Upper gastrointestinal endoscopic ultrasound (EUS)
|
|
- Justina Oliver
- 7 years ago
- Views:
Transcription
1 Information for patients Upper gastrointestinal endoscopic ultrasound (EUS) Gastroenterology Royal Hallamshire Hospital
2 Introduction You have been advised to have an upper gastrointestinal endoscopic ultrasound, which is sometimes referred to as EUS. We have written this booklet to help answer some of the concerns you may have about the test. It may not answer all of your questions, If you have any worries please don't hesitate to ask. The endoscopy booking number is: You may get an answer machine, if so please leave a message and contact number and someone will get back to you. The aims of this booklet are: To explain what happens on the day of your test. To answer some of the questions you may have about the test.
3 What is an EUS? This is a test that combines ultrasound and upper GI endoscopy (gastroscopy) and will allow the endoscopist to look at the lining of your gut, including your oesophagus (gullet), stomach, and the first part of your small bowel (duodenum). It also allows the structures beneath the lining to be examined and small samples taken (a biopsy) using the ultrasound. The test is done by passing a long flexible tube through your mouth, into your stomach and the first part of your small bowel. The flexible tube called the endoscope has a mini video camera built into its tip and a small ultrasound probe on the end. Pictures and images are then seen on a TV monitor. A video recording or photographs can be taken for record or documentary purposes. Oesophagus Stomach Duodenum
4 Why do I need an endoscopic ultrasound? You have probably already had a test, which has detected an abnormality, for example a swelling or narrowing in the gut wall, pancreas or gall bladder. Endoscopic ultrasound allows these to be looked at in more detail. The test is useful to determine the size, or even the cause of your problem. Endoscopic ultrasound is the best way of looking at, and taking samples from, the lining of the oesophagus, stomach and surrounding structures or layers. Can there be complications or risks? Most of these procedures are safe and uncomplicated. However, as with any procedure, there is a small chance of side effects or complications. A reaction to the sedative: the sedative can affect your breathing making it more slow and shallow. Perforation: which is a little tear in the wall of the upper GI tract, this is rare. This would require a short stay in hospital and may require an operation to repair the hole. The risk is less than 1 in Bleeding: if a small sample of tissue is taken there is a small chance of bleeding. Infection: there is a small risk of infection if a tissue sample is taken, therefore antibiotics may be given. Pancreatitis: If a biopsy of the pancreas is performed (you will have been told this before the referral by your doctor) there is a 1 in 100 risk of inflammation in the pancreas which causes pain following the procedure. This may require an overnight stay to ensure you would be comfortable. You may suffer from a sore throat or feel some wind in your stomach. These will settle in a few days.
5 There is a small risk of damage to crowned teeth or dental bridge work. You should also be aware that this examination is not perfect and even with a skilled Endoscopist some abnormalities may be missed. If you are worried about any of these talk to one of the doctors or nurses about it during your visit How is the test done? The test can be done using either an anaesthetic spray to numb your throat or an injection to make you sleepy. The choice is yours but we will recommend that you have sedation to make you sleepy since the scanning procedure is better done when patients are relaxed. If you agree to have sedation a relative or friend must be free to take you home and stay with you overnight. It is not safe to drive or operate machinery for 24 hours after sedation has been given. Preparation for the test Your stomach should be empty, to allow a clear view. If your appointment is in the morning: please do not eat or drink after midnight in preparation for the test. If your appointment is in the afternoon: please do not eat or drink after a light early breakfast (for example toast and drink only between am) on the day of the test. Medication If you are taking anti-blood clotting medicines such as Warfarin or Clopidogrel (Plavix) please contact the Endoscopy Suite as soon as possible as these may need to be stopped up to 7 days
6 before your procedure especially if you are having a biopsy. If you take essential medication, for example - for epilepsy or a heart condition, you may take these with a little water. Please try to take them as early as possible before your test as some tablets leave a residue in the stomach, which may affect the qu ality of the results. Do bring your other tablets or medicines with you so that you can take them after you have had your procedure. If you are a diabetic, please refer to the 'Managing your diabetes' booklet which you received with your appointment letter. The number to call is: You may get an answer machine, if so please, leave a message and contact number and someone will get back to you Before your appointment Before you come to the Endoscopy Suite you should: Please ensure you have completed your pre-assessment questionnaire and returned it to the Endoscopy Suite. If you are suffering from a sore throat, cold or chest infection you should contact the Endoscopy Suite as it may be necessary to postpone your test because of the risks from sedation. Bring with you any letters or cards you have received from the hospital. Bring any tablets you are currently taking. It is especially important to remember any asthma inhalers, angina sprays or diabetic medication.
