Academic Journal
View in EDS
Linked Full Text

Medical radiation exposure during gastrointestinal enteral metallic stent placement: Post hoc analysis of the REX‐GI study

Bibliographic Details
Title: Medical radiation exposure during gastrointestinal enteral metallic stent placement: Post hoc analysis of the REX‐GI study
Authors: Junki Tokura, Toshiyuki Yoshio, Shiro Hayashi, Masashi Yamamoto, Satoshi Asai, Takayuki Yakushijin, Kenji Ikezawa, Koji Nagaike, Tadayuki Takagi, Toshio Fujisawa, Takuya Yamada, Hidetaka Tsumura, Iruru Maetani, Yasuki Hori, Hideyuki Ihara, Kazuhiro Matsunaga, Toshio Kuwai, Yukiko Ito, Kenkei Hasatani, Yoriaki Komeda, Akira Kurita, Shinjiro Yamaguchi, Hirotsugu Maruyama, Takuji Iwashita, Mamoru Takenaka, Makoto Hosono, Tsutomu Nishida
Source: JGH Open, Vol 7, Iss 12, Pp 869-874 (2023)
Publisher Information: Wiley, 2023.
Publication Year: 2023
Collection: LCC:Diseases of the digestive system. Gastroenterology
Subject Terms: diagnostic reference level, enteral metallic stent placement, fluoroscopy, gastrointestinal stenosis, radiation exposure, Diseases of the digestive system. Gastroenterology, RC799-869
More Details: Abstract Background and Aim Recently, the use of various endoscopic procedures performed under X‐ray fluoroscopy guidance has increased. With the popularization of such procedures, diagnostic reference levels (DRLs) have been widely accepted as the global standard for various procedures with ionizing radiation. The Radiation Exposure from Gastrointestinal Fluoroscopic Procedures (REX‐GI) study aimed to prospectively collect actual radiation exposure (RE) data and establish DRLs in gastrointestinal endoscopy units. In this post hoc analysis of the REX‐GI study, we established DRLs for each disease site by analyzing cases of gastrointestinal enteral metallic stent placement. Methods The REX‐GI study was a multicenter, prospective observational study conducted to collect actual RE data during gastrointestinal enteral metallic stent placement. To establish DRL values for three disease sites, namely the esophagus, gastroduodenum, and colon, we examined fluoroscopy time (FT; min), number of X‐ray images, air kerma at the patient entrance reference point (Ka,r; mGy), and the air kerma–area product (PKA; Gy cm2) during enteral metallic stent placement. Results Five‐hundred and twenty‐three stenting procedures were performed. The DRL values of FT (min) and the number of X‐ray images for the esophagus/gastroduodenum/colon were 9/16/18 min and 9/15/11 min, respectively. Furthermore, the DRL values of Ka,r and PKA for each disease site were 43.3/120/124 mGy and 10.3/36.6/48.4 Gy cm2, respectively. Among the procedures, esophageal stents were significantly associated with the lowest values (P
Document Type: article
File Description: electronic resource
Language: English
ISSN: 2397-9070
Relation: https://doaj.org/toc/2397-9070
DOI: 10.1002/jgh3.12993
Access URL: https://doaj.org/article/960054c2fe3a4b3bb38c47be5d8c69e5
Accession Number: edsdoj.960054c2fe3a4b3bb38c47be5d8c69e5
Database: Directory of Open Access Journals
FullText Links:
  – Type: other
    Url: https://resolver.ebsco.com:443/public/rma-ftfapi/ejs/direct?AccessToken=4DD3B45823FA56FFF055&Show=Object
Text:
  Availability: 0
CustomLinks:
  – Url: https://resolver.ebsco.com/c/xy5jbn/result?sid=EBSCO:edsdoj&genre=article&issn=23979070&ISBN=&volume=7&issue=12&date=20231201&spage=869&pages=869-874&title=JGH Open&atitle=Medical%20radiation%20exposure%20during%20gastrointestinal%20enteral%20metallic%20stent%20placement%3A%20Post%20hoc%20analysis%20of%20the%20REX%E2%80%90GI%20study&aulast=Junki%20Tokura&id=DOI:10.1002/jgh3.12993
