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Review
. 2018 Jul-Aug;31(4):448-455.
doi: 10.20524/aog.2018.0265. Epub 2018 Apr 27.

Occupation-associated health hazards for the gastroenterologist/endoscopist

Emmanuel Ofori  1 , Daryl Ramai  1   2 , Febin John  1 , Madhavi Reddy  1 , Vishal Ghevariya  3
Affiliations
Review

Occupation-associated health hazards for the gastroenterologist/endoscopist

Emmanuel Ofori et al. Ann Gastroenterol. 2018 Jul-Aug.

Abstract

Advances in the field of endoscopy have allowed gastroenterologists to obtain detailed imaging of anatomical structures and to treat gastrointestinal diseases with endoscopic therapies. However, these technological developments have exposed endoscopists and staff to hazards such as musculoskeletal injuries, exposure to infectious agents, and ionizing radiation. We aimed to review the occupational hazards for the gastroenterologist and endoscopist. Using PubMed, Medline, Medscape, and Google Scholar, we identified peer-reviewed articles with the keywords "occupational hazards," "health hazards," "occupational health hazards," "endoscopy," "gastroenterologist," "infectious agents," "musculoskeletal injuries," and "radiation." Strategies for reducing exposure to infectious agents, radiation, and the risk of musculoskeletal injuries related to gastroenterology include compliance with established standard measures, the use of thyroid shields and radioprotective eyewear, and ergonomic practices. We conclude that educating endoscopic personnel and trainees in these practices, in addition to further research in these areas, will likely lead to the development of more efficient and user-friendly workspaces that are safer for patients and personnel.

Keywords: Occupational hazards; endoscopy; gastroenterologist; health hazards; infectious agents; musculoskeletal injuries; occupational health hazards; radiation.

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Figures

Figure 1
Figure 1
Schematic representation of a monitor located directly in front of the endoscopist, with the height of the patient table adjusted to reduce strain on the arms, back and neck
Figure 2
Figure 2
Left-hand shaft grip frees the right hand to assist the left thumb with dial control in maneuvering sharp turns or difficult polypectomies while limiting excessive torqueing
Figure 3
Figure 3
Gastroenterologist wearing protective personal equipment while standing (A) or sitting (B) during endoscopic procedures
Figure 4
Figure 4
Use of protective equipment to reduce radiation exposure using thyroid shield, lead body apron, and radioprotective eyeglasses (not shown here)
See this image and copyright information in PMC

References

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