Occupational Radiation Exposure during Endoscopic Retrograde Cholangiopancreatography and Usefulness of Radiation Protective Curtains

Objective. To evaluate the effectiveness of radiation protective curtains in reducing the occupational radiation exposure of medical personnel. Methods. We studied medical staff members who had assisted in 80 consecutive therapeutic endoscopic retrograde cholangiopancreatography (ERCP) procedures. U...

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Main Authors: Tomoyuki Minami, Tamito Sasaki, Masahiro Serikawa, Michihiro Kamigaki, Masanobu Yukutake, Takashi Ishigaki, Yasutaka Ishii, Teruo Mouri, Satoshi Yoshimi, Akinori Shimizu, Tomofumi Tsuboi, Keisuke Kurihara, Yumiko Tatsukawa, Eisuke Miyaki, Kazuaki Chayama
Format: Article
Language:English
Published: Wiley 2014-01-01
Series:Gastroenterology Research and Practice
Online Access:http://dx.doi.org/10.1155/2014/926876
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author Tomoyuki Minami
Tamito Sasaki
Masahiro Serikawa
Michihiro Kamigaki
Masanobu Yukutake
Takashi Ishigaki
Yasutaka Ishii
Teruo Mouri
Satoshi Yoshimi
Akinori Shimizu
Tomofumi Tsuboi
Keisuke Kurihara
Yumiko Tatsukawa
Eisuke Miyaki
Kazuaki Chayama
author_facet Tomoyuki Minami
Tamito Sasaki
Masahiro Serikawa
Michihiro Kamigaki
Masanobu Yukutake
Takashi Ishigaki
Yasutaka Ishii
Teruo Mouri
Satoshi Yoshimi
Akinori Shimizu
Tomofumi Tsuboi
Keisuke Kurihara
Yumiko Tatsukawa
Eisuke Miyaki
Kazuaki Chayama
author_sort Tomoyuki Minami
collection DOAJ
description Objective. To evaluate the effectiveness of radiation protective curtains in reducing the occupational radiation exposure of medical personnel. Methods. We studied medical staff members who had assisted in 80 consecutive therapeutic endoscopic retrograde cholangiopancreatography (ERCP) procedures. Use of radiation protective curtains mounted to the X-ray tube was determined randomly for each procedure, and radiation doses were measured with electronic pocket dosimeters placed outside the protective apron. Results. When protective curtains were not used, the mean radiation doses to endoscopists, first assistants, second assistants, and nurses were 340.9, 27.5, 45.3, and 33.1 µSv, respectively; doses decreased to 42.6, 4.2, 13.1, and 10.6 µSv, respectively, when protective curtains were used (P<0.01). When the patient had to be restrained during ERCP (n=8), the radiation dose to second assistants without protective curtains increased by a factor of 9.95 (P<0.01) relative to cases in which restraint was not required. Conclusions. During ERCP, not only endoscopists, but also assistants and nurses were exposed to high doses of radiation. Radiation exposure to staff members during ERCP was reduced with the use of protective curtains.
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institution Kabale University
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spelling doaj-art-eb437c076f674b91b3ceaaa39e8644012025-02-03T01:11:46ZengWileyGastroenterology Research and Practice1687-61211687-630X2014-01-01201410.1155/2014/926876926876Occupational Radiation Exposure during Endoscopic Retrograde Cholangiopancreatography and Usefulness of Radiation Protective CurtainsTomoyuki Minami0Tamito Sasaki1Masahiro Serikawa2Michihiro Kamigaki3Masanobu Yukutake4Takashi Ishigaki5Yasutaka Ishii6Teruo Mouri7Satoshi Yoshimi8Akinori Shimizu9Tomofumi Tsuboi10Keisuke Kurihara11Yumiko Tatsukawa12Eisuke Miyaki13Kazuaki Chayama14Department of Gastroenterology and Metabolism, Hiroshima University, 1-2-3 Kasumi, Minami-ku, Hiroshima 734-8551, JapanDepartment of Gastroenterology and Metabolism, Hiroshima University, 1-2-3 Kasumi, Minami-ku, Hiroshima 734-8551, JapanDepartment of Gastroenterology and Metabolism, Hiroshima University, 1-2-3 Kasumi, Minami-ku, Hiroshima 734-8551, JapanDepartment of Gastroenterology and Metabolism, Hiroshima University, 1-2-3 Kasumi, Minami-ku, Hiroshima 734-8551, JapanDepartment of Gastroenterology