Endobronchial ultrasound (EBUS)
We offer fast access to endobronchial ultrasound (EBUS) to help investigate symptoms and diagnose certain respiratory conditions, including lung cancer.
This webpage was reviewed for clinical accuracy by Dr Reza Abdullah, Consultant in Respiratory Medicine.
What is an EBUS?
An endobronchial ultrasound (EBUS) and biopsy is a day case procedure used to help diagnose lung cancer and other conditions that affect the lungs and airways. It lets your consultant look inside your lungs to investigate symptoms. They can also take a biopsy (small tissue sample) during the procedure.
Importantly, an EBUS can also be used to examine areas outside the main airway tubes, such as the lymph nodes in the chest, which can then be biopsied. This helps diagnose conditions that may not be visible from inside the airways alone.
An EBUS provides a fast and accurate diagnosis of lung conditions, helping you and your consultant decide on the most appropriate treatment.
Your consultant may recommend an EBUS if they need a closer look at your lungs or the lymph nodes in your chest. You may also have been referred after a lung cancer screening.
The procedure is typically used to:
- diagnose lung cancer and check if it has spread
- collect sufficient tissue samples to see if targeted treatments may help
- investigate enlarged lymph nodes in the chest
- diagnose conditions such as sarcoidosis or tuberculosis
How is an EBUS carried out?
An EBUS uses a thin, flexible tube called a bronchoscope, which has a small ultrasound probe on the end. The ultrasound uses sound waves to create pictures of the lungs and structures outside the airway walls, such as the lymph nodes.
During the procedure, the bronchoscope is gently passed through your nose or mouth, down your trachea (windpipe), and into your lungs.
To keep you comfortable, you will be given sedation through a drip so you can sleep during the procedure. An anaesthetic spray will also be used on the throat to numb the area and help reduce coughing. The procedure is not painful.
Your consultant may take biopsies to send for further testing.
An EBUS takes between 45 minutes to one hour in total.
Before the procedure, you will need to fast, which means not eating or drinking for six hours beforehand. You will be given clear instructions about when to take your regular medications.
If you are taking any blood thinners, your consultant will advise you on when to pause them. They will also arrange for you to have some blood tests before the procedure.
After the procedure, you’ll be taken to a recovery room while the sedation wears off. This usually doesn’t take long.
You should not eat or drink for up to one hour afterwards. Your throat will still be numb from the anaesthetic, and eating or drinking too soon could increase the risk of choking.
Once you’re fully awake and able to eat and drink, you can go home. If you have had a sedative, you should arrange for someone to pick you up.
It is normal to have a sore throat or to cough up a very small amount of blood after the procedure. These symptoms should settle within a few days.
Ultrasound images are available straight away. Biopsy results usually take five to seven working days. Your consultant will go through your results with you at your follow‑up appointment.
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