    Name: Full Text Finder (for New FTF UI) (s8985755)
    Category: fullText
    Text: Find It @ SCU Libraries
    MouseOverText: Find It @ SCU Libraries
  – Url: https://doaj.org/article/960054c2fe3a4b3bb38c47be5d8c69e5
    Name: EDS - DOAJ (s8985755)
    Category: fullText
    Text: View record from DOAJ
    MouseOverText: View record from DOAJ
Header DbId: edsdoj
DbLabel: Directory of Open Access Journals
An: edsdoj.960054c2fe3a4b3bb38c47be5d8c69e5
RelevancyScore: 1008
AccessLevel: 3
PubType: Academic Journal
PubTypeId: academicJournal
PreciseRelevancyScore: 1008.169921875
IllustrationInfo
Items – Name: Title
  Label: Title
  Group: Ti
  Data: Medical radiation exposure during gastrointestinal enteral metallic stent placement: Post hoc analysis of the REX‐GI study
– Name: Author
  Label: Authors
  Group: Au
  Data: <searchLink fieldCode="AR" term="%22Junki+Tokura%22">Junki Tokura</searchLink><br /><searchLink fieldCode="AR" term="%22Toshiyuki+Yoshio%22">Toshiyuki Yoshio</searchLink><br /><searchLink fieldCode="AR" term="%22Shiro+Hayashi%22">Shiro Hayashi</searchLink><br /><searchLink fieldCode="AR" term="%22Masashi+Yamamoto%22">Masashi Yamamoto</searchLink><br /><searchLink fieldCode="AR" term="%22Satoshi+Asai%22">Satoshi Asai</searchLink><br /><searchLink fieldCode="AR" term="%22Takayuki+Yakushijin%22">Takayuki Yakushijin</searchLink><br /><searchLink fieldCode="AR" term="%22Kenji+Ikezawa%22">Kenji Ikezawa</searchLink><br /><searchLink fieldCode="AR" term="%22Koji+Nagaike%22">Koji Nagaike</searchLink><br /><searchLink fieldCode="AR" term="%22Tadayuki+Takagi%22">Tadayuki Takagi</searchLink><br /><searchLink fieldCode="AR" term="%22Toshio+Fujisawa%22">Toshio Fujisawa</searchLink><br /><searchLink fieldCode="AR" term="%22Takuya+Yamada%22">Takuya Yamada</searchLink><br /><searchLink fieldCode="AR" term="%22Hidetaka+Tsumura%22">Hidetaka Tsumura</searchLink><br /><searchLink fieldCode="AR" term="%22Iruru+Maetani%22">Iruru Maetani</searchLink><br /><searchLink fieldCode="AR" term="%22Yasuki+Hori%22">Yasuki Hori</searchLink><br /><searchLink fieldCode="AR" term="%22Hideyuki+Ihara%22">Hideyuki Ihara</searchLink><br /><searchLink fieldCode="AR" term="%22Kazuhiro+Matsunaga%22">Kazuhiro Matsunaga</searchLink><br /><searchLink fieldCode="AR" term="%22Toshio+Kuwai%22">Toshio Kuwai</searchLink><br /><searchLink fieldCode="AR" term="%22Yukiko+Ito%22">Yukiko Ito</searchLink><br /><searchLink fieldCode="AR" term="%22Kenkei+Hasatani%22">Kenkei Hasatani</searchLink><br /><searchLink fieldCode="AR" term="%22Yoriaki+Komeda%22">Yoriaki Komeda</searchLink><br /><searchLink fieldCode="AR" term="%22Akira+Kurita%22">Akira Kurita</searchLink><br /><searchLink fieldCode="AR" term="%22Shinjiro+Yamaguchi%22">Shinjiro Yamaguchi</searchLink><br /><searchLink fieldCode="AR" term="%22Hirotsugu+Maruyama%22">Hirotsugu Maruyama</searchLink><br /><searchLink fieldCode="AR" term="%22Takuji+Iwashita%22">Takuji Iwashita</searchLink><br /><searchLink fieldCode="AR" term="%22Mamoru+Takenaka%22">Mamoru Takenaka</searchLink><br /><searchLink fieldCode="AR" term="%22Makoto+Hosono%22">Makoto Hosono</searchLink><br /><searchLink fieldCode="AR" term="%22Tsutomu+Nishida%22">Tsutomu Nishida</searchLink>
– Name: TitleSource
  Label: Source
  Group: Src
  Data: JGH Open, Vol 7, Iss 12, Pp 869-874 (2023)
– Name: Publisher
  Label: Publisher Information
  Group: PubInfo
  Data: Wiley, 2023.
