Musculoskeletal Injuries among ERCP Endoscopists in Canada

Abstract

Physicians who perform ERCP develop musculoskeletal injuries and are interested in learning about risk factor modification.

Procedure-related musculoskeletal symptoms in gastrointestinal endoscopists in Korea

“…The prevalence of MSD observed in the present study is higher than that noted in previous reports by other groups [13,14] . One possible explanation is that the endoscopic workload of the doctors in the present study the symptoms in the present study were endoscopyrelated.…”

“…However, there are very few studies on MSD in gastrointestinal endoscopists. The incidence of musculoskeletal injuries has been variously reported from as low as 13% for neck pain [13] to as high as 57% for back pain [14] . To the best of our knowledge, a detailed study in endoscopists' on the severity of musculoskeletal symptoms, symptom-related risk factors, and doctor's response to their own symptoms has not been performed in eastern countries.…”

The Perception of Gastroenterology Fellows towards the Relationship between Hand Size and Endoscopic Training

“…Trainees, especially those with smaller hands, may benefit by the introduction of this new design early in their careers as it theoretically may permit easier endoscope manipulation, quicker learning and mastery of endoscopic techniques, and possibly prevent some of the repetitivemotion injuries that occur during the first 3 years of intensive endoscopic experience [19,20]. Prospective studies assessing the potential benefits of these endoscopes in the training setting would be worthwhile and help to support the results of this study.…”

Minimizing occupational hazards in endoscopy: personal protective equipment, radiation safety, and ergonomics

“…Surveybased studies have estimated a prevalence of musculoskeletal symptoms ranging from 37% to 89%. [25][26][27][28][29][30][31][32] Pain in the thumb, hands, neck, and back were most commonly reported, 25,27-31 and, not surprisingly, the risk of injury seems to be related to procedure volume. 25,29,30,32 Potential mechanisms of injury include the repetition, potentially high forces, and sustained awkward postures associated with GI endoscopy.…”

“…Furthermore, the ERCP operator is burdened with an increase in static load on the neck, shoulders, and back because of the use of lead aprons, which can weigh as much as 9.1 kg and can apply a load of approximately 2068 kPa (300 lb per square inch) in the intervertebral disc space. 31 The use of lead aprons has not been systematically studied in ERCP, but a 2-piece lead apron offers a theoretical advantage because the load can be more evenly distributed between the spine and pelvis. 40 Similarly, echoendoscopes may be associated with increased rates of overuse injury.…”