Radiation dose to patients during endoscopic retrograde cholangiopancreatography

查看全文 作　　者：Jaume [1]Boix;Vicente Lorenzo-Zú[1,2]iga

机构地区：[1]Endoscopy Unit, Department of Gastroenterology, Hospital Universitari Germans Trias i Pujol, Badalona, Barcelona 08916, Spain Jaume Boix;[2]Centro de Investigación Biomédica en Red de Enfermedades Hepáticas y Digestivas (CIBEREHD), Barcelona 08916, Spain

出　　处：《World Journal of Gastrointestinal Endoscopy》索引2011年第3卷第7期,共5页

摘　　要：Endoscopic retrograde cholangiopancreatography (ERCP) is an important tool for the diagnosis and treatment of the hepatobiliary system. The use of fluoroscopy to aid ERCP places both the patient and the endoscopy staff at risk of radiation-induced injury. Radiation dose to patients during ERCP depends on many factors, and the endoscopist cannot control some variables, such as patient size, procedure type, or fluoroscopic equipment used. Previous reports have demonstrated a linear relationship between radiation dose and fluoroscopy duration. When fluoroscopy is used to assist ERCP, the shortest fluoroscopy time possible is recommended. Pulsed fluoroscopy and monitoring the length of fluoroscopy have been suggested for an overall reduction in both radiation exposure and fluoroscopy times. Fluoroscopy time is shorter when ERCP is performed by an endoscopist who has many years experience of performing ERCP and carried out a large number of ERCPs in the preceding year. In general, radiation exposure is greater during therapeutic ERCP than during diagnostic ERCP. Factors associated with prolonged fluoroscopy have been delineated recently, but these have not been validated. 关键词：ENDOSCOPIC RETROGRADE cholangiopancreatogr aphy RADIATION DOSE FLUOROSCOPY RADIATION EXPOSURE X-ray

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Radiation dose to patients during endoscopic retrograde cholangiopancreatography

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