7 Follow all instructions included with this booklet. You should not bring valuables or large amounts of money into hospital. We cannot accept responsibility for them. Do not drive yourself to or from hospital. Make sure someone is able to bring and collect you as you must have a responsible adult to accompany you home. How long will I be in hospital? Please allow for a half-day stay at the hospital. All of the appointments are asked to arrive at to prepare for the afternoon. The procedure itself could take place at any time during the afternoon. When you arrive at Ward P1, RHH On arrival at the hospital please go into the main building on B road, Royal Hallamshire Hospital and take the lift to P floor. Ward P1 is clearly signed as you exit the lift. Make your way to the ward reception where you will be checked in and asked to sit in the waiting area or be shown immediately to your bed. A nurse will come to do your pre-assessment. This involves checking your pulse and blood pressure, whether you have any allergies, and confirming your discharge arrangements. Please feel free to ask questions or voice any worries you may have regarding your test. The nurse will explain the options of sedation (injection) and local anaesthetic (throat spray). Both are available for you to have for your procedure. The endoscopist will discuss this with you. The procedure will last minutes. This is much longer than a normal gastroscopy test that looks into the stomach.
8 We therefore usually suggest some sedation during the procedure to enable you to undergo the procedure with minimal distress. Throat spray This is a local anaesthetic spray to numb your throat. It has a slightly bitter banana taste. You may have the feeling of a 'lump' in your throat or a gritty tongue, this is normal following throat spray and the sensation will wear off over about an hour. It is very safe: You recover quickly You can hear and talk about the results of the test straight away There is no delay in going home You can drive home Be more aware of discomfort Sedation This is a sedative injection which may make you sleepy. It is not like a general anaesthetic so you may still be aware of having the procedure. It does however sometimes have a short term 'amnesic effect' which means you may not remember having the procedure. You will be less anxious May be sleepy May not remember the test at all You will need to be monitored carefully You will take longer to recover
9 You will not be able to drive home You will need to have an adult with you to take you home. We advise you do not take any sleeping tablets on the day of your procedure if you have had sedation. If you choose to have the injection you must have a relative or friend with you who can also stay with you for 24 hours. If your appointment is in the afternoon then a relative or friend must be free to stay with you at home overnight. A small plastic needle will be inserted into a vein in your hand or arm so that the endoscopist can give you some sedative medication. You will be called through for examination and the endoscopist will discuss the procedure with you. Again if you have any questions or are unsure, please ask. It is necessary to remove any false teeth if you wear them. They will be kept safe until after the test. The consent form Before a doctor or healthcare professional examines or treats you, they will need to gain your consent. This will be required in writing. If you later change your mind, you are entitled to withdraw consent even after signing. A copy of the consent form will be offered to you. What should I know before deciding? The Endoscopist or Health professional will ensure you know enough information about the procedure to enable you to decide about your treatment. They will write this information on the consent form as well as discussing choices of treatment with you. We encourage you to ask questions and inform us of any concerns that you may have. It may be helpful for you to write these down as a reminder. (see back page)
10 What are the key things to remember? It's your decision! It is up to you to choose whether or not to consent to what is being proposed. Ask as many questions as you like and please express any concerns about medication, allergies or past medical history. Can I find out more about giving consent? The Department of Health leaflet 'Consent - what you have a right to expect', is a detailed guide on consent in versions for adults, children, parents, carers/relatives and people with learning disabilities. The adult version is available in different languages at The adult version is available for download by searching for on the website in their search box. Sheffield Teaching Hospitals Trust is a teaching organisation and has a responsibility to ensure that students (both medical and nursing) receive a high standard of training. The Endoscopy Unit is a regional Training Centre. Occasionally there may be students observing procedures in the department or the doctor may be a trainee under the supervision of an experienced Endoscopist. In either case you will be told of any student involvement beforehand. Please remember you do not have to let students be part of your care so please tell us if you do not want them involved. The Trust also employs Nurse Practitioners who after training undertake endoscopic examinations. In all these cases you will be informed beforehand and it is your right to refuse anything you are not comfortable with.
11 What happens during the test? During the test, there will be two nurses to assist with the procedure. You will be seated or laid on a bed and local anaesthetic will be sprayed onto the back of your throat. This will numb your throat and make the test easier. A sedative injection will be offered to help you feel relaxed. If you choose to have the injection you will be given oxygen through a plastic mouth guard. A small peg will be placed on your finger to measure your heart rate and oxygen level. A fabric sleeve will be placed around your upper arm to monitor your blood pressure. It is necessary that you lie on your left side for the test. To keep your mouth open a plastic mouth guard will be placed between your teeth. When the Endoscopist passes the gastroscope into your stomach it is uncomfortable but it will not cause you any pain, nor but will not interfere with your breathing at any time. The test will last anywhere between 20 and 45 minutes. If you get a lot of saliva in your mouth the nurse will clear it using suction. When the examination is finished, the tube is removed quickly and easily. What happens after the test? If you chose to have the test done with throat spray only, you will be able to go home as soon as you feel ready to leave. Because your throat has been numbed you will be asked not to have anything to eat or drink until you are able to swallow normally. This usually takes about an hour. The back of your throat may feel sore for the rest of the day. It will settle without any treatment. You may also feel a little bloated if some of the air has remained in your stomach. This feeling should pass naturally in time without requiring treatment.
