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REVIEW ARTICLE
Year : 2019  |  Volume : 8  |  Issue : 1  |  Page : 3-16

What should be known prior to performing EUS?


1 Medical Department 2, Caritas-Krankenhaus, Uhlandstr 7, D-97980 Bad Mergentheim, Germany; Department of Ultrasound, The First Affiliated Hospital of Zhengzhou University, Zhengzhou, China
2 Pancreatico/Biliary Endoscopy & Endosonography Division, Pancreas Translational & Clinical Research Center, San Raffaele Scientific Institute, Vita Salute San Raffaele University, Milan, Italy
3 Translational Gastroenterology Unit I John Radcliffe Hospital I Oxford OX3 9DU, UK
4 Surgical Gastroenterology unit, Groote Schuur Hospital, Cape Town, South Africa
5 Humanitas Clinical and Research Center- IRCCS- Digestive Endoscopy Unit, Division of Gastroenterology, Rozzano, Milan, Italy
6 Department of Medical Ultrasound, Tongji Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, China
7 Department of Ultrasound, Zhongshan Hospital, Fudan University, Shanghai, China
8 Department of Medical and Surgical Sciences, Gastroenterology Unit, University of Bologna/Imola Hospital, Imola, Italy
9 National Centre for Ultrasound in Gastroenterology, Haukeland University Hospital, Bergen and Department of Clinical Medicine, University of Bergen, Bergen, Norway
10 General and HPB Surgery, Royal Infirmary of Edinburgh, Edinburgh, UK
11 Medical Department, Helios Klinikum Meiningen, Germany
12 Department of Gastroenterology, Allgemeines Krankenhaus Celle, Celle, Germany
13 Department of Gastroenterology and Hepatology, Health Research Institute of Santiago de Compostela (IDIS), University Hospital of Santiago de Compostela, Santiago de Compostela, Spain
14 Medical Department 2, Caritas-Krankenhaus, Uhlandstr 7, D-97980 Bad Mergentheim, Germany
15 Department of Hepatology and Gastroenterology, Charite CCM, Berlin, Germany
16 Department of Gastroenterology, The State University of New Jersey, New Jersey, USA
17 Second Department of Internal Medicine, Wakayama Medical University, Wakayama, Japan
18 Department of Surgical Gastroenterology, Aarhus University Hospital, Aarhus, Denmark; Department of Surgery and Department of Advanced Interventional Endoscopy, University Hospital Brussels, Brussels, Belgium
19 Digestive Endoscopy Unit, IRCCS Foundation University Hospital, Policlinico A. Gemelli, Rome, Italy
20 Medical Department I/Gastroenterology, SANA Hospital Lichtenberg, Berlin, Germany
21 Digestive Endoscopy Unit, Hopital Privé J Mermoz Ramsay Générale de Santé, Lyon, France
22 HPB Unit, Freeman Hospital, Newcastle upon Tyne, UK
23 Department of Gastroenterology, Research Center of Gastroenterology and Hepatology, University of Medicine and Pharmacy of Craiova, Craiova, Romania
24 Interventional Gastroenterology, Institute of Digestive and Hepatobiliary Sciences Medanta the Medicity, Gurugram, Haryana, India
25 Center Hospitalier de l'Université de Montréal, Montreal, Canada
26 Department of Gastroenterology and Liver Diseases, Tel Aviv, Sourasky Medical Center, Tel Aviv, Israel
27 Department of Gastroenterology, Jaswant Rai Speciality Hospital, Meerut, Uttar Pradesh, India
28 Endosonography and advanced therapeutic endoscopy, Division of Gastroenterology, The American University of Beirut, Medical Center, Beirut, Lebanon
29 Endoscopy Center, ShengJing Hospital of China Medical University, Shenyang, Liaoning, China
30 Division of Upper Gastrointestinal and Metabolic Surgery, Department of Surgery, The Prince of Wales Hospital, The Chinese University of Hong Kong, Hong Kong, China
31 GastroUnit, Department of Surgery, Copenhagen University, Hospital Herlev, Denmark
32 Department of Internal Medicine, Krankenhaus Maerkisch-Oderland, D-15344 Strausberg and Brandenburg Institute of Clinical Ultrasound at Medical University Brandenburg, Germany

Correspondence Address:
Dr. Christoph F Dietrich
Medical Department, Caritas-Krankenhaus, Uhlandstr 7, D-97980 Bad Mergentheim, Germany; Department of Ultrasound, The First Affiliated Hospital of Zhengzhou University, Zhengzhou, China

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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/eus.eus_54_18

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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.


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