Brief Answer:
Sedation will prevent discomfort

Detailed Answer:
Hello Mr XXXXXXX
Yes both these procedures are usually done using shot acting sedation or anesthesia. Some centers do not use sedation for colonoscopy, but almost all centers use sedation for endoscopic ultra sound.
I would advice you to get Both these procedures under sedation.
Yes there are certain risks associated with anesthesia. But they are not high enough to advise against their use. Sedation will make the entire experience comfortable.

The risks depend on the type of anesthetic used. Please consult your doctor or anesthetist who will XXXXXXX you about the drugs he will be using and their risks.
In case midazolam is used the common side effects are drop in BP and slowing of respiration, both of which can be managed easily.

Hope this helps

Regards,
Dr Samir Patil

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Brief Answer:
Would advice sedation for EUS

Detailed Answer:
Hello Mr XXXXXXX
In some centers in XXXXXXX EGD is done without sedation as it is a short procedure.
Some centers also do colonoscopy without sedation and administer sedation on an as required basis.

In My practice we Use midazolam with fentanyl as a sedative and propofol on an as per requirement basis. We use sedation for all EGD and colonoscopies unless the patient doesn't want it. We use sedation for all EUS procedures.

EUS is similar to EGD but the endoscope is thicker and the procedure might take more time than an EGD.
Sedation will make the procedure comfortable for you .
Propofol is a safe option its side effects are fall in blood pressure and slowing of respiration which if they occur can be managed by the anaesthetist or nurse if required.
My advice would be to Go for sedation for both EUS and colonoscopy.
though Colonoscopy could be attempted without sedation.
Hope this helps
Do get back if you have further queries
Dr Samir Patil

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Brief Answer:
Complication rates are low

Detailed Answer:
Hello Mr XXXXXXX
Glad to hear thant you got through the procedures without any major problems. Complications can occur in about 1 in 50 procedures.

They depend on whether an FNAC or a trucut biopsy was taken and the site of the biopsy.

Infection rates are very low and fever is more common in biopsies from pancreatic cysts(.you must have received an antibiotic before the biopsy)
In worst case scenario the bleeding rates are 2 % and are mor common in pancreatic cysts.

Perforation if they occur are minor and do not need surgical intervention.

Pancreatitis can occur if the biopsies were taken from the pancreas.Is usually mild

None of these are likely to cause major problems.

I would advise to watch out for upper abdominal pain, black colours stools, vomiting, and fever, contact your doctor if any of these occur

Hope this helps do get back if you have further queries
Regards
Dr Samir Patil

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Brief Answer:
Accurate for tumors of the pancreas

Detailed Answer:
Hello Mr XXXXXXX
EUS is very good to detect small tumors in the pancreas. It is also a less invasive and a safe way to take biopsies from the pancreas and the region around the esophagus( mediastinum). It is also useful to identify and take biopsies from submucosal nodules in stomach and esophagus.
Hope this answers your query.
Regards
Dr Samir Patil

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Brief Answer:
Alcohol and gall stone cause pancreatitis

Detailed Answer:
Hello Mr XXXXXXX
The treatment of pancreatitis is Symptomatic medications.
Analgesics for pain, enzyme supplements for mal absorption( which can occur by reduced digestive juice secretion by the pancreas). And treatment of diabetes if present.

Surgery is required if one has gall stones or intractable pain. The common causes of pancreatitis are alcohol and gall stones.
Hope your colonoscopy goes smoothly
Regards
Dr Samir Patil

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Brief Answer:
Good health

Detailed Answer:
Hello Mr XXXXXXX
It was a pleasure to help you.
If no further clarifications you can close and rate the query.
Hope you get well soon
Regards
Dr Samir Patil

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