General instructions for Upper endoscopic ultrasound (EUS)

Technique that combines endoscopy and ultrasound using a flexible tube to examine the digestive tract and nearby organs.

  • Definition: A technique that combines endoscopy and ultrasound using a flexible tube to examine the digestive tract and nearby organs.
  • Fasting: It is essential to strictly fast (do not ingest solid foods or liquids, not even water) for at least 8 hours before the test. The stomach must be completely empty to avoid complications and ensure correct visibility.
  • Medication: If you take anticoagulants (such as acenocoumarol/sintrom, warfarin, rivaroxaban, apixaban, dabigatran, heparin, etc.) or antiplatelets (such as aspirin, clopidogrel, ticagrelor, prasugrel, etc.), they usually require suspension before the test (except for ASA 100 mg, which is usually maintained), as punctures or biopsies are commonly performed during this test. However, it is ESSENTIAL that you follow the exact instructions given by your doctor. Review the consultation report in which the test was requested to confirm the specific guidelines for your case.
  • Clothing and Accessories: We recommend coming in loose and comfortable clothing. Before entering the room, you will need to remove glasses and any removable dentures. Likewise, there is a strict restriction on the use of jewelry, watches, or piercings (especially in the face, mouth, or neck area) so as not to interfere with the equipment or the passage of the endoscope. Do not wear nail polish, as a sensor (pulse oximeter) will be placed on your finger to monitor sedation.
  • Specific Requirements: Please do not smoke on the day of the test, as tobacco stimulates gastric juice secretion. As this procedure is performed under deep sedation to ensure your maximum comfort, it is mandatory to be accompanied by an adult. For your safety, you will not be able to drive or make important decisions for the rest of the day due to the residual effects of the sedative.
  • Expected discomfort or pain from the test: Thanks to the sedation, you will not feel pain or discomfort during the intervention. After waking up, it is completely normal to feel a slight pain, dryness, or irritation in the throat that can last 1 or 2 days. It is also very common to experience a sensation of abdominal bloating or gas, caused by the air gently introduced during the test to improve visualization of the organs.
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