Comparison of radiation exposure between endoscopic ultrasound‐guided drainage and transpapillary drainage by endoscopic retrograde cholangiopancreatography for pancreatobiliary diseases
Objectives 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...
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Published in | Digestive endoscopy Vol. 34; no. 3; pp. 579 - 586 |
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Main Authors | , , , , , , , , , , , , , , |
Format | Journal Article |
Language | English |
Published |
Australia
John Wiley and Sons Inc
01.03.2022
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Abstract | Objectives
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.
Methods
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, Gycm2), fluoroscopy time (FT, min), and procedure time (PT, min) were assessed. The invasive probability weighting method was used to qualify the comparisons.
Results
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).
Conclusions
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. |
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AbstractList | Objectives
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.
Methods
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, Gycm2), fluoroscopy time (FT, min), and procedure time (PT, min) were assessed. The invasive probability weighting method was used to qualify the comparisons.
Results
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).
Conclusions
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. OBJECTIVESThe 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. METHODSThis 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, Gycm2 ), fluoroscopy time (FT, min), and procedure time (PT, min) were assessed. The invasive probability weighting method was used to qualify the comparisons. RESULTSWe 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). CONCLUSIONSThis 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. Objectives 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. Methods 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 2 ), fluoroscopy time (FT, min), and procedure time (PT, min) were assessed. The invasive probability weighting method was used to qualify the comparisons. Results 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). Conclusions 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. 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 ), fluoroscopy time (FT, min), and procedure time (PT, min) were assessed. The invasive probability weighting method was used to qualify the comparisons. 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. |
Author | Hosono, Makoto Chiba, Yasutaka Rehani, Madan M. Nishida, Tsutomu Kudo, Masatoshi Yamao, Kentaro Minaga, Kosuke Nakai, Atsushi Takenaka, Mamoru Ishikawa, Rei Hayashi, Shiro Omoto, Shunsuke Kamata, Ken Yamazaki, Tomohiro Okamoto, Ayana |
AuthorAffiliation | 4 Department of Gastroenterology Toyonaka Municipal Hospital Osaka Japan 2 Department of Radiology Kindai University Faculty of Medicine Osaka Japan 1 Departments of Gastroenterology and Hepatology Kindai University Faculty of Medicine Osaka Japan 6 Global Outreach for Radiation Protection Program Radiation Safety Committee Massachusetts General Hospital Boston USA 3 Clinical Research Center Kindai University Hospital Osaka Japan 5 Department of Gastroenterology and Internal Medicine Hayashi Clinic Osaka Japan |
AuthorAffiliation_xml | – name: 6 Global Outreach for Radiation Protection Program Radiation Safety Committee Massachusetts General Hospital Boston USA – name: 3 Clinical Research Center Kindai University Hospital Osaka Japan – name: 2 Department of Radiology Kindai University Faculty of Medicine Osaka Japan – name: 4 Department of Gastroenterology Toyonaka Municipal Hospital Osaka Japan – name: 1 Departments of Gastroenterology and Hepatology Kindai University Faculty of Medicine Osaka Japan – name: 5 Department of Gastroenterology and Internal Medicine Hayashi Clinic Osaka Japan |
Author_xml | – sequence: 1 givenname: Mamoru orcidid: 0000-0001-7308-4311 surname: Takenaka fullname: Takenaka, Mamoru email: mamoxyo45@gmail.com organization: Kindai University Faculty of Medicine – sequence: 2 givenname: Makoto surname: Hosono fullname: Hosono, Makoto organization: Kindai University Faculty of Medicine – sequence: 3 givenname: Madan M. surname: Rehani fullname: Rehani, Madan M. organization: Massachusetts General Hospital – sequence: 4 givenname: Yasutaka surname: Chiba fullname: Chiba, Yasutaka organization: Kindai University Hospital – sequence: 5 givenname: Rei surname: Ishikawa fullname: Ishikawa, Rei organization: Kindai University Faculty of Medicine – sequence: 6 givenname: Ayana surname: Okamoto fullname: Okamoto, Ayana organization: Kindai University Faculty of Medicine – sequence: 7 givenname: Tomohiro surname: Yamazaki fullname: Yamazaki, Tomohiro organization: Kindai University Faculty of Medicine – sequence: 8 givenname: Atsushi surname: Nakai fullname: Nakai, Atsushi organization: Kindai University Faculty of Medicine – sequence: 9 givenname: Shunsuke orcidid: 0000-0001-7291-3608 surname: Omoto fullname: Omoto, Shunsuke organization: Kindai University Faculty of Medicine – sequence: 10 givenname: Kosuke orcidid: 0000-0001-5407-7925 surname: Minaga fullname: Minaga, Kosuke organization: Kindai University Faculty of Medicine – sequence: 11 givenname: Ken orcidid: 0000-0003-1568-0769 surname: Kamata fullname: Kamata, Ken organization: Kindai University Faculty of Medicine – sequence: 12 givenname: Kentaro orcidid: 0000-0003-2497-7740 surname: Yamao fullname: Yamao, Kentaro organization: Kindai University Faculty of Medicine – sequence: 13 givenname: Shiro surname: Hayashi fullname: Hayashi, Shiro organization: Hayashi Clinic – sequence: 14 givenname: Tsutomu orcidid: 0000-0003-4037-9003 surname: Nishida fullname: Nishida, Tsutomu organization: Toyonaka Municipal Hospital – sequence: 15 givenname: Masatoshi surname: Kudo fullname: Kudo, Masatoshi organization: Kindai University Faculty of Medicine |
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The transpapillary drainage by endoscopic retrograde cholangiopancreatography (ERCP‐D) cannot be performed without fluoroscopy, and there are many... The transpapillary drainage by endoscopic retrograde cholangiopancreatography (ERCP-D) cannot be performed without fluoroscopy, and there are many situations... OBJECTIVESThe transpapillary drainage by endoscopic retrograde cholangiopancreatography (ERCP-D) cannot be performed without fluoroscopy, and there are many... |
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SubjectTerms | Cholangiopancreatography, Endoscopic Retrograde - adverse effects Cholangiopancreatography, Endoscopic Retrograde - methods Cholestasis Cohort Studies Drainage - methods endoscopic retrograde cholangiopancreatography Endosonography - methods fluoroscopy Humans interventional ultrasonography Original ORIGINAL ARTICLES radiation exposure Radiation Exposure - prevention & control Retrospective Studies Ultrasonography, Interventional |
Title | Comparison of radiation exposure between endoscopic ultrasound‐guided drainage and transpapillary drainage by endoscopic retrograde cholangiopancreatography for pancreatobiliary diseases |
URI | https://onlinelibrary.wiley.com/doi/abs/10.1111%2Fden.14060 https://www.ncbi.nlm.nih.gov/pubmed/34107099 https://search.proquest.com/docview/2539888105 https://pubmed.ncbi.nlm.nih.gov/PMC9292288 |
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