12 If you chose to have throat spray and sedation you will have to rest in the recovery area for approximately one hour. The recovery area on ward P1 is for both male and female patients. However, the staff will ensure that your privacy is maintained at all times. You may feel a little bloated with wind pains, these usually settle quickly once you have passed the wind and will not need any treatment. Once you are fully awake the needle used to give you the sedation will be removed. You will then be able to get up, get dressed, and have a drink and something to eat. The effects of the sedation can last for at least 24 hours and even though you will probably feel perfectly recovered your judgement can remain impaired during this time. It is important that you do not: drive a car operate machinery or domestic appliances as your reaction times may be slowed drink alcohol sign legally binding agreements You must: follow instructions that your doctor or nurse has given you When can I get back to my normal activities? You should be ready to get back to your normal activities by the next day.
13 Getting your results The Endoscopist may be able to tell you the results of your tests straight away. However, if you had sedation you may not remember what has been said. To make sure you have had and understood your results, the recovery nurse will give them to you again when you are fully awake. A copy of the procedure report will be sent to your GP/referring doctor. Further details of the examination and any necessary treatment should be discussed with your GP in 10 to 14 days or at your next outpatient appointment. If you have any problems when you go home, or are feeling worse than you expected, please contact the Endoscopy Department on the telephone numbers given to you on. Frequently asked questions and answers 1. If my symptoms have stopped before the Endoscopic Ultrasound, should I still come for the test? Yes. It is important that you still come for the test. Your doctor has organised this test to ensure you have no problems in your oesophagus (gullet), your stomach and your duodenum. Although your symptoms may have gone, it important to have a look to ensure all is clear. 2. Will it hurt? You will not feel any tissue samples that are taken, however No, these examinations are not painful, you are likely to feel some discomfort as air is pumped and the tube is passed into stomach and duodenum so the endoscopist can get the best pictures. Some patients find the air used to inflate the stomach slightly uncomfortable. It should not hurt. Because of this we usually recommend you undergo the procedure with a mild sedative. It is available to you should you wish to have one.
14 3. Can I drive home after the procedure if I choose to have sedation? If you have sedation you will not be allowed to drive home and must arrange for someone to accompany you and drive you home. Medication given during the test will prohibit you from driving until 24 hours after your examination. Please do not plan to take public transport home. If you are unable to arrange transportation we can arrange a taxi to take you home, however, you are responsible for the fare. You will need a responsible adult with you for at least 12 hours. 4. Will I get my results on the day? On completion of the endoscopic ultrasound the findings will be discussed with you. We will be able to tell you any visual findings, however any biopsies will need to be sent to the laboratory for testing, and this can take up to 3 weeks. A copy of the procedure report will be sent to your referring doctor and your GP. 5. Can I park at the hospital? Yes. We have a car park, this is indicated on the enclosed map. The rates are as follows: Royal Hallamshire Hospital 0-2 hours = hours = hours + = 7.60 Disabled parking bays in the multi-storey car park are charged at normal rate, however there are disabled parking bays on A and B roads which are free of charge. Car parking charges are correct at time of printing. Please ensure you check the rates before parking.
15 6. Can I get public transport to the hospital? Yes. You may use public transport. See below for details of how to find out which bus routes serve the Endoscopy Suite you are visiting. Please remember if you have sedation you will not be able to travel home using public transport. Traveline: Are there facilities for my relatives/friends to obtain refreshments while they are waiting for me? Yes. We have refreshments available provided by the WRVS, situated on B road in the main entrance, B floor. 8. Are there facilities for my relatives/friends to obtain refreshments while they are waiting for me? Yes. We have refreshments available provided by the WRVS, situated on B road in the main entrance, B floor.
16 Please use this space to make a note of any questions you may have about your test Sheffield Teaching Hospitals supports organ donation. Do you? This information can be made available on request in alternative formats including Braille, large print, audio, electronically and other languages. For further details alternativeformats@sth.nhs.uk Sheffield Teaching Hospitals NHS Foundation Trust Re-use of all or any part of this document is governed by copyright and the Re-use of Public Sector Information Regulations 2005 SI 2005 No Information on re-use can be obtained from the Information Governance Department, Sheffield Teaching Hospitals. infogov@sth.nhs.uk PD4447-PIL1472 v3 Issue date: Mar Review date: Mar 2013
You have been advised by your GP or hospital doctor to have an investigation known as a Gastroscopy.
Gastroscopy (OGD) The Procedure Explained You have been advised by your GP or hospital doctor to have an investigation known as a Gastroscopy. This procedure requires your formal consent. If you are unable
More informationGastroscopy the procedure explained
Gastroscopy the procedure explained Exceptional healthcare, personally delivered Introduction You have been advised by your GP or hospital doctor to have an investigation known as a gastroscopy (OGD).
More informationUndergoing an Oesophageal Endoscopic Resection (ER)
Contact Information If you have an enquiry about your appointment time/date please contact the Booking Office on 0300 422 6350. For medication enquiries please call 0300 422 8232, this is an answer machine
More informationOGD (Gastroscopy) Information for patients. Liver, Renal & Surgery. Confirming your identity
Liver, Renal & Surgery OGD (Gastroscopy) Information for patients This leaflet answers some of the questions you may have about having an OGD. It explains the risks and the benefits of the test and what
More informationEndoscopy Suite Patient Information
Having a gastroscopy and colonoscopy Endoscopy Suite Patient Information Contents Introduction 1 What is a gastroscopy and colonoscopy? 2 What preparation will I need for my gastroscopy and colonoscopy?
