Concierge EUS · London
Private endoscopic ultrasound (EUS) in London, a scope with ultrasound built in.
A scope with an ultrasound probe built in — the reference test for pancreatic and mediastinal lesions, with targeted FNA biopsy at the same session.
Why patients choose us
- 01
EUS-accredited operators
We route to consultant interventional gastroenterologists with formal EUS accreditation and high procedure volumes.
- 02
FNA at the same session
Where a needle sample is likely to be needed, we book with same-day cytology so the tissue answer follows quickly.
- 03
We chase the histology
Cytology and histology results take a week or so. We make sure they come back and are explained.
Indicative pricing
What a private EUS costs in London.
Indicative ranges across our partner clinics. Send the details and we quote firm figures across two or three options.
In short
A diagnostic EUS in our network: £2,000-£4,000, with findings on the day.
| Procedure | Indicative range | Typical duration | Report turnaround |
|---|---|---|---|
| Diagnostic EUS | £2,000–£4,000 | Half-day | Same-day |
| EUS + FNA biopsy | £2,800–£5,500 | Half-day | 5–7 days |
| EUS + fine-needle biopsy (histology) | £3,200–£6,500 | Half-day | 5–7 days |
| Rectal EUS | £1,800–£3,500 | Half-day | Same-day |
| EUS + cyst drainage | £4,500–£9,000 | Half-day | Same-day |
| Repeat surveillance EUS | £2,000–£4,000 | Half-day | Same-day |
Prices vary by unit, whether an FNA needle is used, and whether therapy (like cyst drainage) is performed. We come back with a firm quote within one working day.
The problem
A pancreatic lesion, a suspicious node - the wait feels endless.
When a CT or MRI raises a question about the pancreas, a lymph node or a submucosal lesion, EUS is usually the study that answers it. We arrange it quickly, with an operator who does a lot of them.
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Waiting for a tissue answer?
FNA at the same session shortens weeks of uncertainty into one appointment plus cytology turnaround.
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Small lesion no-one is sure about?
EUS is often the study that finds it - the probe sits millimetres away from the pancreas.
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Not sure you need one?
Sometimes an MRI, MRCP or repeat CT is the better first step. We will say so.
The journey
From enquiry to report - what happens, in order.
One clinician from first message to results - including the bit after the procedure.
Phase 1 · Before your procedure
Concierge, off-stage for you
Phase 2 · On the day
Half-day at the unit
Phase 3 · After
Concierge, back on
- 01
Before
You tell us what is going on
A short, confidential form. Symptoms, prior CT or MRI images, referral or insurer if you have them.
- 02
Before
We come back with a recommendation
Within one working day: which EUS study, which unit, indicative price. If a different test is the right step, we say so.
- 03
Before
We arrange the appointment
Usually within a week. We explain the fasting rules and coordinate any blood thinners with your consultant.
- 04
On the day
Arrival, consent and sedation
You change, meet your consultant, and are given sedation or a general anaesthetic. A small cannula goes in beforehand.
- 05
On the day
The procedure itself
30-60 minutes. A scope with an ultrasound probe on the tip is passed to look at the pancreas, bile duct, oesophageal wall or rectum. FNA biopsy or cyst drainage is done through the same scope.
- 06
On the day
Recovery, then home
About 1-2 hours recovering. You need someone to take you home. No driving for 24 hours.
- 07
After
Findings and next steps
Your consultant explains what they saw on the day. Cytology and histology results follow in 5-7 days, and we make sure they are explained.
Typical end-to-end: 1-2 weeks. Urgent cases: days.
What it shows
The questions EUS is the right test for.
EUS answers questions no other test can - and biopsies the answer at the same time. These are the reasons people come to us.
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Pancreatic mass and cyst characterisation
The reference test for small pancreatic lesions - often clearer than CT or MRI.
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Submucosal lesions of the GI tract
Layered ultrasound view of lesions sitting under the mucosa.
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Tumour staging (oesophageal, pancreatic, rectal)
Depth of invasion (T-stage) and local nodes in one study.
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Mediastinal lymph nodes
Sampled by EUS-guided FNA without a surgical procedure.
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Bile duct assessment
Small distal bile duct stones or strictures the CT missed.
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Pancreatic cyst surveillance
Periodic EUS to watch cysts with worrying features.
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Rectal cancer staging
Layered view of the rectal wall and perirectal nodes.
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Red flag: acute pancreatitis with mass
Urgent HPB referral - EUS is arranged in a specialist centre.
Procedure types
Not all EUS studies are the same.
What each option on your referral is actually for.
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Diagnostic EUS
Ultrasound imaging of the pancreas, bile duct, gastric wall and mediastinum through the scope, under sedation.
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EUS + FNA biopsy
A fine needle is passed through the scope under real-time ultrasound to sample a lesion for cytology.
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EUS + fine-needle histology
A dedicated core needle takes a small tissue cylinder for full histology - increasingly the first choice.
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Rectal EUS
Layered ultrasound view of the rectal wall and perirectal nodes for staging and fistula work-up.
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EUS + cyst drainage
Therapeutic drainage of a pancreatic pseudocyst or walled-off necrosis through a stent placed under EUS guidance.
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Mediastinal EUS
Sampling of subcarinal and paraoesophageal lymph nodes without a surgical mediastinoscopy.
