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Upper Endoscopic Gastrointestinal Ultrasonography

AMBULATORY CARE:

What you need to know about upper endoscopic gastrointestinal ultrasonography:

An upper gastrointestinal endoscopic ultrasound is done to look at the different parts of your upper gastrointestinal (GI) tract. The upper GI tract includes the esophagus, stomach, and duodenum (first part of the small intestine). This procedure is used to help identify and treat diseases that affect the upper GI tract.

How to prepare for this procedure:

Your healthcare provider will talk to you about how to prepare for procedure. He may tell you not to eat or drink anything after midnight on the day of your procedure. He will tell you what medicines you may or may not take on the day of your procedure. Arrange to have someone drive you home.

What will happen during this procedure:

  • You may be given medicine to help you relax. You will be asked to lie on your left side. Your healthcare provider will gently pass the echoendoscope through your mouth. This will go down into your esophagus, stomach, and duodenum. You may be asked to swallow to help the scope move along. The passage of the echoendoscope 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 the lab for tests. He may also treat any known conditions you have. When the procedure is finished, the echoendoscope will be removed.

What will happen after this procedure:

You may feel bloated, gassy, or have some abdominal discomfort. Your throat may be sore for 24 to 36 hours after the procedure. You may burp or pass gas from air that is still inside your body after your procedure. You may need to take short walks to help move the gas out. Eat small meals, if you feel bloated. Do not drive or make important decisions until the day after your procedure.

Risks of this procedure:

Your esophagus, stomach, or duodenum may be punctured or torn during the procedure. This is because of increased pressure as the scope and air are passing through. You may bleed more than expected or get an infection. You may have a slow or irregular heartbeat, or low blood pressure. This can cause sweating and fainting. Fluid may enter your lungs and you may have trouble breathing. These problems can be life-threatening.

Call 911 if:

  • You have sudden chest pain or trouble breathing.

Seek care immediately if:

  • You feel dizzy or faint.
  • You have trouble swallowing.
  • You have severe throat pain.
  • Your bowel movements are very dark or black.
  • Your abdomen is hard and firm and you have severe pain.
  • You vomit blood.

Contact your healthcare provider if:

  • You feel full or bloated and cannot burp or pass gas.
  • You have not had a bowel movement for 3 days after your procedure.
  • You have neck pain.
  • You have a fever or chills.
  • You have nausea, or you are vomiting.
  • Your skin is itchy, swollen, or has a rash.
  • You have questions or concerns about your procedure.

Follow up with your healthcare provider as directed:

Ask your healthcare provider when the results of your test will be available. Write down your questions so you remember to ask them during your visits.

Further information

Always consult your healthcare provider to ensure the information displayed on this page applies to your personal circumstances.

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