PMID: 9171117Jun 1, 1997Paper

How safe is ERCP to the endoscopist?

Surgical Endoscopy
R V CohenE M Tolosa

Abstract

Interventional techniques in endoscopy such as endoscopic retrograde cholangiopancreatography (ERCP) have greatly increased since laparoscopic cholecystectomy has become widespread; mainly these techniques deal with common bile duct stones. Fluoroscopy is usually employed, and chronic exposure to X-ray, in spite of the relative low dose, can lead to potentially unhealthy conditions such as malignancies like bone marrow and other solid cancers. A median of 18 years of life is lost per fatal cancer, including the time of latency since exposure. Nor should one forget benign condition such as cataracts that can lead to partial or complete blindness and which surely impair life's quality. Simulated examinations were carried at the University Hospital (São Paulo, Brazil) using an anthropomorphic phantom in place of the physician. Four sets of dosimeters were placed in the forehead, neck, torso, and lower abdomen (with and without a lead apron) and standard ERCP fluoroscopic techniques were employed. The dose equivalents were calculated and compared to the recommended exposure doses of national and international boards of radiation protection. Based on the results found and compared to standards, working safely means: (1) A lead (0.5 ...Continue Reading

Citations

May 24, 2006·Digestive Diseases and Sciences·Lance T UradomoPeter E Darwin
Sep 18, 2009·Radiation Protection Dosimetry·C J Martin
Oct 8, 2005·Postgraduate Medical Journal·L S NaiduD E Loft
May 31, 2002·The British Journal of Radiology·N BulsM Osteaux
Jan 5, 2011·Saudi Journal of Gastroenterology : Official Journal of the Saudi Gastroenterology Association·Abdelmoneim SuliemanKiki Theodorou
Jun 27, 2007·Gastrointestinal Endoscopy·Lance T UradomoPeter E Darwin
Jul 14, 2010·Gastrointestinal Endoscopy·Edward KimRob Enns
Apr 17, 2013·Gastroenterology Research and Practice·Khalid AlzimamiKiki Theodorou
Oct 20, 1999·Seminars in Ultrasound, CT, and MR·Y Takehara
Aug 30, 2011·The Korean journal of gastroenterology = Taehan Sohwagi Hakhoe chi·Byoung Kwan SonSeung Ok Lee
Jan 25, 2011·The Korean journal of gastroenterology = Taehan Sohwagi Hakhoe chi·Yun Jung KimJae Seok Hwang
May 18, 2010·Journal of Youth and Adolescence·Erin C HunterLisa B Sheeber
Aug 1, 2014·Journal of Child and Family Studies·B Heidi EllisPhilip A Fisher

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