Fetal radiation exposure: Is monitoring really needed?
The effect of fetal radiation during endoscopic retrograde cholangiopancreatography (ERCP) on pregnant women is a very interesting topic. Smith et al recently estimated the fetal radiation exposure in pregnant women undergoing ERCPs using thermoluminescent dosimeters (TLDs). The authors concluded that TLDs are unnecessary during ERCP with modified techniques. We believe that an extreme caution is needed in clinical practice before drawing such conclusions when they are not strongly supported by enough experimental evidence. Therefore, we recommend that fetal radiation exposure be monitored in clinical practice by using dosimeters, bearing in mind that all relevant techniques to control and minimize the exposure must be applied.
Milena Di Leo, Paolo Giorgio Arcidiacono, Endoscopy Unit, Gastroenterology and Gastrointestinal Endoscopy Unit, Vita Salute San Raffaele University, San Raffaele Scientific Institute, 20132 Milano, Italy.
Milena
M
Di Leo
Paolo Giorgio
PG
Arcidiacono
Endoscopic retrograde cholangiopancreatography; Fetal radiation exposure; Post-endoscopic retrograde cholangio-pancreatography pancreatitis; Pregnancy; Thermoluminescent dosimeters