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Pancreatic cyst surveillance
Structured repeat imaging of cysts with concerning features, on an agreed interval.
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Repeat EUS
A second study to reassess a lesion or confirm response after treatment.
Our vetted London network
A small panel of clinics, we picked them.
Partners across central, north, west and south London. Not listed publicly - introductions are made privately, once we understand your case.
Selection criteria
How we choose every clinic in our network.
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BSG-recognised interventional gastroenterologists with EUS accreditation
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High-volume EUS centres
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Anaesthetist-led sedation
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Same-day cytology
Safety and eligibility
Very safe - but there is real planning to do.
EUS is very safe, but sedation, fasting, and blood-thinning medication all need planning. We coordinate the details.
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Sedation or GA
EUS is done under deep sedation or a short general anaesthetic - your consultant will discuss which is right for you.
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Small bleeding risk if biopsy taken
Bleeding after FNA is uncommon and usually settles on its own. Serious bleeding is rare.
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Pancreatitis risk with pancreatic FNA
A small (~1-2%) risk of a short episode of pancreatitis when sampling the pancreas. Usually mild.
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Fast from midnight
Nothing to eat after midnight. Small sips of water allowed up to 2 hours before your appointment.
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Anticoagulation planned
Warfarin, DOACs and clopidogrel are reviewed and paused where safe - always coordinated with your consultant, never on your own.
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Overnight stay usually not needed
Most diagnostic and FNA studies are day cases. Cyst drainage or complex therapy may require an overnight stay.
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Pregnancy special case
EUS is usually deferred in pregnancy unless essential. Tell us if you are or might be pregnant.
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Driving restriction 24 hrs
No driving, alcohol or important decisions for 24 hours after sedation or GA. Have someone take you home.
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Always share prior imaging
Bring your CT or MRI images and reports - EUS is planned against them, and comparison makes the report far more useful.
Reading your report
An EUS report can look intimidating. It isn’t.
However much was examined, the report keeps to the same four parts.
A quiet reminder
You will be told the headline on the day - the cytology detail takes a little longer.
If you would like us to talk you through it before your follow-up, just ask.
- 01 Header
Your details, the indication and prior imaging
Your details, the clinical question and the CT or MRI findings the EUS is answering.
- 02 Technique
Routes examined and any FNA
Which anatomy was scanned - pancreas, bile duct, gastric wall, mediastinum, rectum - and how many needle passes were taken from where.
- 03 Findings
The lesion, lymph nodes and staging
The target lesion measured in detail, local lymph nodes described, and TNM staging where relevant.
- 04 Impression
The conclusion: read this first
The bottom line - normal, benign findings, or an MDT recommendation. Cytology and histology follow separately in 5-7 days.
Recognised by major UK insurers
Most policies cover EUS when clinically indicated; we confirm cover and pre-authorisation before booking.
Frequently asked
Everything we get asked about EUS.
Quick answers on cost, sedation, biopsies, safety and results.
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What does EUS show that CT or MRI can’t?
EUS puts a high-frequency ultrasound probe right next to the pancreas, bile duct, oesophageal wall or rectum. It sees small pancreatic lesions, layered wall detail and small perirectal nodes better than CT or MRI, and it can biopsy any of them in the same session.
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When is a fine-needle biopsy (FNA) done?
FNA is added when a lesion needs a tissue diagnosis - a pancreatic mass, a suspicious lymph node, a submucosal tumour, or a worrying pancreatic cyst. It is decided by your consultant based on the ultrasound appearances during the study.
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What are the risks?
EUS itself is very safe. Sedation risk is small. Where an FNA is taken there is a small risk of bleeding, and pancreatic FNA carries a small (~1-2%) risk of a short episode of pancreatitis. Cyst drainage has additional risks that will be explained in detail before you consent.
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How much does a private EUS cost in London?
A diagnostic EUS is typically £2,000-£4,000 in our network. Adding an FNA biopsy takes it to £2,800-£5,500, fine-needle histology £3,200-£6,500, and EUS-guided cyst drainage £4,500-£9,000. We confirm a firm figure within one working day.
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Do I need a referral?
EUS is arranged after a short consultation with an interventional gastroenterologist so the right study is planned and any prior CT or MRI is reviewed. We can arrange that consultation quickly - no GP letter needed to get started.
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What are the fasting rules?
Nothing to eat after midnight. Small sips of water are allowed up to 2 hours before. Rectal EUS may need a small enema on the day - the unit will explain.
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Is EUS safe in pregnancy?
EUS is usually deferred in pregnancy unless essential. If it is essential, it is done in a specialist unit with obstetric input. Always tell us if you are or might be pregnant.
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Can I drive home?
No. Deep sedation and general anaesthetic both mean no driving, alcohol or important decisions for 24 hours. You need someone to take you home.
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What is rectal EUS?
Rectal EUS uses a slim ultrasound probe passed into the rectum to give a layered view of the rectal wall and the small nodes around it. It is used to stage rectal cancer and to work up complex fistulae.
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When should I see a GP urgently?
New jaundice, unexplained weight loss, ongoing upper-abdominal pain radiating to the back, or a pancreatic lesion found on a scan all need prompt specialist review. If you have those, tell us and we will triage.
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