Prep Instructions: Upper Endoscopic Ultrasound

Patient Prep Instructions for Upper Endoscopic Ultrasound (EUS)

You have been scheduled for an upper endoscopic ultrasound in the Endoscopy Lab on the 2nd floor of the Ochsner Clinic at 1514 Jefferson Highway in New Orleans. Take elevator B to the 2nd floor.

To download a copy of the prep instructions, click here

Endoscopic ultrasound (EUS) is a procedure used to image the digestive tract, including the pancreas, lesions in the esophagus, and stomach. It is used to diagnose and stage cancers of the digestive tract. If necessary, your doctor may need to take samples during the procedure.

Please bring a disc of any recent radiology studies that you have had when you come in for your procedure (CT scans, MRIs, PET scans, Ultrasounds, etc.).

A responsible adult (family member or friend) must come with you to your EUS and remain in the Endoscopy Lab area until you are discharged.  You are not allowed to drive, take a taxi or bus, or leave the Endoscopy Lab alone. If you do not have a responsible adult (family member or friend) with you to take you home, your exam will be cancelled.

It is very important to follow these instructions and the checklist on the other side; otherwise, your procedure may be rescheduled or repeated.

Adjusting Medications

Medication What to Do
Anticoagulant/blood thinning medication Aggrenox, ASA, Brilinta, Effient, Eliquis, Lovenox, Plavix, Pletal, Pradaxa, Ticilid, Xarelto Follow the instructions from the scheduling nurse
Coumadin through Ochsner’s Coumadin Clinic Follow the instructions from the Coumadin Clinic
Blood pressure, heart, anti-rejection, and/or seizure medication Take your regular dose by 6:00 AM the morning of your upper endoscopy appointment
Insulin or other oral medication for diabetes Skip your dose the morning of the procedure, unless instructed otherwise by your doctor and bring your diabetic medications with you to the Endoscopy Lab
Any other medications  Follow the instructions from the scheduling nurse

If you are a female under 60 years of age, please be prepared to provide a urine sample on arrival.

If you have questions about the cost of the procedure, you should contact your health insurance company as soon as possible. Please bring a Picture ID and your insurance card. You will have to sign treatment authorization forms at check in. It is necessary for you to sign these forms again even if you recently signed these at the time of your clinic visit.

It is very important to follow these instructions otherwise your procedure may be rescheduled or repeated.

AT LEAST 2 DAYS BEFORE PROCEDURE: 

  • Arrange for a family member or friend to come with you on the day of the procedure

DAY BEFORE PROCEDURE: 

  • By 7:00 PM - Eat a light evening meal, and eat no solid food after 7pm. You may drink clear liquids including:
  • Water, coffee or decaffeinated coffee (no milk or cream)
  • Tea, herbal tea
  • Carbonated beverages (soft drinks), regular and sugar-free
  • Gelatin dessert (Jell-o), plain or fruit flavored (no red gelatin)
  • Apple juice, grape juice, cranberry juice, Juicy Juice
  • Powdered drinks, such as Gatorade, Power Aid, Crystal Light, and Kool-Aid
  • Lemonade and limeade
  • Bouillon, clear consommé
  • Snowball, flavored water-ice, popsicles
  • Hard candy, sugar, salt
  • Do not drink any liquids containing red dye
  • Do not drink any liquids not specifically listed
  • Do not drink Alcohol

DAY OF PROCEDURE:

  • When you wake up - Stop drinking all clear liquids except if needed for your final dose of any medications
  • 6:00 AM - Take your last dose of any medications you are allowed to take with a small amount of clear liquid
  • Before leaving home - Bring the following items with you:
    • Insurance card
    • Picture identification
    • Co-payment
  • Before appointment - If you are on blood thinners, you may need to stop in the lab on the 2nd floor before coming to the Endoscopy Lab. Please follow the instructions given by the nurse on the phone.

If you need to reschedule, contact Rae at 504-842-4015 between 8:00AM and 5:00 PM. If you have any questions concerning  your preparation, place contact the scheduling nurse right away between 7:00 AM to 7:00 PM.  After 7:00 PM and on weekends, call (504) 842-3000 and ask for the resident on call for Gastroenterology.