Defining Standards for Fluoroscopy in Gastrointestinal Endoscopy using a Delphi Methodology
Creators: name: Im, Melanie
name: van Hooft, Jeanin E.
name: Drake, Heather
name: Maselli, Roberta
name: Mokhtar, Ahmed H.
name: Alkandari, Asma
name: Adler, Douglas G
name: Pawlak, Katarzyna M.
name: Walsh, Catharine M
name: Sethi, Amrita
name: Low, Chooi Peng
name: Gholami, Reza
name: Gimpaya, Nikko
name: Hassan, Cesare
name: Fugazza, Alessandro
name: Forbes, Nauzer
name: Mosko, Jeffrey
name: Villarroel, Mariano
name: Kundra, Arjun
name: Aberin, Tricia
name: Bechara, Robert
name: Baron, Todd
name: von Renteln, Daniel
name: Tang, Raymond SY
name: Tham, Daniel
name: Sharaiha, Reem Z
name: Fujiyoshi, Yusuke
name: Redman, Jessica
name: Spadaccini, Marco
name: Kahaleh, Michel
name: Barkun, Alan
name: Na, Caleb
name: Grover, Samir C
name: Chen, Jowell Akina
name: Carrara, Silvia
name: Petersen, Bret
name: Voermans, Rogier P.
name: Calo, Natalia Soledad Causada
name: Gupta, Sunil
name: James, Paul
name: Repici, Alessandro
name: Reyes, Wayne
name: Malipatil, Sharan B.
name: Saxena, Payal
name: de Moura, Eduardo Guimarães Hourneaux
name: Weinstein, Faina
name: Khalaf, Kareem
name: Cai, Ming-Yan
name: Banavage, Dawn
name: Binda, Cecilia
name: Berzin, Tyler M.
name: Oyeleke, Ganiyat Kikelomo
name: Teshima, Christopher
name: May, Gary
name: He, Tony
name: Chen, Yen-I
name: Martin, Harry Plowden
name: Navarro, Krista
name: Myszko, Alexandra
Publisher: name: The University of North Carolina at Chapel Hill University Libraries
Year: 2024

description: Background and Study Aims The use of fluoroscopy in gastrointestinal endoscopy is an essential aid in advanced endoscopic interventions. However, it also raises concerns about radiation exposure. This study aimed to develop consensus-based statements for the safe and effective use of fluoroscopy in gastrointestinal endoscopy, prioritizing the safety and well-being of healthcare workers and patients. Methods A modified Delphi approach was employed to achieve consensus over three rounds of surveys. Proposed statements were generated in round 1. In the second round, panelists rated potential statements on a 5-point scale, with consensus defined as ≥80% agreement. Statements were subsequently prioritized in round 3, using a 1 (lowest priority) to 10 (highest priority) scale. Results Forty-six experts participated, consisting of 34 therapeutic endoscopists and 12 endoscopy nurses from six continents, with an overall 45.6% female representation (n=21). Forty-three item statements were generated in the first round. Out of these, 31 statements achieved consensus after the second round. These statements were categorized into General Considerations (n=6), Education (n=10), Pregnancy (n=4), Family Planning (n=2), Patient Safety (n=4), and Staff Safety (n=5). In the third round, accepted statements received mean priority scores ranging from 7.28 to 9.36, with 87.2% of statements rated as very high priority (mean score of ≥9). Conclusion This study presents consensus-based statements for the safe and effective use of fluoroscopy in gastrointestinal endoscopy, addressing the well-being of healthcare workers and patients. These consensus-based statements aim to mitigate the risks associated with radiation exposure while maintaining the benefits of fluoroscopy, ultimately promoting a culture of safety in healthcare settings.