– Name: DatePubCY
  Label: Publication Year
  Group: Date
  Data: 2023
– Name: Subset
  Label: Collection
  Group: HoldingsInfo
  Data: LCC:Diseases of the digestive system. Gastroenterology
– Name: Subject
  Label: Subject Terms
  Group: Su
  Data: <searchLink fieldCode="DE" term="%22diagnostic+reference+level%22">diagnostic reference level</searchLink><br /><searchLink fieldCode="DE" term="%22enteral+metallic+stent+placement%22">enteral metallic stent placement</searchLink><br /><searchLink fieldCode="DE" term="%22fluoroscopy%22">fluoroscopy</searchLink><br /><searchLink fieldCode="DE" term="%22gastrointestinal+stenosis%22">gastrointestinal stenosis</searchLink><br /><searchLink fieldCode="DE" term="%22radiation+exposure%22">radiation exposure</searchLink><br /><searchLink fieldCode="DE" term="%22Diseases+of+the+digestive+system%2E+Gastroenterology%22">Diseases of the digestive system. Gastroenterology</searchLink><br /><searchLink fieldCode="DE" term="%22RC799-869%22">RC799-869</searchLink>
– Name: Abstract
  Label: Description
  Group: Ab
  Data: Abstract Background and Aim Recently, the use of various endoscopic procedures performed under X‐ray fluoroscopy guidance has increased. With the popularization of such procedures, diagnostic reference levels (DRLs) have been widely accepted as the global standard for various procedures with ionizing radiation. The Radiation Exposure from Gastrointestinal Fluoroscopic Procedures (REX‐GI) study aimed to prospectively collect actual radiation exposure (RE) data and establish DRLs in gastrointestinal endoscopy units. In this post hoc analysis of the REX‐GI study, we established DRLs for each disease site by analyzing cases of gastrointestinal enteral metallic stent placement. Methods The REX‐GI study was a multicenter, prospective observational study conducted to collect actual RE data during gastrointestinal enteral metallic stent placement. To establish DRL values for three disease sites, namely the esophagus, gastroduodenum, and colon, we examined fluoroscopy time (FT; min), number of X‐ray images, air kerma at the patient entrance reference point (Ka,r; mGy), and the air kerma–area product (PKA; Gy cm2) during enteral metallic stent placement. Results Five‐hundred and twenty‐three stenting procedures were performed. The DRL values of FT (min) and the number of X‐ray images for the esophagus/gastroduodenum/colon were 9/16/18 min and 9/15/11 min, respectively. Furthermore, the DRL values of Ka,r and PKA for each disease site were 43.3/120/124 mGy and 10.3/36.6/48.4 Gy cm2, respectively. Among the procedures, esophageal stents were significantly associated with the lowest values (P
– Name: TypeDocument
  Label: Document Type
  Group: TypDoc
  Data: article
– Name: Format
  Label: File Description
  Group: SrcInfo
  Data: electronic resource
– Name: Language
  Label: Language
  Group: Lang
  Data: English
– Name: ISSN
  Label: ISSN
  Group: ISSN
  Data: 2397-9070
– Name: NoteTitleSource
  Label: Relation
  Group: SrcInfo
  Data: https://doaj.org/toc/2397-9070
– Name: DOI
  Label: DOI
  Group: ID
  Data: 10.1002/jgh3.12993
– Name: URL
  Label: Access URL
  Group: URL
  Data: <link linkTarget="URL" linkTerm="https://doaj.org/article/960054c2fe3a4b3bb38c47be5d8c69e5" linkWindow="_blank">https://doaj.org/article/960054c2fe3a4b3bb38c47be5d8c69e5</link>
– Name: AN
  Label: Accession Number
  Group: ID
  Data: edsdoj.960054c2fe3a4b3bb38c47be5d8c69e5
