Comparison of radiation exposure between endoscopic ultrasound-guided drainage and transpapillary drainage by endoscopic retrograde cholangiopancreatography for pancreatobiliary diseases.
endoscopic retrograde cholangiopancreatography
fluoroscopy
interventional ultrasonography
radiation exposure
Journal
Digestive endoscopy : official journal of the Japan Gastroenterological Endoscopy Society
ISSN: 1443-1661
Titre abrégé: Dig Endosc
Pays: Australia
ID NLM: 9101419
Informations de publication
Date de publication:
Mar 2022
Mar 2022
Historique:
revised:
24
05
2021
received:
15
01
2021
accepted:
08
06
2021
pubmed:
10
6
2021
medline:
17
3
2022
entrez:
9
6
2021
Statut:
ppublish
Résumé
The transpapillary drainage by endoscopic retrograde cholangiopancreatography (ERCP-D) cannot be performed without fluoroscopy, and there are many situations in which fluoroscopy is required even in endoscopic ultrasound-guided drainage (EUS-D). Previous studies have compared the efficacy, but not the radiation exposure of EUS-D and ERCP-D. While radiation exposure in ERCP-D has been previously evaluated, there is a paucity of information regarding radiation doses in EUS-D. This study aimed to assess radiation exposure in EUS-D compared with that in ERCP-D. This retrospective single-center cohort study included consecutive patients who underwent EUS-D and ERCP-D between October 2017 and March 2019. The air kerma (AK, mGy), kerma-area product (KAP, Gycm We enrolled 372 and 105 patients who underwent ERCP-D and EUS-D, respectively. The mean AK, KAP, and FT in the EUS-D group were higher by 53%, 28%, and 27%, respectively, than those in the ERCP-D group, whereas PT was shorter by approximately 11% (AK, 135.0 vs. 88.4; KAP, 28.1 vs. 21.9; FT, 20.4 vs. 16.0; PT, 38.7 vs. 43.5). The sub-analysis limited to biliary drainage cases showed the same trend (AK, 128.3 vs. 90.9; KAP, 27.0 vs. 22.2; FT, 16.4 vs. 16.1; PT, 32.5 vs. 44.4). This is the first study to assess radiation exposure in EUS-D compared with that in ERCP-D. Radiation exposure was significantly higher in EUS-D than in ERCP-D, despite the shorter procedure time.
Identifiants
pubmed: 34107099
doi: 10.1111/den.14060
pmc: PMC9292288
doi:
Types de publication
Journal Article
Langues
eng
Sous-ensembles de citation
IM
Pagination
579-586Informations de copyright
© 2021 The Authors. Digestive Endoscopy published by John Wiley & Sons Australia, Ltd on behalf of Japan Gastroenterological Endoscopy Society.
Références
Lancet. 2013 Dec 21;382(9910):2084-92
pubmed: 24067488
Ann ICRP. 2007;37(2-4):1-332
pubmed: 18082557
Dig Endosc. 2019 Apr;31 Suppl 1:50-54
pubmed: 30994233
Dig Endosc. 2020 Mar;32(3):309-315
pubmed: 31240746
Stat Med. 2010 Dec 30;29(30):3245-57
pubmed: 21170918
Dig Endosc. 2016 Apr;28 Suppl 1:96-101
pubmed: 26786389
Dig Endosc. 2013 May;25(3):241-52
pubmed: 23490022
AJR Am J Roentgenol. 2020 Aug;215(2):433-440
pubmed: 32507015
Dig Endosc. 2017 Jan;29(1):83-90
pubmed: 27199157
Lancet Oncol. 2010 Mar;11(3):231-40
pubmed: 20138809
Lancet. 2015 Nov 28;386(10009):2192-203
pubmed: 26411986
Dig Endosc. 2020 Jan;32(2):263-274
pubmed: 31643105
Medicine (Baltimore). 2017 Jun;96(24):e7200
pubmed: 28614264
J Natl Cancer Inst. 2018 Mar 1;110(3):232-240
pubmed: 29933439
JAMA Oncol. 2016 Jul 1;2(7):901-5
pubmed: 27124210
Endoscopy. 2016 Feb;48(2):164-9
pubmed: 26517848
Dig Endosc. 2020 Jan;32(1):16-26
pubmed: 31165527
N Engl J Med. 2007 Nov 29;357(22):2277-84
pubmed: 18046031
Stat Methods Med Res. 2018 Apr;27(4):1230-1239
pubmed: 27487842
Dig Endosc. 2017 May;29(4):472-485
pubmed: 28118509
Lancet. 1975 Nov 15;2(7942):942-3
pubmed: 53429
Eur Radiol. 2020 Apr;30(4):1839-1846
pubmed: 31792584
Heart Rhythm. 2015 Sep;12(9):1945-55
pubmed: 26001508
Endoscopy. 2021 Jul;53(7):691-699
pubmed: 32957141
Dig Endosc. 2018 Jan;30(1):38-47
pubmed: 28656640
Phys Med. 2020 Aug;76:173-176
pubmed: 32693353
Lancet Oncol. 2012 Jan;13(1):65-77
pubmed: 22169268
Dig Endosc. 2018 Apr;30 Suppl 1:54-58
pubmed: 29658641
Ann ICRP. 2017 Oct;46(1):1-144
pubmed: 29065694
Dig Endosc. 2019 Nov;31(6):619-626
pubmed: 31050068
AJR Am J Roentgenol. 2020 Jan;214(1):158-170
pubmed: 31670595
Endosc Int Open. 2017 Jan;5(1):E25-E29
pubmed: 28337480
Lancet. 1999 Jan 23;353(9149):267-72
pubmed: 9929018
Endoscopy. 2021 Mar;53(3):266-276
pubmed: 32544958
Dig Endosc. 2020 Jan;32(2):275-286
pubmed: 31578770
Dig Endosc. 2016 Jan;28(1):103
pubmed: 26456692
Dig Endosc. 2010 Jul;22 Suppl 1:S69-75
pubmed: 20590776