Combines endoscopy and ultrasound to image GI wall and nearby organs.

Why it’s done:

  • Pancreatic cysts or tumors
  • Submucosal lesions
  • Lymph node biopsy

Preparation:

  • Fast 6–8 hours
  • Consent for biopsy

What to expect:

  • Sedation given
  • Scope passed to stomach or rectum
  • Ultrasound and needle biopsy performed

Risks:

  • Bleeding, infection
  • Rare perforation

Follow-up:

  • Biopsy results in 3–5 days
  • Imaging if needed