ASGE Postgraduate Course at ACG: Evidence-based Updates for the Practicing Gastroenterologist | October 2021-Refocusing on Ergonomics During Endoscopy

Video Transcription

Video Summary

Dr. Amandeep Shergill, a professor of medicine in the Division of Gastroenterology at UCSF, spoke about the importance of ergonomics in endoscopy practice. She highlighted that endoscopists often experience injury related to the performance of endoscopy, with multiple studies showing a high prevalence of injury. Ergonomics is the study of how work affects people physically and cognitively, and it aims to fit the job to the worker rather than forcing the worker to fit into the job. Dr. Shergill emphasized that optimizing ergonomics during endoscopy is crucial to reduce the risk of work-related musculoskeletal disorders. These disorders can result from factors such as non-neutral posture, high force, and repetition. She discussed the importance of considering the size and strength of endoscopists when designing tools and tasks, as well as the adjustability of the work environment. Dr. Shergill also provided tips on how endoscopists can reduce their risk of injury, such as using left-right dial adapters, anti-gravity support arms, and caps. She highlighted the importance of breaks, proper posture, and stretching exercises, as well as the use of supportive shoes and compression stockings. Furthermore, she emphasized the need to respect pain and seek appropriate medical attention if necessary. Finally, Dr. Shergill discussed the management of anticoagulation during endoscopy, including when to stop and resume antithrombotic medications based on different patient scenarios and procedure risks.

Asset Subtitle

Amandeep K. Shergill, MD

Keywords

ergonomics

endoscopy practice

injury prevention

work-related musculoskeletal disorders

tool design

work environment adjustability

injury risk reduction

anticoagulation management