Korean J Gastroenterol.  2011 Aug;58(2):93-99. 10.4166/kjg.2011.58.2.93.

Lack of Radiation Protection for Endoscopists Performing Endoscopic Retrograde Cholangiopancreatography

• Son BK
• Lee KT
• Kim JS
• Lee SO

• KMID: 1718416
• DOI: http://doi.org/10.4166/kjg.2011.58.2.93

Abstract

BACKGROUND/AIMS
ERCP using fluoroscopy should be practiced with an adequate radiation protection. However, the awareness of gastrointestinal endoscopists to radiation protection was considered insufficient. In Korea, a country with a rapid increase the number of ERCP procedures, there is no data about radiation protection practices for gastrointestinal endoscopists. The purpose of this study was to investigate current clinical practices and the awareness on radiation protection in ERCP performing physicians in Korea.
METHODS
An anonymous questionnaire regarding radiation protection practices was mailed to 100 members of Korean Pancreatobiliary Association who was porforming ERCP. The questionnaire included ERCP volume of each endoscopist, use of protection devices such as apron, thyroid shield, lead glasses and any mobile shield for scattered radiation, and whether they monitored their own radiation exposure dosage.
RESULTS
All respondents wore lead aprons during ERCP. While 52.5% of endoscopists answered that they always wear thyroid guards, 26.9% rarely or never wore it. Only 14% wore lead glasses during the procedure and 69% never wore it. The preparation rates of mobile shields or lead curtains were only 14% and 24%, respectively. Only 10% of endoscopists attached an X-ray badge and 66.7% never used it. Moreover, 75% of endoscopists responded that they did not monitor their own exposure dose to radiation during ERCP.
CONCLUSIONS
The lack of radiation protection of ERCP endoscopists in Korea was seemed serious. Awareness of radiation hazard should be more concerned and educated in parallel with the preparation of radiation protection equipments.

Keyword

Radiation protection; Endoscopic retrograde cholangiopancreatography

MeSH Terms

*Cholangiopancreatography, Endoscopic Retrograde
Eye Protective Devices
Female
Hospitals
Humans
Male
Occupational Exposure/*prevention & control
Questionnaires
Radiation Monitoring
Radiation Protection/*methods
Thyroid Gland/radiation effects

Figure

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  Fig. 1. Use of lead aprons for ERCP endoscopists. (A) Lead apron types, (B) lead apron thickness, (C) lead apron dedicated hanger.

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  Fig. 2. Thyroid and eye protection for ERCP endoscopists. (A) Wearing a thyroid guard, (B) wearing leaded glasses.

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  Fig. 3. Use of equipment to protect scattered radiation for ERCP endoscopists. (A) Preparation and use of a mobile shield, (B) a lead curtain or table shield.

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  Fig. 4. Monitoring of radiation dose for ERCP endoscopists. (A) Wearing a radiation dosimeter, (B) measuring radiation exposure doses.

Reference

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