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Related Experiment Videos

Injuries sustained by colorectal surgeons performing colonoscopy.

A S Liberman1, I Shrier, P H Gordon

  • 1Division of Colorectal Surgery, Lady Davis Institute for Medical Research, Sir Mortimer B. Davis, Jewish General Hospital, McGill University, 3755 Cote Ste Catherine Road, Montreal, Quebec.

Surgical Endoscopy
|October 14, 2005
PubMed
Summary

Physicians performing colonoscopy frequently experience hand, neck, and back injuries. Implementing ergonomic adjustments and proper positioning can help prevent these work-related injuries.

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Area of Science:

  • Medical research
  • Occupational health
  • Gastroenterology

Background:

  • Repetitive tasks in the workplace can lead to injuries.
  • Physicians performing colonoscopies are susceptible to specific injuries.
  • This study aimed to identify these injuries and prevention strategies.

Purpose of the Study:

  • To identify injuries and disabilities resulting from colonoscopy procedures.
  • To investigate methods for preventing and alleviating symptoms related to colonoscopy injuries.
  • To inform the development of ergonomic improvements for colonoscopy.

Main Methods:

  • A global survey was distributed to members of the American Society for Colon and Rectal Surgery.
  • The survey investigated work-related injuries and disabilities from performing colonoscopies.

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  • Respondents reported on prevention and alleviation methods used.

    • Main Results:

    • A 28% response rate was achieved, with 96% of respondents performing colonoscopies.
    • 39% of respondents reported at least one injury or pain attributed to colonoscopy.
    • Most frequent injuries affected hands/fingers (n=257), neck (n=65), and back (n=52).
    • Prevention methods included adjusting equipment height, changing position, minimizing torque, and taking breaks.
    • Two participants developed custom ergonomic devices.

    Conclusions:

    • A significant number of colorectal surgeons experience colonoscopy-related injuries, underscoring the need for preventive measures.
    • Improving colonoscope ergonomics is suggested as a necessary step.
    • Optimizing the positioning of the endoscopist, patient, and monitors may reduce injury incidence.