TY - JOUR
T1 - What should be known prior to performing EUS?
AU - Dietrich, Christoph F.
AU - Arcidiacono, Paolo Giorgio
AU - Braden, Barbara
AU - Burmeister, Sean
AU - Carrara, Silvia
AU - Cui, Xinwu
AU - Di Leo, Milena
AU - Dong, Yi
AU - Fusaroli, Pietro
AU - Gilja, Odd Helge
AU - Healey, Andrew J.
AU - Hocke, Michael
AU - Hollerbach, Stephan
AU - Garcia, Julio Iglesias
AU - Ignee, André
AU - Jürgensen, Christian
AU - Kahaleh, Michel
AU - Kitano, Masayuki
AU - Kunda, Rastislav
AU - Larghi, Alberto
AU - Möller, Kathleen
AU - Napoleon, Bertrand
AU - Oppong, Kofi W.
AU - Petrone, Maria Chiara
AU - Saftoiu, Adrian
AU - Puri, Rajesh
AU - Sahai, Anand V.
AU - Santo, Erwin
AU - Sharma, Malay
AU - Soweid, Assaad
AU - Sun, Siyu
AU - Teoh, Anthony Yuen Bun
AU - Vilmann, Peter
AU - Jenssen, Christian
N1 - Publisher Copyright:
© 2017 Spring Media Publishing Co. Ltd | Published by Wolters Kluwer - Medknow.
PY - 2019/1/1
Y1 - 2019/1/1
N2 - 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.
AB - 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.
KW - Coagulation tests
KW - EUS
KW - cost-effective
KW - sedation
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U2 - 10.4103/eus.eus_54_18
DO - 10.4103/eus.eus_54_18
M3 - Review article
AN - SCOPUS:85061643333
SN - 2303-9027
VL - 8
SP - 3
EP - 16
JO - Endoscopic Ultrasound
JF - Endoscopic Ultrasound
IS - 1
ER -