More informationEndoscopic Mucosal Resection Endoscopy Unit
Manchester Royal Infirmary Endoscopic Mucosal Resection Endoscopy Unit Information For Patients 2 You have been advised to have an endoscopic mucosal resection to your oesophagus (gullet) or stomach. This
More informationPercutaneous Endoscopic Gastrostomy (PEG) removal
Feedback We appreciate and encourage feedback. If you need advice or are concerned about any aspect of care or treatment please speak to a member of staff or contact the Patient Advice and Liaison Service
More informationHaving a Percutaneous Endoscopic Gastrostomy (PEG)
Having a Percutaneous Endoscopic Gastrostomy (PEG) Patient Information Author ID: L Dowle and N Prasad Leaflet Number: End 009 Name of Leaflet: Having a Percutaneous Endoscopic Gastrostomy (PEG) Date Produced:
More informationFlexible sigmoidoscopy the procedure explained Please bring this booklet with you
Flexible sigmoidoscopy the procedure explained Please bring this booklet with you Exceptional healthcare, personally delivered Introduction You have been advised by your GP or hospital doctor to have an
More informationOesophago-gastro duodenoscopy (OGD) the procedure explained. Your appointment details, information and consent form
Gastroscopy Oesophago-gastro duodenoscopy (OGD) the procedure explained Your appointment details, information and consent form Please bring this booklet with you For your information: your appointment
More informationHaving a Gastroscopy (OGD)
Having a Gastroscopy (OGD) Endoscopy Department Page 16 Patient Information Having a Gastroscopy (OGD) You have been advised to have a gastroscopy to help find the cause of your symptoms. The test is sometimes
More informationOesophageal Balloon Dilatation
Oesophageal Balloon Dilatation Patient Information Author ID: N Prasad Leaflet Number: End 008 Name of Leaflet: Oesophageal Balloon Dilation Date Produced: March 2014 Review Date: March 2016 Oesophageal
More informationHaving a PEG tube inserted?
Having a PEG tube inserted? Information for Patients and Carers Delivering the best in care UHB is a no smoking Trust To see all of our current patient information leaflets please visit www.uhb.nhs.uk/patient-information-leaflets.htm
More informationMesenteric Angiography
Information for patients Mesenteric Angiography Sheffield Vascular Institute Northern General Hospital You have been given this leaflet because you need a procedure known as a Mesenteric Angiogram. This
More informationUNDERGOING OESOPHAGEAL STENT INSERTION
UNDERGOING OESOPHAGEAL STENT INSERTION Information Leaflet Your Health. Our Priority. Page 2 of 5 Introduction This leaflet tells you about the procedure known as oesophageal stent insertion, explains
More informationENDOSCOPY UNIT. Duodenum Stomach. Having an oesophageal stent. Patient information leaflet
Trafford Hospitals ENDOSCOPY UNIT Gastroscope Oesophagus Lungs Duodenum Stomach Having an oesophageal stent Patient information leaflet If you are unable to keep your appointment, please telephone the
More informationHaving a RIG tube inserted
Having a RIG tube inserted Information for patients and carers Delivering the best in care UHB is a no smoking Trust To see all of our current patient information leaflets please visit www.uhb.nhs.uk/patient-information-leaflets.htm
More informationHaving an ERCP. Patient Information
Having an ERCP Patient Information Author ID: G Banait and N Prasad Leaflet Number: End 004 Name of Leaflet: Having an ERCP Date Produced: March 2014 Review Date: March 2016 Having an ERCP Page 1 of 8
More informationHaving a Combined Gastroscopy and Colonoscopy
Having a Combined Gastroscopy and Colonoscopy Information for patients and carers *Important* If you are unable to keep your appointment, please telephone the appropriate number as soon as possible, so
More informationInformation for patients Breast Screening
Information for patients Breast Screening Easy Read Easy Read 2 What is breast screening? Breast screening is how we check your breasts are healthy. It is an X-ray that can take pictures of inside your
More informationOesophageal Stent Insertion
Oesophageal Stent Insertion Endoscopy Department Central Operations Group This leaflet has been designed to give you important information about your condition / procedure, and to answer some common queries
More informationHaving denervation of the renal arteries for treatment of high blood pressure
Having denervation of the renal arteries for treatment of high blood pressure The aim of this information sheet is to help answer some of the questions you may have about having denervation of the renal
More informationENDOSCOPIC ULTRASOUND (EUS)
ENDOSCOPIC ULTRASOUND (EUS) What you need to know before your procedure Your Doctor has decided that an EUS is necessary for further evaluation and treatment of your condition. This information sheet has
More informationPatients who fail to bring a driver/someone to stay with them for the night will have their procedure cancelled immediately.
