Section of Gastroenterology and Hepatology, Wake Forest School of Medicine, Winston Salem, North Carolina, USA.
W. G. (Bill) Hefner VA Healthcare System, Salisbury, North Carolina, USA.
Am J Gastroenterol. 2021 Mar 1;116(3):530-538. doi: 10.14309/ajg.0000000000001136.
Endoscopy-related injury (ERI) is common in gastroenterologists (GI). The study aim was to assess the prevalence of self-reported ERI, patterns of injury, and endoscopist knowledge of preventative strategies in a nationally representative sample.
A 38-item electronic survey was sent to 15,868 American College of Gastroenterology physician members. The survey was completed by 1,698 members and was included in analyses. Descriptive, univariate, and multivariate analyses were conducted to evaluate the likelihood of ERI based on workload parameters and gender.
ERI was reported by 75% of respondents. ERI was most common in the thumb (63.3%), neck (59%), hand/finger (56.5%), lower back (52.6%), shoulder (47%), and wrist (45%). There was no significant difference in the prevalence of ERI between men and women GI. However, women GI were significantly more likely to report upper extremity ERI while men were more likely to report lower-back pain-related ERI. Significant gender differences were noted in the reported mechanisms attributed to ERI. Most respondents did not discuss ergonomic strategies in their current practice (63%). ERI was less likely to be reported in GI who took breaks during endoscopy (P = 0.002).
ERI is highly prevalent in GI physicians. Significant gender differences regarding specific sites affected by ERI and the contributing mechanisms were observed. Results strongly support institution of training in ergonomics for all GI as a strategy to prevent its impact on providers of endoscopy.
内镜相关损伤（ERI）在胃肠病学家中很常见。本研究旨在评估在全国代表性样本中，自我报告的 ERI 发生率、损伤模式以及内镜医师对预防策略的了解。
向 15868 名美国胃肠病学学院医师成员发送了一份 38 项的电子调查。1698 名成员完成了调查，并纳入分析。进行了描述性、单变量和多变量分析，以评估工作量参数和性别与 ERI 发生可能性的关系。
75%的受访者报告了 ERI。ERI 最常见于拇指（63.3%）、颈部（59%）、手/手指（56.5%）、下背部（52.6%）、肩部（47%）和手腕（45%）。男女胃肠病学家 ERI 的发生率无显著差异。然而，女性胃肠病学家更有可能报告上肢 ERI，而男性更有可能报告与下腰痛相关的 ERI。在归因于 ERI 的报告机制方面，观察到显著的性别差异。大多数受访者在当前实践中并未讨论人体工程学策略（63%）。在进行内镜检查时休息的胃肠病学家更不太可能报告 ERI（P = 0.002）。
ERI 在胃肠病学家中非常普遍。观察到 ERI 具体受累部位和致病机制方面存在显著的性别差异。结果强烈支持对所有胃肠病学家进行人体工程学培训，作为预防其对内镜提供者产生影响的策略。
