Section of Digestive Diseases, Yale University School of Medicine, New Haven, CT, USA.
Dig Dis Sci. 2021 Jan;66(1):56-62. doi: 10.1007/s10620-020-06163-z. Epub 2020 Mar 6.
The leaded protective gear worn, patient and endoscopist positioning, and longer average procedural time place endoscopists who perform endoscopic retrograde cholangiopancreatography (ERCP) at an increased risk of injuries as compared to other endoscopists. While multiple studies have investigated the prevalence of various pain symptoms and injuries among endoscopists, only one has been carried out in endoscopists who perform ERCP, and none have investigated potential predisposing risk factors. Our aim was thus to assess the prevalence of these pain symptoms, injuries, and potential risk factors.
An anonymous electronic survey containing 23 questions was sent to 3276 gastroenterologists. Only providers that performed ERCPs were asked to respond.
A total of 203 surveys were completed. Of the 203 respondents, 91% reported a musculoskeletal pain symptom. The most prevalent pain symptoms were neck pain (24%) and lower back pain (17%). In total, 48% of respondents reported a musculoskeletal injury. In total, 32% attributed these injuries to performing ERCPs. The most prevalent musculoskeletal injuries were De Quervain's tenosynovitis (16%) and cervical radiculopathy (12%). Only 25% of participants had received any education/training on ergonomics in endoscopy.
The majority of endoscopists who perform ERCPs suffer from a musculoskeletal pain symptom, and almost half report a musculoskeletal injury. Further investigation regarding risk factors and preventative strategies is warranted. This information can then be incorporated into ergonomics education which only a small proportion of advanced endoscopists report having received any training in.
与其他内镜医生相比，进行内镜逆行胰胆管造影术（ERCP）的内镜医生需要穿戴含铅防护装备、患者和内镜医生的体位、以及更长的平均操作时间，这使他们面临更高的受伤风险。虽然多项研究已经调查了内镜医生中各种疼痛症状和损伤的发生率，但只有一项研究针对进行 ERCP 的内镜医生进行，并且没有研究调查潜在的易患风险因素。因此，我们的目的是评估这些疼痛症状、损伤和潜在风险因素的发生率。
我们向 3276 名胃肠病学家发送了一份包含 23 个问题的匿名电子调查问卷。只有进行 ERCP 的医务人员被要求回答问题。
共完成了 203 份调查问卷。在 203 名应答者中，91%报告有肌肉骨骼疼痛症状。最常见的疼痛症状是颈部疼痛（24%）和下腰痛（17%）。总共，48%的应答者报告有肌肉骨骼损伤。总共，32%的人将这些损伤归因于进行 ERCP。最常见的肌肉骨骼损伤是 De Quervain 腱鞘炎（16%）和颈椎神经根病（12%）。只有 25%的参与者接受过任何内镜操作中的人体工程学教育/培训。
大多数进行 ERCP 的内镜医生都患有肌肉骨骼疼痛症状，近一半的人报告有肌肉骨骼损伤。需要进一步调查风险因素和预防策略。然后，可以将这些信息纳入人体工程学教育中，只有一小部分高级内镜医生报告接受过任何相关培训。
