Hayashi S, Takenaka M, Hosono M, Nishida T. Radiation exposure during image-guided endoscopic procedures: The next quality indicator for endoscopic retrograde cholangiopancreatography. World J Clin Cases 2018; 6(16): 1087-1093 [PMID: 30613666 DOI: 10.12998/wjcc.v6.i16.1087]
Corresponding Author of This Article
Tsutomu Nishida, MD, PhD, Doctor, Department of Gastroenterology, Toyonaka Municipal Hospital, 4-14-1 Shibahara, Osaka, Toyonaka 560-8565, Japan. tnishida.gastro@gmail.com
Research Domain of This Article
Medicine, Research & Experimental
Article-Type of This Article
Minireviews
Open-Access Policy of This Article
This article is an open-access article which was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution Non Commercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: http://creativecommons.org/licenses/by-nc/4.0/
Shiro Hayashi, Department of Gastroenterology and Internal Medicine, Hayashi Clinic, Osaka, Suita 564-0018, Japan
Shiro Hayashi, Tsutomu Nishida, Department of Gastroenterology, Toyonaka Municipal Hospital, Osaka, Toyonaka 560-8565, Japan
Mamoru Takenaka, Department of Gastroenterology and Hepatology, Kindai University Faculty of Medicine, Osaka, Sayama 589-8511, Japan
Makoto Hosono, Department of Radiology, Kindai University Faculty of Medicine, Osaka, Sayama 589-8511, Japan
Author contributions: Hayashi S wrote the initial draft of the manuscript; Takenaka M, Hosono M and Nishida T critically reviewed the manuscript.
Conflict-of-interest statement: The authors report no conflicts of interest. The authors alone are responsible for the content and writing of this paper.
Open-Access: This article is an open-access article which was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution Non Commercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: http://creativecommons.org/licenses/by-nc/4.0/
Corresponding author to: Tsutomu Nishida, MD, PhD, Doctor, Department of Gastroenterology, Toyonaka Municipal Hospital, 4-14-1 Shibahara, Osaka, Toyonaka 560-8565, Japan. tnishida.gastro@gmail.com
Telephone: +81-6-68430101 Fax: +81-6-68583531
Received: September 25, 2018 Peer-review started: September 25, 2018 First decision: October 11, 2018 Revised: October 23, 2018 Accepted: October 31, 2018 Article in press: November 1, 2018 Published online: December 26, 2018
Core Tip
Core tip: Endoscopic retrograde cholangiopancreatography (ERCP) is one of the most frequently performed image-guided procedures in gastrointestinal endoscopy. Among several quality measures of endoscopic procedures, including ERCP, radiation exposure is still not well documented. In the general population, medical radiation exposure is of great concern because of its rapid increase and potential carcinogenesis. International organizations have established diagnostic reference levels for proper use, which are now global standards. Therefore, radiation exposure represents the next quality indicator for ERCP. We must understand the adverse effects, the requirements for protection and other influencing factors. This knowledge will help us to protect patients, medical staff and endoscopists.
