Therapeutic ERCP and pregnancy: is the radiation risk for the conceptus trivial?

Gastrointestinal Endoscopy

Volumn 69, Issue 4, 2009, Pages 824-831

  Samara, Eleni T ^a   Stratakis, John ^a   Enele Melono, Jean M ^a   Mouzas, Ioannis A ^a   Perisinakis, Konstantinos ^a   Damilakis, John ^a  

^a UNIVERSITY OF CRETE   (Greece)

Author keywords

[No Author keywords available]

Indexed keywords

ADULT; AGED; ARTICLE; BODY SIZE; CLINICAL ARTICLE; COMMON BILE DUCT STONE; DOSE CALCULATION; ENDOSCOPIC RETROGRADE CHOLANGIOPANCREATOGRAPHY; FEMALE; GESTATIONAL AGE; HUMAN; MALE; MATHEMATICAL ANALYSIS; MAXIMUM ALLOWABLE CONCENTRATION; MEDICAL INSTRUMENTATION; MEDICAL PARAMETERS; MONTE CARLO METHOD; PREGNANCY; PREGNANT WOMAN; PRIORITY JOURNAL; RADIATION DOSE; RADIATION EXPOSURE; RADIATION HAZARD; SIMULATION; UNIVERSITY HOSPITAL;

CHOLANGIOPANCREATOGRAPHY, ENDOSCOPIC RETROGRADE; FEMALE; FETUS; HUMANS; PREGNANCY; RADIATION DOSAGE; RISK FACTORS;

EID: 62649159364     PISSN: 00165107     EISSN: 10976779     Source Type: Journal    
DOI: 10.1016/j.gie.2008.05.068     Document Type: Article

References (34)

