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ERCP를 시작하는 의사가 알아야 할 ERCP 시술실 꾸미기 KCI 등재 SCOPUS

ERCP Room Setting: What Doctors Starting ERCP Need to Know

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대한췌담도학회지 (Korean Journal of Pancreas and Biliary Tract)
대한췌장담도학회(구 대한췌담도학회) (Korea PancreatoBiliary Association)
초록

To date, there is no standardization of the endoscopi c retrograde cholangiopancreatography (ERCP) room setting regarding with the size, equipment or space arrangement. Therefore, the authors visited 11 tertiary hospitals that recently remodeled or newly designed the ERCP room to analyze and identify their advantages and disadvantages. The ERCP room should have enough space for equipments including fluoroscopy, endoscopy, electrosurgical unit, preparation table and for patient movement. The EUS room does not require an independent space unless it is a very large scale hospital, and the ERCP room can be shared. Considering the pros and cons of each equipment, adequate fluoroscopic device should be selected depending on the hospital circumstance. Expensive equipment for X-ray fluoroscopy system is not necessarily good, and it is necessary to install equipment suitable for each hospital situation by understanding the advantages and disadvantages of fluoroscopy. For prevention of ERCP-related radiation hazard, both endoscopist and assistants should wear radiation-blocking apron, thyroid protectors, and lead glasses. Furthermore, a shield that can block radiation between the endoscopist and the patient should be installed to protect high-energy scattered waves. One-way direction should be designed to prevent cross infection when moving the endoscopic equipment from the ERCP to the cleaning room. If possible, it is recommended to keep a cardiopulmonary resuscitation cart in the ERCP room.

목차
서 론
본 론
    1. ERCP unit의 구성
    2. ERCP 검사실 장비
    3. 방사선 보호장비 및 차폐막
    4. ERCP 시술실 인력
    5. 기타
결 론
REFERENCES
저자
  • 이엄석(충남대학교 의과대학 내과학교실) | Eaum Seok Lee (Department of Internal Medicine, Chungnam National University College of Medicine)
  • 전형구(원광대학교 의과대학 내과학교실) | Hyung Ku Chon (Department of Internal Medicine, Wonkwang University School of Medicine)
  • 박주상(분당제생병원 소화기내과) | Ju Sang Park (Division of Gastroenterology, Department of Internal Medicine, Bundang Jesaeng General Hospital)
  • 이선영(이화여자대학교 의과대학 내과학교실) | Sun Young Yi (Department of Internal Medicine, Ewha Womans University School of Medicine)
  • 이동욱(대구가톨릭대학교 의과대학 내과학교실) | Dong Wook Lee (Department of Internal Medicine, Daegu Catholic University School of Medicine)
  • 박창환(전남대학교 의과대학 내과학교실) | Chang-Hwan Park (Department of Internal Medicine, Chonnam National University Medical School)
  • 조광범(계명대학교 의과대학 동산의료원 내과) | Kwang Bum Cho (Department of Internal Medicine, Keimyung University Dongsan Medical Center, Keimyung University School of Medicine) Corresponding author
  • 대한췌장담도학회 정책·질관리위원회