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Scopy uses X-rays and is not without risk (deterministic and stochastic effects) for the patient and the nursing staff present in the room at the time of an endoscopic procedure requiring its use: its use must be reasoned with a benefit/risk balance in favour of carrying out the interventional procedure. In France, there is currently no multicentre study exploring the radiation doses used for each type of endoscopic procedure.
Main objective: To define IRL (interventional reference levels) adapted to each type of endoscopic procedure.
Secondary objective(s) :
Prospective data collection using an e-CRF available via Easymedstat. Data completed during the endoscopy procedure Completion of a questionnaire by the practitioner who performed the procedure afterwards, including the scopy doses used during the procedure, the type of scopy, the type of intention-to-treat
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| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| ERCP | Procedure | ERCP of the biliary duct ou the pancreatic duct, with or without the use of a stent, in a context of gallstone or tumor or other |
| |
| endoscopic ultrasound | Procedure | The use of endoscopic ultrasound in diverse situation with the necessity of using X rays |
| |
| gastroscopy | Procedure | The diverse procedure in witch scopy is use in orders to place or switch or remove an oesophageal or gastroduodenal stent during a gastroscopy. Or for oesophageal or gastroduodenal dilatation. |
| Measure | Description | Time Frame |
|---|---|---|
| To define IRL (interventional reference levels) adapted to each type of endoscopic procedure. | IRL is the mean for all endoscopic procedure using scopy, it is calculated by multiplying the PDS in Gy.cm2 with the time during witch the patient as been expose to Xrays during the procedure | From enrollment to the end of data collection at 3 months |
| Measure | Description | Time Frame |
|---|---|---|
| Application of regulatory texts | yes or no variable : the good delivery of information to the patient about the use of X rays during the procedure ;up-to-date radiation protection training for staff; up-to-date radiation protection training for patient | From enrollment to the end of data collection at 3 months |
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Inclusion Criteria:
Exclusion Criteria:
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All patients who have received an X-ray dose during an endoscopic procedure on one of the 22 private or public hopsitals in France.
| Name | Role | Phone | Extension | |
|---|---|---|---|---|
| CHEVAUX Doctor CHEVAUX Jean-Baptiste, PhD | Contact | +33 3 83 15 41 49 | jb.chevaux@chru-nancy.fr |
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| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Hospital University of Nancy | Nancy | Meurthe-et-Moselle | 54000 | France |
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| ID | Term |
|---|---|
| D002760 | Cholangiopancreatography, Endoscopic Retrograde |
| D001706 | Biopsy |
| D061765 | Endoscopic Ultrasound-Guided Fine Needle Aspiration |
| D005773 | Gastroscopy |
| D003113 | Colonoscopy |
| D004106 | Dilatation |
| ID | Term |
|---|---|
| D002758 | Cholangiography |
| D011860 | Radiography, Abdominal |
| D011859 | Radiography |
| D003952 | Diagnostic Imaging |
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| Colonoscopy | Procedure | The diverse procedure in witch scopy is use during a colonoscopy |
|
| placement of a nasojejunal tube | Procedure | placement of a nasojejunal tube for enteral nutritional support |
| Assessment of patient radiation protection |
yes or no variable : optimising X-ray doses |
| From enrollment to the end of data collection at 3 months |
| Radiation protection assessment for workers | yes or no variable : Wearing ACTIVE and/or PASSIVE dosimeters in accordance with regulations; Wearing personal protective equipment | From enrollment to the end of data collection at 3 months |
| D019937 |
| Diagnostic Techniques and Procedures |
| D003933 | Diagnosis |
| D003938 | Diagnostic Techniques, Digestive System |
| D016145 | Endoscopy, Digestive System |
| D004724 | Endoscopy |
| D003949 | Diagnostic Techniques, Surgical |
| D013505 | Digestive System Surgical Procedures |
| D013514 | Surgical Procedures, Operative |
| D019060 | Minimally Invasive Surgical Procedures |
| D003581 | Cytodiagnosis |
| D003584 | Cytological Techniques |
| D019411 | Clinical Laboratory Techniques |
| D013048 | Specimen Handling |
| D008919 | Investigative Techniques |
| D044963 | Biopsy, Fine-Needle |
| D001707 | Biopsy, Needle |
| D061705 | Image-Guided Biopsy |
| D018084 | Ultrasonography, Interventional |
| D014463 | Ultrasonography |
| D016099 | Endoscopy, Gastrointestinal |