and Metabolism, Hiroshima University, 1-2-3 Kasumi, Minami-ku, Hiroshima 734-8551, JapanDepartment of Gastroenterology and Metabolism, Hiroshima University, 1-2-3 Kasumi, Minami-ku, Hiroshima 734-8551, JapanDepartment of Gastroenterology and Metabolism, Hiroshima University, 1-2-3 Kasumi, Minami-ku, Hiroshima 734-8551, JapanDepartment of Gastroenterology and Metabolism, Hiroshima University, 1-2-3 Kasumi, Minami-ku, Hiroshima 734-8551, JapanDepartment of Gastroenterology and Metabolism, Hiroshima University, 1-2-3 Kasumi, Minami-ku, Hiroshima 734-8551, JapanDepartment of Gastroenterology and Metabolism, Hiroshima University, 1-2-3 Kasumi, Minami-ku, Hiroshima 734-8551, JapanDepartment of Gastroenterology and Metabolism, Hiroshima University, 1-2-3 Kasumi, Minami-ku, Hiroshima 734-8551, JapanDepartment of Gastroenterology and Metabolism, Hiroshima University, 1-2-3 Kasumi, Minami-ku, Hiroshima 734-8551, JapanDepartment of Gastroenterology and Metabolism, Hiroshima University, 1-2-3 Kasumi, Minami-ku, Hiroshima 734-8551, JapanDepartment of Gastroenterology and Metabolism, Hiroshima University, 1-2-3 Kasumi, Minami-ku, Hiroshima 734-8551, JapanDepartment of Gastroenterology and Metabolism, Hiroshima University, 1-2-3 Kasumi, Minami-ku, Hiroshima 734-8551, JapanObjective. To evaluate the effectiveness of radiation protective curtains in reducing the occupational radiation exposure of medical personnel. Methods. We studied medical staff members who had assisted in 80 consecutive therapeutic endoscopic retrograde cholangiopancreatography (ERCP) procedures. Use of radiation protective curtains mounted to the X-ray tube was determined randomly for each procedure, and radiation doses were measured with electronic pocket dosimeters placed outside the protective apron. Results. When protective curtains were not used, the mean radiation doses to endoscopists, first assistants, second assistants, and nurses were 340.9, 27.5, 45.3, and 33.1 µSv, respectively; doses decreased to 42.6, 4.2, 13.1, and 10.6 µSv, respectively, when protective curtains were used (P<0.01). When the patient had to be restrained during ERCP (n=8), the radiation dose to second assistants without protective curtains increased by a factor of 9.95 (P<0.01) relative to cases in which restraint was not required. Conclusions. During ERCP, not only endoscopists, but also assistants and nurses were exposed to high doses of radiation. Radiation exposure to staff members during ERCP was reduced with the use of protective curtains.http://dx.doi.org/10.1155/2014/926876
spellingShingle Tomoyuki Minami
Tamito Sasaki
Masahiro Serikawa
Michihiro Kamigaki
Masanobu Yukutake
Takashi Ishigaki
Yasutaka Ishii
Teruo Mouri
Satoshi Yoshimi
Akinori Shimizu
Tomofumi Tsuboi
Keisuke Kurihara
Yumiko Tatsukawa
Eisuke Miyaki
Kazuaki Chayama
Occupational Radiation Exposure during Endoscopic Retrograde Cholangiopancreatography and Usefulness of Radiation Protective Curtains
Gastroenterology Research and Practice
title Occupational Radiation Exposure during Endoscopic Retrograde Cholangiopancreatography and Usefulness of Radiation Protective Curtains
title_full Occupational Radiation Exposure during Endoscopic Retrograde Cholangiopancreatography and Usefulness of Radiation Protective Curtains
title_fullStr Occupational Radiation Exposure during Endoscopic Retrograde Cholangiopancreatography and Usefulness of Radiation Protective Curtains
title_full_unstemmed Occupational Radiation Exposure during Endoscopic Retrograde Cholangiopancreatography and Usefulness of Radiation Protective Curtains
title_short Occupational Radiation Exposure during Endoscopic Retrograde Cholangiopancreatography and Usefulness of Radiation Protective Curtains
title_sort occupational radiation exposure during endoscopic retrograde cholangiopancreatography and usefulness of radiation protective curtains
url http://dx.doi.org/10.1155/2014/926876
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