PLink https://login.libproxy.scu.edu/login?url=https://search.ebscohost.com/login.aspx?direct=true&site=eds-live&scope=site&db=edsdoj&AN=edsdoj.960054c2fe3a4b3bb38c47be5d8c69e5
RecordInfo BibRecord:
  BibEntity:
    Identifiers:
      – Type: doi
        Value: 10.1002/jgh3.12993
    Languages:
      – Text: English
    PhysicalDescription:
      Pagination:
        PageCount: 6
        StartPage: 869
    Subjects:
      – SubjectFull: diagnostic reference level
        Type: general
      – SubjectFull: enteral metallic stent placement
        Type: general
      – SubjectFull: fluoroscopy
        Type: general
      – SubjectFull: gastrointestinal stenosis
        Type: general
      – SubjectFull: radiation exposure
        Type: general
      – SubjectFull: Diseases of the digestive system. Gastroenterology
        Type: general
      – SubjectFull: RC799-869
        Type: general
    Titles:
      – TitleFull: Medical radiation exposure during gastrointestinal enteral metallic stent placement: Post hoc analysis of the REX‐GI study
        Type: main
  BibRelationships:
    HasContributorRelationships:
      – PersonEntity:
          Name:
            NameFull: Junki Tokura
      – PersonEntity:
          Name:
            NameFull: Toshiyuki Yoshio
      – PersonEntity:
          Name:
            NameFull: Shiro Hayashi
      – PersonEntity:
          Name:
            NameFull: Masashi Yamamoto
      – PersonEntity:
          Name:
            NameFull: Satoshi Asai
      – PersonEntity:
          Name:
            NameFull: Takayuki Yakushijin
      – PersonEntity:
          Name:
            NameFull: Kenji Ikezawa
      – PersonEntity:
          Name:
            NameFull: Koji Nagaike
      – PersonEntity:
          Name:
            NameFull: Tadayuki Takagi
      – PersonEntity:
          Name:
            NameFull: Toshio Fujisawa
      – PersonEntity:
          Name:
            NameFull: Takuya Yamada
      – PersonEntity:
          Name:
            NameFull: Hidetaka Tsumura
      – PersonEntity:
          Name:
            NameFull: Iruru Maetani
      – PersonEntity:
          Name:
            NameFull: Yasuki Hori
      – PersonEntity:
          Name:
            NameFull: Hideyuki Ihara
      – PersonEntity:
          Name:
            NameFull: Kazuhiro Matsunaga
      – PersonEntity:
          Name:
            NameFull: Toshio Kuwai
      – PersonEntity:
          Name:
            NameFull: Yukiko Ito
      – PersonEntity:
          Name:
            NameFull: Kenkei Hasatani
      – PersonEntity:
          Name:
            NameFull: Yoriaki Komeda
      – PersonEntity:
          Name:
            NameFull: Akira Kurita
      – PersonEntity:
          Name:
            NameFull: Shinjiro Yamaguchi
      – PersonEntity:
          Name:
            NameFull: Hirotsugu Maruyama
      – PersonEntity:
          Name:
            NameFull: Takuji Iwashita
      – PersonEntity:
          Name:
            NameFull: Mamoru Takenaka
      – PersonEntity:
          Name:
            NameFull: Makoto Hosono
      – PersonEntity:
          Name:
            NameFull: Tsutomu Nishida
    IsPartOfRelationships:
      – BibEntity:
          Dates:
            – D: 01
              M: 12
              Type: published
              Y: 2023
          Identifiers:
            – Type: issn-print
              Value: 23979070
          Numbering:
            – Type: volume
              Value: 7
            – Type: issue
              Value: 12
          Titles:
            – TitleFull: JGH Open
              Type: main
ResultId 1