Why it's done

EUS is used to find the cause of symptoms such as abdominal or chest pain, to determine the extent of diseases in your digestive tract and lungs, and to evaluate findings from imaging tests such as a CT scan or MRI.

EUS may help in the evaluation of:

  • Cancer of the colon, esophagus, lung, pancreas or stomach, and ampullary and rectal cancers
  • Lymphoma
  • Barrett's esophagus
  • Neuroendocrine tumors
  • Pancreatitis and pancreatic cysts
  • Bile duct stones
  • Sarcoidosis

EUS can help:

  • Assess how deeply a tumor penetrates your abdominal wall in esophageal, gastric, rectal, pancreatic and lung cancers
  • Determine the extent (stage) of cancer, if present
  • Determine if cancer has spread (metastasized) to your lymph nodes or other organs
  • Provide precise information about non-small cell lung cancer cells, to guide treatment
  • Evaluate abnormal findings from imaging tests, such as cysts of the pancreas
  • Guide drainage of pseudocysts and other abnormal collections of fluid in the abdomen
  • Permit precise targeting for delivering medication directly into the pancreas, liver and other organs

EUS is performed on an outpatient basis and is well-tolerated by most people.

You may not be a candidate for EUS if you have had abdominal surgery that changed your anatomy, such as Roux-en-Y gastric bypass.

July 01, 2017
References
  1. Longo DL, et al., eds. Gastrointestinal endoscopy. In: Harrison's Principles of Internal Medicine. 19th ed. New York, N.Y.: McGraw-Hill Education; 2015. http://accessmedicine.com. Accessed March 5, 2017.
  2. Understanding EUS (Endoscopic ultrasound). American Society of Gastrointestinal Endoscopy. https://www.asge.org/home/for-patients/patient-information/understanding-eus. March 5, 2017.
  3. Greenberger NJ, et al., eds. Endoscopic ultrasound. In: Current Diagnosis & Treatment: Gastroenterology, Hepatology & Endoscopy. 3rd ed. New York, N.Y.: The McGraw-Hill Companies; 2015. http://accessmedicine.mhmedical.com/content.aspx?bookid=1621§ionid=10518592. Accessed March 10, 2017.
  4. Wiersema MJ, et al. Endoscopic ultrasound-guided fine-needle aspiration biopsy in the gastrointestinal tract. http://www.uptodate.com/home. Accessed March 5, 2017.
  5. Lakhtakia S, et al. Complications of diagnostic and therapeutic endoscopic ultrasound. Best Practice & Research Clinical Gastroenterology. 2016;30:807.
  6. Riggin EA. Allscripts EPSi. Mayo Clinic, Rochester, Minn. January 9, 2017.