Managing radiation safety and protection in gastroenterology in Japan: insights from the REX-GI study.

J Gastroenterol

Department of Radiology, Kindai University, Faculty of Medicine, Osaka-Sayama, Osaka, Japan.

Published: June 2024

AI Article Synopsis

  • Fluoroscopy-guided procedures in gastroenterology, such as stenting and endoscopy, are vital for effective diagnosis and treatment but involve radiation exposure that requires safety precautions.
  • Japan's April 2020 regulation update significantly lowered the lens exposure dose limit for medical personnel, emphasizing the urgent need for enhanced safety protocols.
  • The review explores the current landscape of medical radiation exposure in Japanese gastroenterology and presents insights from the REX-GI study on the implications of these regulations.

Article Abstract

Fluoroscopy-guided gastrointestinal procedures, including gastrointestinal stenting, balloon-assisted endoscopy (BAE), endoscopic retrograde cholangiopancreatography (ERCP), and endoscopic ultrasound (EUS), are essential for diagnosis and treatment in gastroenterology. Such procedures involve radiation exposure that necessitates strict safety measures to protect patients, doctors, and medical staff. The April 2020 update to Japan's Ionizing Radiation Injury Prevention Regulations for occupational exposure reduced the lens exposure dose limit to approximately one-seventh of its previous level. This change highlights the need for improved safety protocols. Without adaptation, the sustainability of fluoroscopy-based endoscopic techniques could be at risk due to the potential to exceed these new limits. This review examines the current state of medical radiation exposure in the field of gastroenterology in Japan and discusses the findings of the REX-GI study.

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Source
http://dx.doi.org/10.1007/s00535-024-02106-xDOI Listing

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