Tchekmedyian Asadur J, Dumonceau Jean-Marc, Rosales Espizua Francisco Javier, Ferreira Bicalho Luciano Andrey, Vaño Eliseo
Servicio de Endoscopia Digestiva, Asociación Española. Montevideo, Uruguay.
Gastroenterology Department, Charleroi University Hospitals. Charleroi, Belgium.
Rev Gastroenterol Peru. 2023 Oct-Dec;43(4):348-357.
Endoscopy has evolved from a purely diagnostic technique to a therapeutic procedure. This is possible in many cases thanks to the use of fluoroscopy, which entails exposure to ionizing radiation for both patients and the personnel involved. Endoscopic retrograde cholangiopancreatography (ERCP), which necessarily requires fluoroscopy, is classified by the Food and Drug Administration as an examination with a potential risk of triggering radiation induced injuries. This article reviews the biological effects of radiation, the types of radiological equipment used in ERCP, as well as the magnitudes and dosimetric units, to finally address the radio protection elements in the endoscopy room. The objective is to provide the reader with the information to be able to perform these procedures with the greatest radiological safety for both patients and occupationally exposed personnel.
内镜检查已从单纯的诊断技术发展成为一种治疗手段。在许多情况下,这得益于荧光透视的应用,但这会使患者和相关工作人员暴露于电离辐射中。内镜逆行胰胆管造影术(ERCP)必然需要荧光透视,美国食品药品监督管理局将其归类为具有引发辐射诱导损伤潜在风险的检查。本文回顾了辐射的生物学效应、ERCP中使用的放射设备类型以及剂量大小和剂量单位,最终探讨内镜检查室中的放射防护要素。目的是为读者提供信息,以便能够在确保患者和职业暴露人员最大放射安全的情况下进行这些操作。