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Updated: Nov 2, 2025

High Throughput Analysis of Liquid Droplet Impacts
Published on: March 6, 2020
Investigation of droplets released during digestive endoscopy using a high-speed camera (with video): a pilot study
Dong Seok Lee1, Ji Bong Jeong1, Ji Won Kim2
1Department of Gastroenterology, Seoul National University Boramae Medical Center, Seoul National University College of Medicine, Seoul, Korea.
Digestive endoscopy procedures do not generate significant droplets, posing no greater infection risk than coughing. High-speed cameras confirmed minimal droplet release during these examinations.
Area of Science:
- Gastroenterology
- Infectious Disease Control
- Medical Imaging Technology
Background:
- Concerns exist regarding droplet release during digestive endoscopy and potential infection transmission.
- Droplet generation at the endoscope insertion site is a frequently assumed phenomenon.
Purpose of the Study:
- To investigate and quantify droplet release during digestive endoscopy procedures.
- To assess the infection risk associated with droplets generated during endoscopy.
Main Methods:
- Utilized a high-speed camera (FASTCAM SA-3) for detailed droplet visualization.
- Analyzed video data using post-processing software.
- Compared droplet formation in digestive endoscopy models against control models (spray bottle, cough).
Main Results:
- No droplets larger than 10 µm were observed in digestive endoscopy models.
- Droplet formation was not significantly affected by sedation levels, endoscopist proficiency, or gas injection volume.
- Control groups (coughing) clearly demonstrated droplet generation.
Conclusions:
- High-speed imaging indicates that digestive endoscopy generates minimal droplets.
- The risk of droplet-mediated infection from digestive endoscopy is comparable to or lower than that from forceful expiratory events like coughing.
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