IDEAS home Printed from https://ideas.repec.org/a/plo/pone00/0207539.html
   My bibliography  Save this article

Radiation exposure dose and influencing factors during endoscopic retrograde cholangiopancreatography

Author

Listed:
  • Shiro Hayash
  • Tsutomu Nishida
  • Tokuhiro Matsubara
  • Naoto Osugi
  • Aya Sugimoto
  • Kei Takahashi
  • Kaori Mukai
  • Dai Nakamatsu
  • Masashi Yamamoto
  • Koji Fukui
  • Masami Inada

Abstract

Introduction: Various endoscopic procedures under fluoroscopic guidance are being rapidly adopted, and radiation exposure is considered to be increasing. However, there is little concern about this issue in gastroenterology practice. This study aims to evaluate the actual radiation exposure dose (RD) during endoscopic retrograde cholangiopancreatography (ERCP) and the factors affecting the RD. Methods: In this retrospective, single-center cohort study of 1157 consecutive patients who underwent ERCP between October 2012 and February 2017, we analyzed the influences of patient characteristics, procedure time (min), total fluoroscopy time (min), type of processing engine, experience of the endoscopist, and type of disease on the total RD (mGy). Results: The median procedure times were 28 min for common bile duct stones (CBDS), 25 min for distal malignant biliary obstruction (MBO), and 30 min for proximal MBO. Similarly, the median fluoroscopy times were 10.3, 8.8, and 13.4 min, and the median RDs were 167, 123, and 242 mGy, respectively. Proximal MBO required significantly longer procedure time and fluoroscopy time and resulted in greater RD than distal MBO (P = 0.0006,

Suggested Citation

  • Shiro Hayash & Tsutomu Nishida & Tokuhiro Matsubara & Naoto Osugi & Aya Sugimoto & Kei Takahashi & Kaori Mukai & Dai Nakamatsu & Masashi Yamamoto & Koji Fukui & Masami Inada, 2018. "Radiation exposure dose and influencing factors during endoscopic retrograde cholangiopancreatography," PLOS ONE, Public Library of Science, vol. 13(11), pages 1-11, November.
    • Handle: RePEc:plo:pone00:0207539
    DOI: 10.1371/journal.pone.0207539
    as

    Download full text from publisher

    File URL: https://journals.plos.org/plosone/article?id=10.1371/journal.pone.0207539
    Download Restriction: no
    File URL: https://journals.plos.org/plosone/article/file?id=10.1371/journal.pone.0207539&type=printable
    Download Restriction: no
    File URL: https://libkey.io/10.1371/journal.pone.0207539?utm_source=ideas
    LibKey link: if access is restricted and if your library uses this service, LibKey will redirect you to where you can use your library subscription to access this item
    ---><---

    More about this item

    Statistics

    Access and download statistics

    Corrections

    All material on this site has been provided by the respective publishers and authors. You can help correct errors and omissions. When requesting a correction, please mention this item's handle: RePEc:plo:pone00:0207539. See general information about how to correct material in RePEc.

    If you have authored this item and are not yet registered with RePEc, we encourage you to do it here. This allows to link your profile to this item. It also allows you to accept potential citations to this item that we are uncertain about.

    We have no bibliographic references for this item. You can help adding them by using this form .

    If you know of missing items citing this one, you can help us creating those links by adding the relevant references in the same way as above, for each refering item. If you are a registered author of this item, you may also want to check the "citations" tab in your RePEc Author Service profile, as there may be some citations waiting for confirmation.

    For technical questions regarding this item, or to correct its authors, title, abstract, bibliographic or download information, contact: plosone (email available below). General contact details of provider: https://journals.plos.org/plosone/ .

    Please note that corrections may take a couple of weeks to filter through the various RePEc services.

    IDEAS is a RePEc service. RePEc uses bibliographic data supplied by the respective publishers.