Abstract

decreases in mean DAP and mean Effective Radiation Dose. A significant decrease was also noted in the number of images. Prior to education, LVE had significantly a higher mean DAP and mean Effective Radiation Dose compared to HVE. Following education, no significant differences were seen between the two groups. None of the endoscopists reported any compromise in their ability to interpret and perform ERCP despite incorporating fluoroscopy best practices. Conclusion: Educating endoscopists in fluoroscopy best practices significantly reduces patient radiation exposure during ERCP. This benefit is more pronounced in LVE. All endoscopists (HVE and LVE) benefited from fluoroscopy education, allowing reduction in patient radiation exposure, without compromising their ability to interpret and perform ERCP.

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