Preparing for your Colonoscopy You must have someone and/or a driver accompany you and stay with you for 24 hours after your procedure. Patients who fail to bring a driver/someone to stay with them for
More informationYOU AND YOUR ANAESTHETIC
YOU AND YOUR ANAESTHETIC Information Leaflet Your Health. Our Priority. Page 2 of 8 This leaflet aims to answer some of the questions you may have about your anaesthetic and contains fasting instructions.
More informationOxford Centre for Respiratory Medicine Bronchial-Artery Embolisation Information for patients
Oxford Centre for Respiratory Medicine Bronchial-Artery Embolisation Information for patients This leaflet tells you about the bronchial-artery embolisation procedure. It explains what is involved and
More informationEpidural Continuous Infusion. Patient information Leaflet
Epidural Continuous Infusion Patient information Leaflet April 2015 Introduction You may already know that epidural s are often used to treat pain during childbirth. This same technique can also used as
More informationElective Laparoscopic Cholecystectomy
General Surgery Elective Laparoscopic Cholecystectomy This information aims to explain what will happen before, during and after your surgery to remove your gallbladder. It includes information about the
More informationLocal anaesthesia for your eye operation
Local anaesthesia for your eye operation Information for patients and families. www.anaesthesia.ie 1 This information leaflet is for anyone expecting to have an eye operation with a local anaesthetic.
More informationCardiac catheterization Information for patients
Cardiac catheterization Information for patients You have been scheduled for a cardiac catheterization. Your procedure is scheduled for:. Someone will call you the day before your procedure to tell you
More informationOesophago-Gastro-Duodenoscopy (OGD) with Endoscopic Mucosal Resection. Patient information. Endoscopy Unit,
Oesophago-Gastro-Duodenoscopy (OGD) with Endoscopic Mucosal Resection Patient information Endoscopy Unit, The Royal Infirmary of Edinburgh Endoscopy Nurses: 0131 242 1600 Endoscopy Booking Line: 0131 536
More informationInformation for patients What is an EMG/Nerve Conduction Study?
Information for patients What is an EMG/Nerve Conduction Study? Department of Neurophysiology We must obtain your consent for any procedure beforehand. Staff will explain all the risks, benefits and alternatives
More informationCT Virtual Colonoscopy
CT Virtual Colonoscopy Ladywell Building Radiology 2 0161 206 1233 All Rights Reserved 2015. Document for issue as handout. This information booklet tells you about virtual colonoscopy, which is a test
More informationUniversity College Hospital. Your child is having an MRI scan under sedation. Imaging Department
University College Hospital Your child is having an MRI scan under sedation Imaging Department If you would like this document in another language or format, or require the services of an interpreter,
More informationHaving a kidney biopsy
Having a kidney biopsy Delivering the best in care UHB is a no smoking Trust To see all of our current patient information leaflets please visit www.uhb.nhs.uk/patient-information-leaflets.htm Introduction
More informationPeriurethral bulking agent for stress urinary incontinence (macroplastique)
PLEASE PRINT WHOLE FORM DOUBLE SIDED ON YELLOW PAPER Patient Information to be retained by patient affix patient label Who is this leaflet for? This leaflet provides information about having an injection
More informationSurgery for oesophageal cancer
Surgery for oesophageal cancer This information is an extract from the booklet Understanding oesophageal cancer (cancer of the gullet). You may find the full booklet helpful. We can send you a free copy
More informationPROCEDURE- SPECIFIC INFORMATION FOR PATIENTS
The British Association of Urological Surgeons 35-43 Lincoln s Inn Fields London WC2A 3PE Phone: Fax: Website: E- mail: +44 (0)20 7869 6950 +44 (0)20 7404 5048 www.baus.org.uk admin@baus.org.uk PROCEDURE-
More informationBotox treatment for an overactive bladder in women. Information for patients Gynaecology
Botox treatment for an overactive bladder in women Information for patients Gynaecology What is bladder overactivity (OAB)? Bladder overactivity is a common condition, affecting around one in five people.
