Ofori Emmanuel, Ramai Daryl, John Febin, Reddy Madhavi, Ghevariya Vishal
Division of Gastroenterology and Hepatology, The Brooklyn Hospital Center, Academic Affiliate of The Icahn School of Medicine at Mount Sinai, Clinical Affiliate of The Mount Sinai Hospital, New York (Emmanuel Ofori, Daryl Ramai, Febin John, Madhavi Reddy).
St George's University School of Medicine, True Blue, Grenada, W.I. (Daryl Ramai).
Ann Gastroenterol. 2018 Jul-Aug;31(4):448-455. doi: 10.20524/aog.2018.0265. Epub 2018 Apr 27.
Advances in the field of endoscopy have allowed gastroenterologists to obtain detailed imaging of anatomical structures and to treat gastrointestinal diseases with endoscopic therapies. However, these technological developments have exposed endoscopists and staff to hazards such as musculoskeletal injuries, exposure to infectious agents, and ionizing radiation. We aimed to review the occupational hazards for the gastroenterologist and endoscopist. Using PubMed, Medline, Medscape, and Google Scholar, we identified peer-reviewed articles with the keywords "occupational hazards," "health hazards," "occupational health hazards," "endoscopy," "gastroenterologist," "infectious agents," "musculoskeletal injuries," and "radiation." Strategies for reducing exposure to infectious agents, radiation, and the risk of musculoskeletal injuries related to gastroenterology include compliance with established standard measures, the use of thyroid shields and radioprotective eyewear, and ergonomic practices. We conclude that educating endoscopic personnel and trainees in these practices, in addition to further research in these areas, will likely lead to the development of more efficient and user-friendly workspaces that are safer for patients and personnel.
内镜领域的进展使胃肠病学家能够获得解剖结构的详细影像,并通过内镜治疗来治疗胃肠道疾病。然而,这些技术发展使内镜医师和工作人员面临诸如肌肉骨骼损伤、接触传染源和电离辐射等危害。我们旨在综述胃肠病学家和内镜医师面临的职业危害。通过使用PubMed、Medline、Medscape和谷歌学术,我们检索到了以“职业危害”“健康危害”“职业健康危害”“内镜检查”“胃肠病学家”“传染源”“肌肉骨骼损伤”和“辐射”为关键词的同行评议文章。减少与胃肠病学相关的传染源接触、辐射以及肌肉骨骼损伤风险的策略包括遵守既定的标准措施、使用甲状腺防护装置和辐射防护眼镜以及采用人体工程学方法。我们得出结论,除了在这些领域开展进一步研究外,对内镜工作人员和实习生进行这些操作方面的培训,可能会带来更高效、更人性化的工作空间的发展,从而使患者和工作人员更安全。