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What should be known prior to performing EUS

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单位: [1]Caritas Krankenhaus, Med Dept 2, Uhlandstr 7, D-97980 Bad Mergentheim, Germany [2]Helios Klinikum Meiningen, Med Dept, Meiningen, Germany [3]Allgemeines Krankenhaus Celle, Dept Gastroenterol, Celle, Germany [4]Charite CCM, Dept Hepatol & Gastroenterol, Berlin, Germany [5]SANA Hosp Lichtenberg, Med Dept Gastroenterol 1, Berlin, Germany [6]Krankenhaus Maerkisch Oderland, Dept Internal Med, D-15344 Strausberg, Germany [7]Med Univ Brandenburg, Brandenburg Inst Clin Ultrasound, Brandenburg, Germany [8]Zhengzhou Univ, Dept Ultrasound, Affiliated Hosp 1, Zhengzhou, Henan, Peoples R China [9]Huazhong Univ Sci & Technol, Dept Med Ultrasound, Tongji Hosp, Tongji Med Coll, Wuhan, Hubei, Peoples R China [10]Fudan Univ, Dept Ultrasound, Zhongshan Hosp, Shanghai, Peoples R China [11]China Med Univ, Endoscopy Ctr, ShengJing Hosp, Shenyang, Liaoning, Peoples R China [12]Chinese Univ Hong Kong, Div Upper Gastrointestinal & Metab Surg, Dept Surg, Prince Wales Hosp, Hong Kong, Peoples R China [13]Univ Vita Salute San Raffaele, Pancreatico Biliary Endoscopy & Endosonog Div, Pancreas Translat & Clin Res Ctr, San Raffaele Sci Inst, Milan, Italy [14]IRCCS, Humanitas Clin & Res Ctr, Digest Endoscopy Unit, Div Gastroenterol, Milan, Italy [15]Univ Bologna, Dept Med & Surg Sci, Gastroenterol Unit, Imola Hosp, Imola, Italy [16]IRCCS Fdn Univ Hosp, Digest Endoscopy Unit, Policlin A Gemelli, Rome, Italy [17]John Radcliffe Hosp I, Translat Gastroenterol Unit 1, Oxford OX3 9DU, England [18]Royal Infirm Edinburgh NHS Trust, Gen & HPB Surg, Edinburgh, Midlothian, Scotland [19]Freeman Rd Hosp, HPB Unit, Newcastle Upon Tyne, Tyne & Wear, England [20]Groote Schuur Hosp, Surg Gastroenterol Unit, Cape Town, South Africa [21]Haukeland Hosp, Natl Ctr Ultrasound Gastroenterol, Bergen, Norway [22]Univ Bergen, Dept Clin Med, Bergen, Norway [23]Univ Hosp Santiago de Compostela, Dept Gastroenterol & Hepatol, Hlth Res Inst Santiago de Compostela IDIS, Santiago De Compostela, Spain [24]State Univ New Jersey, Dept Gastroenterol, Jersey City, NJ USA [25]Wakayama Med Univ, Dept Internal Med 2, Wakayama, Japan [26]Aarhus Univ Hosp, Dept Surg Gastroenterol, Aarhus, Denmark [27]Copenhagen Univ Hosp Herlev, GastroUnit, Dept Surg, Herlev, Denmark [28]Univ Hosp Brussels, Dept Surg, Brussels, Belgium [29]Univ Hosp Brussels, Dept Adv Intervent Endoscopy, Brussels, Belgium [30]Hop Prive J Mermoz Ramsay Gen Sante, Digest Endoscopy Unit, Lyon, France [31]Univ Med & Pharm Craiova, Dept Gastroenterol, Res Ctr Gastroenterol & Hepatol, Craiova, Romania [32]Inst Digest & Hepatobiliary Sci Medanta Medicity, Intervent Gastroenterol, Gurgaon, Haryana, India [33]Jaswant Rai Special Hosp, Dept Gastroenterol, Meerut, Uttar Pradesh, India [34]Ctr Hosp Univ Montreal, Montreal, PQ, Canada [35]Sourasky Med Ctr, Dept Gastroenterol & Liver Dis, Tel Aviv, Israel [36]Amer Univ Beirut, Endosonog & Adv Therapeut Endoscopy, Div Gastroenterol, Med Ctr, Beirut, Lebanon
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关键词: Coagulation tests cost-effective EUS sedation

摘要:
Direct referral of patients for EUS - instead of preprocedural consultation with the endosonographer u 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.

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出版当年[2018]版:
大类 | 3 区 医学
小类 | 3 区 胃肠肝病学
最新[2025]版:
大类 | 1 区 医学
小类 | 1 区 胃肠肝病学
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出版当年[2017]版:
Q2 GASTROENTEROLOGY & HEPATOLOGY
最新[2023]版:
Q1 GASTROENTEROLOGY & HEPATOLOGY

影响因子: 最新[2023版] 最新五年平均 出版当年[2017版] 出版当年五年平均 出版前一年[2016版] 出版后一年[2018版]

第一作者:
第一作者单位: [1]Caritas Krankenhaus, Med Dept 2, Uhlandstr 7, D-97980 Bad Mergentheim, Germany [8]Zhengzhou Univ, Dept Ultrasound, Affiliated Hosp 1, Zhengzhou, Henan, Peoples R China [*1]Caritas Krankenhaus, Med Dept, Uhlandstr 7, D-97980 Bad Mergentheim, Germany
通讯作者:
通讯机构: [1]Caritas Krankenhaus, Med Dept 2, Uhlandstr 7, D-97980 Bad Mergentheim, Germany [8]Zhengzhou Univ, Dept Ultrasound, Affiliated Hosp 1, Zhengzhou, Henan, Peoples R China [*1]Caritas Krankenhaus, Med Dept, Uhlandstr 7, D-97980 Bad Mergentheim, Germany
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