Reducing Radiation Exposure During ERCP Procedures
Author Information
Author(s): Sulieman Abdelmoneim, Paroutoglou Georgios, Kapsoritakis Andreas, Kapatenakis Anargeyros, Potamianos Spiros, Vlychou Marianna, Theodorou Kiki
Primary Institution: University of Thessaly, University Hospital of Larissa, Greece
Hypothesis
The study aims to measure patient and staff radiation dose during endoscopic retrograde cholangiopancreatography (ERCP) and estimate the effective dose and radiation risk.
Conclusion
ERCP with fluoroscopic technique demonstrates improved dose reduction, compared to conventional techniques, without compromising diagnostic findings.
Supporting Evidence
- The mean entrance skin dose (ESD) was estimated to be 75.6 mGy.
- The mean effective dose for both gastroenterologist and assistant is 0.01 mSv.
- The mean patient effective dose was 4.16 mSv.
- The cancer risk per procedure was estimated to be 2 × 10-5.
Takeaway
Doctors used special tools to make sure patients and staff get less radiation during a procedure called ERCP, which helps them see inside the body better.
Methodology
Fifty-seven patients were studied using digital X-ray machines and thermoluminescent dosimeters to measure radiation doses at different body sites.
Limitations
The study is specific to one institution and may not reflect practices at other facilities.
Participant Demographics
32 males and 25 females, mean age 65.8 years.
Digital Object Identifier (DOI)
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