Endoscopic Ultrasound

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

What should be known prior to performing EUS?


Christoph F Dietrich1, Paolo Giorgio Arcidiacono2, Barbara Braden3, Sean Burmeister4, Silvia Carrara5, Xinwu Cui6, Milena Di Leo5, Yi Dong7, Pietro Fusaroli8, Odd Helge Gilja9, Andrew J Healey10, Michael Hocke11, Stephan Hollerbach12, Julio Iglesias Garcia13, André Ignee15, Christian Jürgensen14, Michel Kahaleh15, Masayuki Kitano16, Rastislav Kunda17, Alberto Larghi18, Kathleen Möller19, Bertrand Napoleon20, Kofi W Oppong21, Maria Chiara Petrone2, Adrian Saftoiu22, Rajesh Puri23, Anand V Sahai24, Erwin Santo25, Malay Sharma26, Assaad Soweid27, Siyu Sun28, Anthony Yuen Bun Teoh29, Peter Vilmann30, Christian Jenssen31 
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 Department of Hepatology and Gastroenterology, Charite CCM, Berlin, Germany
15 Department of Gastroenterology, The State University of New Jersey, New Jersey, USA
16 Second Department of Internal Medicine, Wakayama Medical University, Wakayama, Japan
17 Department of Surgical Gastroenterology, Aarhus University Hospital, Aarhus, Denmark; Department of Surgery and Department of Advanced Interventional Endoscopy, University Hospital Brussels, Brussels, Belgium
18 Digestive Endoscopy Unit, IRCCS Foundation University Hospital, Policlinico A. Gemelli, Rome, Italy
19 Medical Department I/Gastroenterology, SANA Hospital Lichtenberg, Berlin, Germany
20 Digestive Endoscopy Unit, Hopital Privé J Mermoz Ramsay Générale de Santé, Lyon, France
21 HPB Unit, Freeman Hospital, Newcastle upon Tyne, UK
22 Department of Gastroenterology, Research Center of Gastroenterology and Hepatology, University of Medicine and Pharmacy of Craiova, Craiova, Romania
23 Interventional Gastroenterology, Institute of Digestive and Hepatobiliary Sciences Medanta the Medicity, Gurugram, Haryana, India
24 Center Hospitalier de l'Université de Montréal, Montreal, Canada
25 Department of Gastroenterology and Liver Diseases, Tel Aviv, Sourasky Medical Center, Tel Aviv, Israel
26 Department of Gastroenterology, Jaswant Rai Speciality Hospital, Meerut, Uttar Pradesh, India
27 Endosonography and advanced therapeutic endoscopy, Division of Gastroenterology, The American University of Beirut, Medical Center, Beirut, Lebanon
28 Endoscopy Center, ShengJing Hospital of China Medical University, Shenyang, Liaoning, China
29 Division of Upper Gastrointestinal and Metabolic Surgery, Department of Surgery, The Prince of Wales Hospital, The Chinese University of Hong Kong, Hong Kong, China
30 GastroUnit, Department of Surgery, Copenhagen University, Hospital Herlev, Denmark
31 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

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.


How to cite this article:
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, Napoleon B, Oppong KW, Petrone MC, Saftoiu A, Puri R, Sahai AV, Santo E, Sharma M, Soweid A, Sun S, Teoh AY, Vilmann P, Jenssen C. What should be known prior to performing EUS?.Endosc Ultrasound 2019;8:3-16


How to cite this URL:
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, Napoleon B, Oppong KW, Petrone MC, Saftoiu A, Puri R, Sahai AV, Santo E, Sharma M, Soweid A, Sun S, Teoh AY, Vilmann P, Jenssen C. What should be known prior to performing EUS?. Endosc Ultrasound [serial online] 2019 [cited 2019 Mar 22 ];8:3-16
Available from: http://www.eusjournal.com/article.asp?issn=2303-9027;year=2019;volume=8;issue=1;spage=3;epage=16;aulast=Dietrich;type=0