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Radiation exposure during modern therapeutic endoscopic ultrasound procedures and standard alternatives.


ABSTRACT: Background and study aims  Therapeutic EUS (t-EUS) is increasingly being adopted in clinical practice in tertiary referral centers; however, little is known about radiation exposure (RE) metrics and diagnostic reference limits for it. Methods  Kerma-area product (KAP [Gy·cm 2 ]), Air Kerma and fluoroscopy time were retrospectively evaluated for all consecutive t-EUS procedures performed in San Raffaele Institute between 2019 and 2021. For EUS-guided choledochoduodenostomies (EUS-CDS) and gastroenterostomies (EUS-GE), an equal number of endoscopic retrograde cholangiopancreatographies (ERCPs) plus metal stenting and duodenal stents were included respectively for comparison. Results  Data from 141 t-EUS procedures were retrieved (49 % pancreatic cancer, 38 % p

SUBMITTER: Vanella G 

PROVIDER: S-EPMC9558486 | biostudies-literature | 2022 Aug

REPOSITORIES: biostudies-literature