Ocular and the whole body radiation exposure during endoscopic retrograde cholangiopancreatography
Bahtiyar Muhammedoğlu1
, Mehmet Yasir Pektezel2, Murat Ulaş3, Sezgin Topuz4, Emil Hüseyinoğlu5
1Department of Gastroenterological Surgery, Kahramanmaraş Sütçü İmam University Faculty of Medicine, Kahramanmaraş, Türkiye
2Clinic of Intensive Care Unit, Kahramanmaraş Necip Fazıl City Hospital, Kahramanmaraş, Türkiye
3Department of Gastroenterological Surgery, Eskişehir Osmangazi University Faculty of Medicine, Eskişehir, Türkiye
4Department of General Surgery, Kahramanmaraş Sütçü İmam University Faculty of Medicine, Kahramanmaraş, Türkiye
5 Clinic of General Surgery, Bursa City Hospital, Bursa, Türkiye
Abstract
Objective: This study aimed to analyze the average whole body radiation exposure, which changes significantly according to during endoscopic retrograde cholangiopancreatography (ERCP) difficulty and to determine whether an ocular protection device must be used by analyzing applied ocular radiation.
Material and Methods: Patients >18 years of age in whom an ERCP had been indicated were prospectively included in the study.
Results: A total of 1173 patients were included. Increased applied radiation dose significantly correlated with increased shot rate (Rho= 0.789, p< 0.001), ERCP duration (Rho= 0.487, p< 0.001), cost (Rho= 0.129, p< 0.001), and LOS (Rho= 0.109, p< 0.001). The whole body, skin, and eye radiation exposure doses were found to be lower than the recommended limit per year (20 mSv/year).
Conclusion: Limit of ocular radiation exposure during ERCP did not exceed the recommended annual limit (20 mSv/year), and it was also detected to be much lower than that. Therefore, the use of ocular visors is not recommended.
Keywords: Endoscopic retrograde cholangiopancreatography, radiation exposure, fluoroscopy duration
Cite this article as: Muhammedoğlu B, Pektezel MY, Ulaş M, Topuz S, Hüseyinoğlu E. Ocular and the whole body radiation exposure during endoscopic retrograde cholangiopancreatography. Turk J Surg 2024; 40 (3): 183- 189.
This study was obtained from Kahramanmaraş Sütçü İmam University Faculty of Medicine Clinical Research Ethics Committee (Decision no: 01, Date: 23.03.2022).
Externally peer-reviewed.
Concept - All of authors ; Design - All of authors; Supervision - All of authors; Data Collection and/or Processing - All of authors; Analysis and/or Interpretation - All of authors; Literature Search - All of authors; Writing Manuscript - All of authors; Critical Reviews - All of authors.
The authors have no conflicts of interest to declare.
The authors declared that this study has received no financial support.