored closely for any problems. Do not get out of bed until your healthcare provider says it is okay. You will then be able to go home or be taken to your hospital room.
CONTACT YOUR HEALTHCARE PROVIDER IF:
- You cannot make it to your procedure.
- You have a fever.
- You get a cold or the flu.
- You have constipation, and the medicine is not helping to empty your bowel.
- You have questions or concerns about your procedure.
Seek Care Immediately if
- You are not able to eat or drink.
- You have blood in your bowel movement.
- Your abdomen becomes tender and hard.
- Your symptoms get worse.
- Your vomit has blood or bile in it.
You may have bleeding, an abnormal heartbeat, high blood pressure, or trouble breathing. Your small intestines, large intestines, or rectum may get injured because of increased pressure from the scope.
Care AgreementYou have the right to help plan your care. Learn about your health condition and how it may be treated. Discuss treatment options with your caregivers to decide what care you want to receive. You always have the right to refuse treatment.
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The above information is an educational aid only. It is not intended as medical advice for individual conditions or treatments. Talk to your doctor, nurse or pharmacist before following any medical regimen to see if it is safe and effective for you.