More informationANESTHESIA. Anesthesia for Ambulatory Surgery
ANESTHESIA & YOU Anesthesia for Ambulatory Surgery T oday the majority of patients who undergo surgery or diagnostic tests do not need to stay overnight in the hospital. In most cases, you will be well
More informationName of procedure: Laparoscopic (key-hole) ovarian surgery. Left/ Right unilateral salpingo-oophorectomy* (removal of one fallopian tube and ovary)
For staff use only: Patient Details: Surname: First names: Date of birth: Hospital no: Female: (Use hospital identification label) Gynaecology Patient agreement to treatment Name of procedure: Laparoscopic
More informationHeadache after an epidural or spinal injection What you need to know. Patient information Leaflet
Headache after an epidural or spinal injection What you need to know Patient information Leaflet April 2015 We have produced this leaflet to give you general information about the headache that may develop
More informationStapedectomy / Stapedotomy / Surgery for Otosclerosis
Patient information Stapedectomy / Stapedotomy / Surgery for Otosclerosis Ear, Nose and Throat Directorate PIF 230 V6 Your Consultant / Doctor has advised you to have a Stapedectomy / Stapedotomy / Surgery
More informationPhaco-endoscopic cyclophotocoagulation (phaco-ecp)
Ambulatory Care & Local Networks Phaco-endoscopic cyclophotocoagulation (phaco-ecp) Information for patients This leaflet answers some of the questions you may have about combined cataract and keyhole
More informationBefore and After Your Cardioversion
2013 Before and After Your Cardioversion Before and After Your Cardioversion Preparing for your cardioversion Your doctor has recommended cardioversion to treat your heart rhythm problem. This booklet
More informationRenal Vascular Access Having a Fistula For Haemodialysis
Renal Vascular Access Having a Fistula For Haemodialysis Delivering the best in care UHB is a no smoking Trust To see all of our current patient information leaflets please visit www.uhb.nhs.uk/patient-information-leaflets.htm
More informationCardiac Catheter Lab Information for patients having a Coronary Angiogram
Cardiac Catheter Lab Information for patients having a Coronary Angiogram Page 1 of 5 What is a Coronary Angiogram? This is a test that uses dye and special x-rays to show the inside of your coronary arteries.
More informationVaricose Veins Operation. Patient information Leaflet
Varicose Veins Operation Patient information Leaflet 22 nd August 2014 WHAT IS VARICOSE VEIN SURGERY (HIGH LIGATION AND MULTIPLE AVULSIONS) The operation varies from case to case, depending on where the
More informationUpper Endoscopy (EGD)
Upper Endoscopy (EGD) Appointment Information: Patient Name: MRN: Physician Name: Location: _ For information on Directions, please visit: http://www.brighamandwomens.org/general/directions/directions.aspx
More informationPROCEDURE- SPECIFIC INFORMATION FOR PATIENTS
The British Association of Urological Surgeons 35-43 Lincoln s Inn Fields London WC2A 3PE Phone: Fax: Website: E- mail: +44 (0)20 7869 6950 +44 (0)20 7404 5048 www.baus.org.uk admin@baus.org.uk PROCEDURE-
More informationA PATIENT S GUIDE TO CARDIAC CATHETERIZATION
A PATIENT S GUIDE TO CARDIAC CATHETERIZATION The science of medicine. The compassion to heal. This teaching booklet is designed to introduce you to cardiac catheterization. In the following pages, we will
More informationTransrectal Ultrasound (Trus) Guided Prostate Biopsies Urology Patient Information Leaflet
Transrectal Ultrasound (Trus) Guided Prostate Biopsies Urology Patient Information Leaflet Page 1 What is the purpose of my appointment? Your doctor has informed us that you have an elevated Prostate Specific
More informationLaparoscopic Nephrectomy
Laparoscopic Nephrectomy Information for Patients This leaflet explains: What is a Nephrectomy?... 2 Why do I need a nephrectomy?... 3 What are the risks and side effects of laparoscopic nephrectomy?...
More informationPatient Information Cataract surgery
Patient Information Cataract surgery Introduction This leaflet has been written to help you understand more about surgery for a cataract. It explains what the operation involves, the benefits and risks
More informationAn operation for prolapse Colpocleisis
Saint Mary s Hospital Gynaecology Service Warrell Unit An operation for prolapse Colpocleisis Information for Patients What is a prolapse? A prolapse is a bulge or lump in the vagina caused by sagging
More informationLocal anaesthesia for your eye operation
Local anaesthesia for your eye operation A short guide for patients and families. This is for anyone expecting to have an eye operation with a local anaesthetic. It does not give detailed information about
More informationEnhanced recovery after laparoscopic surgery (ERALS) programme: patient information and advice 2
This booklet is funded by, and developed in collaboration between University Hospital Southampton NHS Foundation Trust and Pfizer Limited. NPKAM0198 March 2014 Enhanced recovery after laparoscopic surgery
More informationWhat should I expect before the procedure?