1. Tham T.C., Vandervoort J., Wong R.C., et al. Safety of ERCP during pregnancy. Am J Gastroenterol 98 (2003) 308-311
2. Adler D.G., Baron T.H., Davila R.E., et al. ASGE guideline: the role of ERCP in diseases of the biliary tract and the pancreas. Gastrointest Endosc 62 (2005) 1-8
3. Campbell N., Sparrow K., Fortier M., et al. Practical radiation safety and protection for the endoscopist during ERCP. Gastrointest Endosc 55 (2002) 552-557
4. International Commission on Radiological Protection. Biological effects after prenatal irradiation (embryo and fetus). Publication 90 (2004), Pergamon, Oxford
5. International Commission on Radiological Protection. Pregnancy and medical radiation. Publication 84 (2000), Pergamon, Oxford
6. Kahaleh M., Hartwell G.D., Arseneau K.O., et al. Safety and efficacy of ERCP in pregnancy. Gastrointest Endosc 60 (2004) 287-292
7. Axelrad A.M., Fleischer D.E., Strack L.L., et al. Performance of ERCP for symptomatic choledocholithiasis during pregnancy: techniques to increase safety and improve patient management. Am J Gastroenterol 89 (1994) 109-112
8. Jamidar P.A., Beck G.J., Hoffman B.J., et al. Endoscopic retrograde cholangiopancreatography in pregnancy. Am J Gastroenterol 90 (1995) 1263-1267
9. Howden J.K., Robuck-Mangum G., Jowell P.S., et al. Endoscopic management of symptomatic choledocholithiasis (CDL) during pregnancy: safety and efficacy of endoscopic retrograde cholangiopancreatography (ERCP) and endoscopic sphincterotomy (ES). [abstract]. Gastrointest Endosc 53 (2001) AB96
10. Damilakis J., Tzedakis A., Sideri L., et al. Normalized conceptus doses for abdominal radiographic examinations calculated using a Monte Carlo technique. Med Phys 29 (2002) 2641-2648
11. Damilakis J., Stratakis J., Raissaki M., et al. Normalized dose data for upper gastrointestinal tract contrast studies performed to infants. Med Phys 33 (2006) 1033-1040
12. Stratakis J., Damilakis J., Hatzidakis A., et al. Radiation dose and risk from fluoroscopically guided percutaneous transhepatic biliary procedures. J Vasc Interv Radiol 17 (2006) 77-84
13. Stratakis J., Damilakis J., Tsetis D., et al. Radiation dose and risk from fluoroscopically guided percutaneous transluminal angioplasty and stenting in the abdominal region. Eur Radiol 17 (2007) 2359-2367
14. Damilakis J., Perisinakis K., Theocharopoulos N., et al. Anticipation of radiation dose to the conceptus from occupational exposure of pregnant staff during fluoroscopically guided electrophysiological procedures. J Cardiovasc Electrophysiol 16 (2005) 773-780
15. Boone J.M., and Seibert J.A. An accurate method for computer-generating tungsten anode x-ray spectra from 30 to 140 kV. Med Phys 24 (1997) 1661-1670
16. Eckerman K, Cristy M, Ryman J. The ORNL mathematical phantom series. Oak Ridge National Laboratory (ORNL) Report. Available at: http://homer.hsr.ornl.gov/VLab/VLabPhan.html 1986. Accessed March 31, 2008.
17. Cristy M, Eckerman KF. Specific absorbed fractions of energy at various ages from internal photon sources. I. Methods. Springfield (Va): National Technical Information Service; ORNL/TM-8381/ V 1987.
18. Stabin MG, Watson EE, Cristy M, et al. Mathematical models and specific absorbed fractions of photon energy in the non-pregnant adult female and at the end of each trimester of pregnancy. Springfield (Va): National Technical Information Service; ORNL/TM-12907 1995.
19. Theocharopoulos N., Damilakis J., Perisinakis K., et al. Fluoroscopically assisted surgical treatments of spinal disorders: conceptus radiation doses and risks. Spine 31 (2006) 239-244
20. Damilakis J., Perisinakis K., Prassopoulos P., et al. Conceptus radiation dose and risk from chest screen-film radiography. Eur Radiol 13 (2003) 406-412
21. Damilakis J., Perisinakis K., Grammatikakis J., et al. Accidental embryo irradiation during barium enema examinations: an estimation of absorbed dose. Invest Radiol 31 (1996) 242-245
22. Damilakis J., Theocharopoulos N., Perisinakis K., et al. Conceptus radiation dose and risk from cardiac catheter ablation procedures. Circulation 104 (2001) 893-897
23. Damilakis J., Perisinakis K., Voloudaki A., et al. Estimation of fetal radiation dose from computed tomography scanning in late pregnancy: depth-dose data from routine examinations. Invest Radiol 35 (2000) 527-533
24. National Radiological Protection Board: College of Radiographers, Royal College of Radiologists: Diagnostic Medical Exposures: Advice on Exposure to Ionizing Radiation During Pregnancy. Doc NRPB (1998), NRPB, Chilton, UK
25. Groves A.M., Yates S.J., Win T., et al. CT pulmonary angiography versus ventilation-perfusion scintigraphy in pregnancy: implications from a UK survey of doctors' knowledge of radiation exposure. Radiology 240 (2006) 765-770
26. Ratnapalan S., Bona N., Chandra K., et al. Physicians' perceptions of teratogenic risk associated with radiography and CT during early pregnancy. AJR Am J Roentgenol 182 (2004) 1107-1109
27. Wagner L.K., Lester R.G., and Saldana L.R. Exposure of the pregnant patient to diagnostic radiations. 2nd ed (1997), Medical Physics, Madison (Wis) p. 43-76
28. Uradomo L.T., Goldberg E.M., and Darwin P.E. Time-limited fluoroscopy to reduce radiation exposure during ERCP: a prospective randomized trial. Gastrointest Endosc 66 (2007) 84-89
29. Tsalafoutas I.A., Paraskeva K.D., Yakoumakis E.N., et al. Radiation doses to patients from endoscopic retrograde cholangiopancreatography examinations and image quality considerations. Radiat Prot Dosimetry 106 (2003) 241-246
30. Larkin C.J., Workman A., Wright R.E., et al. Radiation doses to patients during ERCP. Gastrointest Endosc 53 (2001) 161-164
31. Brambilla M., Marano G., Dominietto M., et al. Patient radiation doses and references levels in interventional radiology. Radiol Med (Torino) 107 (2004) 408-418
32. National Research Council. Health effects exposure to low levels of ionizing radiation. BEIR V (1990), National Academy Press, Washington, DC
33. Hall E.J. Hereditary effects of radiation. In: Hall E.J. (Ed). Radiobiology for the radiologist (1994), JB Lippincott, Philadelphia 363-378
34. Shelton J., Linder J.D., Rivera-Alsina M.E., et al. Commitment, confirmation, and clearance: new techniques for non-radiation ERCP during pregnancy (with videos). Gastrointest Endosc 67 2 (2008) 364-368