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Radiation protection in the endoscopy suite

Document presentation of content: Radiation in gastroenterology, effects of radiation, radiation protection for staff and patients, Cascades - Management options taking available resources into account, special circumstances, Appendix - Radiation quantities and units | WGO Global Guideline Radiation protection 1 World Gastroenterology Organisation Global Guideline Radiation protection in the endoscopy suite Minimizing radiation exposure for patients and staff in endoscopy a joint ASGE IAEA WGO guideline Review team Lance Uradomo Henry Cohen Michael Fried John Petrini Madan Rehani World Gastroenterology Organisation 2009 WGO Global Guideline Radiation protection 2 Contents 1 Introduction 2 Radiation in gastroenterology 3 Effects of radiation 4 Radiation protection for staff and patients 5 Cascades management options taking available resources into account 6 Special circumstances 7 Appendix radiation quantities and units 8 References World Gastroenterology Organisation 2009 WGO Global Guideline Radiation protection 3 1 Introduction Ionizing radiation is used in medicine for both diagnosis and therapy. Most gastroenterologists are familiar with the use of radiographic methods for diagnosing gastrointestinal tract abnormalities evaluating solid organs in the abdomen and for assistance in placing therapeutic devices. It is essential to establish the appropriate indication for the use of radiation in all circumstances in order to avoid unnecessary exposure of patients and staff to potentially harmful radiation. Therapeutic uses for radiation are beyond the scope of this guideline. 2 Radiation in gastroenterology The use of ionizing radiation in gastroenterology is currently going through a transitional period. In the past gastroenterologists carried out a variety of interventions involving radiation exposure including gastrointestinal radiography placement of small-bowel biopsy tubes esophageal dilation and assistance with colonoscopy as well as diagnostic and therapeutic procedures on the pancreaticobiliary system during endoscopic retrograde cholangiopancreatography ERCP . Most exposure to x-rays in gastroenterology is currently due to ERCP luminal stent placement and dilation. Gastroenterologists who are involved in ERCP procedures