The British Association of Urological Surgeons 35-43 Lincoln s Inn Fields London WC2A 3PE Phone: Fax: Website: E- mail: +44 (0)20 7869 6950 +44 (0)20 7404 5048 www.baus.org.uk admin@baus.org.uk PROCEDURE-
More informationFemoral artery bypass graft (Including femoral crossover graft)
Femoral artery bypass graft (Including femoral crossover graft) Why do I need the operation? You have a blockage or narrowing of the arteries supplying blood to your leg. This reduces the blood flow to
More informationRoyal National Throat, Nose and Ear Hospital
Royal National Throat, Nose and Ear Hospital Septal surgery Ear, Nose and Throat Surgery 2 What is septal surgery? The partition in the middle of your nose is a thin piece of cartilage and bone called
More informationEARLY PREGNANCY LOSS A Patient Guide to Treatment
EARLY PREGNANCY LOSS A Patient Guide to Treatment You have a pregnancy that has stopped growing, or you have started to miscarry and the process has not completed. If so, there are four ways to manage
More informationInformation for adults having an MRI scan of the gallbladder and biliary tree (an MRCP scan)
South Tyneside NHS Foundation Trust Information for adults having an MRI scan of the gallbladder and biliary tree (an MRCP scan) Department: Radiology Providing a range of NHS services in Gateshead, South
More informationAtrioventricular (AV) node ablation
Patient information factsheet Atrioventricular (AV) node ablation The normal electrical system of the heart The heart has its own electrical conduction system. The conduction system sends signals throughout
More informationOUTPATIENT HYSTEROSCOPY SERVICES JASMINE SUITE
OUTPATIENT HYSTEROSCOPY SERVICES JASMINE SUITE Information Leaflet Your Health. Our Priority. Page 2 of 6 This information is for patients having a hysteroscopy (diagnostic or operative). It explains what
More informationX-Plain Preparing For Surgery Reference Summary
X-Plain Preparing For Surgery Reference Summary Introduction More than 25 million surgical procedures are performed each year in the US. This reference summary will help you prepare for surgery. By understanding
More informationEpidurals for pain relief after surgery
Epidurals for pain relief after surgery This information leaflet is for anyone who may benefit from an epidural for pain relief after surgery. We hope it will help you to ask questions and direct you to
More informationUniversity College Hospital. Contrast agent for radiotherapy CT (computed tomography) scans. Radiotherapy Department Patient information series
University College Hospital Contrast agent for radiotherapy CT (computed tomography) scans Radiotherapy Department Patient information series 11 2 If you need a large print, audio or translated copy of
More informationHow To Prepare For A Ct Scan
Oxford University Hospitals NHS Trust Radiology Department Information for patients having a CT scan page 2 The radiology department has received a request for you to have a CT scan. This leaflet tells
More informationSOD (Sphincter of Oddi Dysfunction)
SOD (Sphincter of Oddi Dysfunction) SOD refers to the mechanical malfunctioning of the Sphincter of Oddi, which is the valve muscle that regulates the flow of bile and pancreatic juice into the duodenum.
More informationExcision or Open Biopsy of a Breast Lump Your Operation Explained
Excision or Open Biopsy of a Breast Lump Your Operation Explained Patient Information Introduction This leaflet tells you about the procedure known as excision or open biopsy of a breast lump. It explains
More informationThyroid Surgery at Massachusetts General Hospital Frequently Asked Questions
Thyroid Surgery at Massachusetts General Hospital Frequently Asked Questions Q: What is the thyroid gland? A: The thyroid is a butterfly-shaped gland located in the front of the neck. It is one of the
More informationHaving a Trans-Arterial Embolisation
Having a Trans-Arterial Embolisation Delivering the best in care UHB is a no smoking Trust To see all of our current patient information leaflets please visit www.uhb.nhs.uk/patient-information-leaflets.htm
More informationGetting Ready for Your Colonoscopy (PEG) - APC
Getting Ready for Your Colonoscopy (PEG) - APC To help you get ready for your procedure; we, the staff of the Ambulatory Procedure Center at UW Hospital have made this handout for you that has information
More informationElectrophysiology study (EPS)
Patient information factsheet Electrophysiology study (EPS) The normal electrical system of the heart The heart has its own electrical conduction system. The conduction system sends signals throughout
More informationThe degree of liver inflammation or damage (grade) Presence and extent of fatty liver or other metabolic liver diseases
ilearning about your health Liver Biopsy www.cpmc.org/learning What is a Liver Biopsy? A liver biopsy is a procedure where a specially trained doctor (typically a hepatologist, radiologist, or gastroenterologist)
More informationVaricose Vein Surgery
Information for patients Varicose Vein Surgery Northern General Hospital You have been diagnosed as having varicose veins and your specialist has recommended varicose vein surgery. This leaflet explains
More informationHysteroscopy (Out Patient, Day Case or In Patient)
Hysteroscopy (Out Patient, Day Case or In Patient) Exceptional healthcare, personally delivered Introduction This leaflet explains the procedure of hysteroscopy. If you have any other questions do not
More informationEndoscopic Mucosal Resection (EMR)
Endoscopic Mucosal Resection (EMR) Endosocopy Central Operations This leaflet has been designed to give you important information about your condition/procedure, and to answer some common queries that
More informationGary M. Annuniziata, D.O., F.A.C.P. Anh T. Duong, M.D. Jonathan C. Lin, M.D., MPH. Preparation for EGD, ERCP, Peg Placement.
Gary M. Annuniziata, D.O., F.A.C.P. Anh T. Duong, M.D. Jonathan C. Lin, M.D., MPH Phone- (760) 321-2500 Fax- (760) 321-5720 Preparation for EGD, ERCP, Peg Placement Patient Name- Procedure Date and Time-
More informationInformation for Patients
Notes Information for Patients Sling procedure for urinary stress incontinence Aysha Qureshi Version 1, June 2010 Review date June 2013 Date of publication: June 2010 Ref: RUH GYN/002 Royal United Hospital
More informationTreating your abdominal aortic aneurysm by open repair (surgery)
Patient information Abdominal aortic aneurysm open surgery Treating your abdominal aortic aneurysm by open repair (surgery) Introduction This leaflet tells you about open repair of abdominal aortic aneurysm,
More informationGreenLight laser prostatectomy
Ambulatory Care & Local Networks GreenLight laser prostatectomy Information for day surgery patients This information sheet answers some of the questions you may have about having a GreenLight laser prostatectomy.
