Carbon Dioxide Insufflation in Endoscopic Submucosal Dissection: Is It an Urgent Need?

Bang, Chang Seok; Baik, Gwang Ho

doi:10.5946/ce.2017.127

Cited by 2 publications

(2 citation statements)

References 13 publications

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“…Distension of the intestinal lumen is essential to ensure adequate visibility and secure the space required for a safe procedure. [22] A large amount of gas from the endoscopic device is insufflated during procedures. [22] Room air is the most commonly used material during diagnostic or therapeutic endoscopic procedures; however, expelled gas from patients during or after the procedure is presumed to be a mixture of insufflated gas by endoscopic devices and patients’ gastrointestinal gas containing numerous microorganisms.…”

Section: Discussionmentioning

confidence: 99%

“…[22] A large amount of gas from the endoscopic device is insufflated during procedures. [22] Room air is the most commonly used material during diagnostic or therapeutic endoscopic procedures; however, expelled gas from patients during or after the procedure is presumed to be a mixture of insufflated gas by endoscopic devices and patients’ gastrointestinal gas containing numerous microorganisms. Moreover, therapeutic endoscopic procedures including endoscopic mucosal resection or endoscopic submucosal dissection of gastrointestinal neoplasm using electrocoagulation devices, which could lead to development of carbonated gas in the tissue, have been increasingly performed with the recent advancement in endoscopic skills and expertise.…”

Section: Discussionmentioning

confidence: 99%

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Ambient air pollution in gastrointestinal endoscopy unit; rationale and design of a prospective study

Bang¹,

Lee

Choi³

et al. 2018

Medicine

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Background: A gastrointestinal endoscopy unit is frequently exposed to gastrointestinal gas expelled from patients and electrocoagulated tissue through carbonation for the treatment of gastrointestinal neoplasms or hemostasis of gastrointestinal bleeding. This can be potentially harmful to the health of not only the healthcare personnel but also patients who undergo endoscopic examinations. However, there has been scarce data on air quality in the endoscopy unit. This study aimed to measure the air quality in the gastrointestinal endoscopy unit. Methods: This is a prospective study using conventional portable passive air quality monitoring sensors in the gastrointestinal endoscopy unit. We will check the 6 main indoor air quality indices, as well as the atmospheric temperature, pressure, and humidity in the endoscopy unit of a single hospital in Korea. These indices are as follows: carbon dioxide (CO 2 ), total volatile organic compounds (VOCs), particulate matter that has a diameter of <2.5 μm, nitrogen dioxide (NO 2) , carbon monoxide (CO), and ozone. The indices will be checked in the endoscopy unit, including the procedural area, recovery area, and area for disinfection and cleansing of equipment, at 1-minute intervals for at least 1 week, and the type and number of endoscopic procedures will also be recorded. The primary outcome of this study is to determine whether the air quality indices exceed safety thresholds and whether there is any association between ambient air pollution and the type and number of endoscopic procedures. Conclusion: The results of this study will provide evidence for health-related protective strategies for medical practitioners and patients in the endoscopy unit.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%