NYC Gastroenterologist Dr. Anthony Borcich performs most of his endoscopic ultrasound (EUS) procedures at Manhattan Endoscopy Center, New York City’s newest and most modern endoscopy center. This state-of-the-art facility offers the latest equipment and bright procedure rooms. The center aims to make each patient’s procedure as efficient and pleasant as possible, maintaining the personal attention of an office-based procedure while ensuring hospital-level safety standards. If you require an EUS procedure, contact us to schedule an appointment.
What is an endoscopic ultrasound?
An endoscopic ultrasound (EUS procedure) combines endoscopy and ultrasound in order to create detailed images of the esophageal and stomach lining, as well as the walls of the upper gastrointestinal tract. Additionally, EUS procedures may be used to examine the organs near the gastrointestinal tract, including the liver, gallbladder, pancreas, and lungs. An endoscopic ultrasound can also obtain information about the flow of blood inside blood vessels using Doppler ultrasound and obtain tissue samples by inserting a special needle into enlarged lymph nodes or suspicious tumors using ultrasound guidance.
Why is an endoscopic ultrasound (EUS) performed?
EUS procedures may be used in order to:
- Determine the cause of symptoms such as abdominal pain or chest pain
- Examine the extent of diseases in your digestive tract or lungs
- Examine the findings from imaging tests, such as a CT scan or MRI
In addition, an endoscopic ultrasound may be helpful with:
- Determining the extent or stage of colon, esophagus, lung, pancreas or stomach cancers, as well as ampullary and rectal cancers
- Determining if cancer has spread (metastasized) to your lymph nodes or other organs
- Enabling precise targeting for giving medication directly into the pancreas, liver or other organs
- Evaluating lymphomas, Barrett’s esophagus, neuroendocrine tumors, pancreatitis, pancreatic cysts, bile duct stones, fecal incontinence, and sarcoidosis
How do I prepare for an endoscopic ultrasound (EUS)?
Before getting an endoscopic ultrasound, Dr. Borcich will perform a thorough review of your medical history, including addressing all major medical problems and the medications you are currently taking. He will provide you with specific instructions on how to prepare for your EUS procedure, which may include:
- Stop eating and drinking eight hours before the procedure in order to have an empty stomach
- Take a laxative or have an enema and to follow a liquid diet prior to the procedure (if your EUS is being performed in your rectal area)
- Avoid taking specific medications, such as blood thinners
- Arrange for someone to drive you home following the procedure
What happens during an endoscopic ultrasound (EUS procedure)?
Upon arrival, Dr. Borcich will discuss the procedure and answer any questions you may have. Before the procedure, an IV will be placed into your vein to administer a sedative. Once sedated, a special endoscope will be inserted and the EUS will begin. Depending on the type of procedure, the scope will be inserted either through the mouth or the anus and gently guided through your digestive tract.
Due to the sedation, you will feel no discomfort or have any awareness at all throughout the entire endoscopic ultrasound procedure. Dr. Borcich will be observing the inside of your intestinal tract on a monitor and the ultrasound image on another monitor. The entire procedure typically takes 30 to 90 minutes, depending on the complexity.
If you believe you have symptoms that may warrant an endoscopic ultrasound (EUS), the first step is scheduling an evaluation with an experienced Manhattan gastroenterologist. Anthony Borcich, M.D. has more than 30 years of experience and is known for his compassionate care and personalized approach. Schedule an appointment today by contacting our office or filling out the schedule appointment form on this page.