More informationYour spinal Anaesthetic
Your spinal Anaesthetic Information for patients Your spinal anaesthetic This information leaflet explains what to expect when you have an operation with a spinal anaesthetic. It has been written by patients,
More informationHaving a circumcision information for men
Having a circumcision information for men This leaflet aims to answer your questions about having a circumcision. It explains the benefits, risks and alternatives, as well as what you can expect when you
More informationBiliary Stone Disease
Biliary Stone Disease Delivering the best in care UHB is a no smoking Trust To see all of our current patient information leaflets please visit www.uhb.nhs.uk/patient-information-leaflets.htm You have
More informationPatient & Family Guide. Fistuloplasty. www.nshealth.ca
Patient & Family Guide Fistuloplasty 2016 www.nshealth.ca Fistuloplasty What is a fistuloplasty? A fistuloplasty is a non-surgical procedure used to open blocked or narrowed blood vessels in your fistula.
More informationYour admission for day surgery
Royal Berkshire NHS Foundation Trust London Road Reading Berkshire RG1 5AN 0118 322 5111 (switchboard) West Berkshire Community Hospital London Road, Benham Hill Thatcham Berkshire RG18 3AS 01635 273300
More informationUltrasound or Computed Tomography. PATIENT GUIDE and PREPARATION. Liver Biopsy
Ultrasound or Computed Tomography PATIENT GUIDE and PREPARATION Liver Biopsy What is a Liver Biopsy? A Liver Biopsy is a procedure that involves taking a specimen ( a small amount of tissue) from within
More informationHaving an Endoscopic Mucosal Resection (EMR)
Having an Endoscopic Mucosal Resection (EMR) Patient Information Author ID: N Prasad Leaflet Number: End 011 Name of Leaflet: Having an Endoscopic Mucosal Resection (EMR) Date Produced: March 2014 Review
More informationA Guide to Breast Screening
A Guide to Breast Screening Contents Information for Carers, Family, Friends and Medical Guardians of Care Introduction Information on BreastCheck Information on Attending Screening The Screening Story
More informationGallbladder Surgery with an Incision (Cholecystectomy)
Gallbladder Surgery with an Incision (Cholecystectomy) It is normal to have questions about your surgery. This handout gives you information about what will happen to you before, during and after your
More informationProcedure Name: Day Case - Laparoscopic Inguinal Hernia Repair (TEP)
Dr Philip Lockie MB BCh MPhil FRCSI FRACS PO Box 1275, Kenmore 4069 Tel: 07 3834 7080 Fax: 07 3834 6148 E-mail: info@drphillockie.com.au Provider No: 248127EW Brochure Code: DC GS13 Procedure Name: Day
More informationArthroscopic subacromial decompression and rotator cuff repair
Further sources of information http://www.patient.co.uk/showdoc/553/ http://www.shoulderdoc.co.uk/article.asp?section=11 http://www.medic8.com/healthguide/articles/painfulshoulder.html http://www.cks.nhs.uk/patientinformationleaflet/shoulderpainarc/st
More informationPreparing for your Ultrasound-Guided Core Biopsy
Preparing for your Ultrasound-Guided Core Biopsy UHN For patients at the Rapid Diagnostic Centre Read this resource to learn: How to prepare What to expect during the biopsy What you need to do after When
More informationRemoval of the Submandibular Salivary Gland
Department of Oral and Maxillofacial Surgery Removal of the Submandibular Salivary Gland Information for patients This leaflet will help you understand your treatment and should answer many of the questions
More informationPatient Information and Daily Programme for Patients Having Whipple s Surgery (Pancreatico duodenectomy)
Patient Information and Daily Programme for Patients Having Whipple s Surgery (Pancreatico duodenectomy) Date of admission Date of surgery Expected Length of Stay in hospital We will aim to discharge you
More informationThe Children s Hospital Treatment for Hypospadias Information for parents
The Children s Hospital Treatment for Hypospadias Information for parents What is hypospadias and what is the cause? Hypospadias is a congenital (since birth) abnormality of a boy s penis. Hypospadias
More informationInferior Vena Cava filter and removal
Inferior Vena Cava filter and removal What is Inferior Vena Cava Filter Placement and Removal? An inferior vena cava filter placement procedure involves an interventional radiologist (a specialist doctor)
More informationHow To Plan A Staging Investigation For Cancer Of The Oesophagus Or Stomach
Oxford University Hospitals NHS Trust Oxford Upper Gastrointestinal Centre Staging of cancers of the oesophagus and stomach Information for patients Introduction This leaflet gives you information about
More informationParathyroidectomy An operation to remove overactive parathyroid glands Information for patients
Oxford University Hospitals NHS Trust Parathyroidectomy An operation to remove overactive parathyroid glands Information for patients What are the parathyroid glands? There are four parathyroid glands
More information