ASGE Endo Hangout: Endoscopy in Pregnancy | April 2025-Recorded Webinar

Video Transcription

Video Summary

The ASGE Endo Hangout session, tailored for GI fellows, hosted a comprehensive discussion on endoscopy in pregnancy. Facilitated by Michael DeLuttre, the event emphasized the need for interactive engagement, with questions encouraged throughout. Speakers included Hannah Systrom, Robin Jordan, and Crystal Mills, who moderated the session, joined by experts Dr. Yakira David, Dr. Kush Bhugala, Dr. Shruti Mony, and Dr. Priya Samoas. Dr. Samoas commenced by discussing general endoscopy principles for pregnant patients, emphasizing the importance of strong procedural indications, OB consultations, minimized sedation dosages, and fetal considerations throughout the process. Dr. Mony focused on advanced endoscopy, particularly ERCP in pregnancy, discussing its necessity in acute conditions like cholangitis while highlighting radiation exposure protocols. Dr. Gala presented a detailed overview on ergonomics for pregnant endoscopists, noting that musculoskeletal changes during pregnancy can exacerbate endoscopy-related injuries. She provided guidance on room setup, ergonomic stance, and personal accessories like cushioned shoes, compression stockings, and two-piece lead aprons to mitigate risks. Dr. David then addressed radiation safety, stressing monitoring and shielding in line with ALARA principles to minimize exposure. Despite institutional support, self-advocacy plays a crucial role in ensuring safety standards. The session underscored the importance of institutional resources in promoting radiation safety education and expressed a need for formal guidelines by the ASGE for pregnant endoscopists. Attendees are encouraged to apply these insights to enhance safety and efficacy in their practices.

Keywords

endoscopy in pregnancy

GI fellows

Michael DeLuttre

Hannah Systrom

Robin Jordan

Crystal Mills

Yakira David

Kush Bhugala

Shruti Mony

Priya Samoas

radiation safety

ergonomics for endoscopists