ERCP procedures as a source of radiation risk to a single gastroenterologist
Journal Title: Medycyna Pracy - Year 2017, Vol 68, Issue 6
Abstract
Background: One of the numerous sub-areas of interventional radiology is the use of X-rays in gastroenterology. X-ray fluoroscopy is applied in therapeutic procedures, including endoscopic retrograde cholangiopancreatography (ERCP) that is frequently performed. The ERCP procedure is aimed at imaging the pancreatic duct and biliary tracts. Material and Methods: In this paper radiation risk to the gastrenterologist performing ERCP procedures was investigated. The procedures were performed by a single gastroenterologist in the ERCP Laboratory, University Clinical Hospital Military Memorial Medical Academy – Central Veterans’ Hospital in Łódź, Poland. The study comprised 2 series of measurements, one taken during the procedures with continuous fluoroscopy mode, the other during procedures with fluoroscopy in pulsed mode at a frequency of 3 pulses/s. Exposure parameters, anatomical data of patient and dose equivalents for the eyes, skin of the hand and the effective dose for whole body of the gastroenterologist were recorded during each procedure. Results: The collected data cover 70 ERCP procedures – 40 procedures were controlled by continuous fluoroscopy and 30 by pulsed fluoroscopy. The results reveal that pulsed fluoroscopy makes it possible to reduce doses received by the gastroeneterologist from 45% to 60% compared to continuous fluoroscopy. Conclusions: Endoscopic retrograde cholangiopancreatography procedures can cause radiation risk to the gastroenterologist performing them. The use of continuous fluoroscopy can result in achieving an equivalent dose to eye lens nearly 20 mSv per year, i.e., the decreased annual limit recommended by the International Commission on Radiological Protection (ICRP). Med Pr 2017;68(6):735–741
Authors and Affiliations
Maria A. Staniszewska, Krzysztof Kujawski, Renata Kopeć
Keywords
Related Articles
- EP ID EP229039
- DOI 10.13075/mp.5893.00519
- Views 154
- Downloads 0
NIGHT WORK AND HEALTH OF NURSES AND MIDVIWES – A REVIEW
Night shift work has been thought to play a role in the etiology of chronic diseases through a disruption of the circadian rhythm, decreased synthesis of melatonin and sleep deprivation. Our aim was to review the epidemi...
Prevention of cardiovascular diseases – Prophylactic program in a selected enterprise
Background: In Poland cardiovascular diseases (CVD), classified as work-related diseases, are responsible for 25% of disability and cause 50% of all deaths, including 26.9% of deaths in people aged under 65 years. The ai...
KRZTUSIEC JAKO CHOROBA ZAKAŹNA PRACOWNIKÓW OCHRONY ZDROWIA - PRZYPADEK KLINICZNY Z KOMENTARZEM
W pracy omówiono zmieniającą się w ostatnich latach sytuację epidemiologiczną krztuśca ze zwróceniem uwagi na przeniesienie zachorowań z małych dzieci na starsze grupy wiekowe - młodzież i dorosłych. Zachorowania mogą do...
POMIARY I OCENA POLA ELEKTROMAGNETYCZNEGO PRZY RADIOTELEFONACH PRZENOŚNYCH W KONTEKŚCIE WYMAGAŃ DYREKTYWY EUROPEJSKIEJ 2013/35/UE I POLSKIEGO PRAWA PRACY
Wprowadzenie: Funkcjonowanie służb ratunkowych i mundurowych wymaga wykorzystania urządzeń łączności bezprzewodowej, takich jak radiotelefony. Ocena narażenia pracowników na wytwarzane przez nie pola elektromagnetyczne j...
First signs of elderly gait for women
Background: The aims of this study have been twofold: to attempt to reduce the number of spatiotemporal parameters used for describing gait through the factor analysis and component analysis; and to explore the critical...