Ergonomics in Endoscopy

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Ergonomics in Endoscopy

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Amandeep Shergill, MD, MS

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References
  1. Ridtitid W, Cote GA, Leung W, et al. Prevalence and risk factors for musculoskeletal injuries related to endoscopy. Gastrointest Endosc. 2015;81(2):294-302 e294.
  2. Mohan N, Singla M, Pawa S, et al. Gastroenterologists’ goals for ergonomic colonoscopes: results of a national survey. Gastrointest Endosc. 2025;s0016-5107(25)00051-3. doi:10.1016/j.gie.2025.01.027
  3. Pawa S, Kwon RS, Fishman DS, et al. American Society for Gastrointestinal Endoscopy guideline on the role of ergonomics for prevention of endoscopy-related injury: summary and recommendations. Gastrointest Endosc. 2023;98(4):482-491. Accessed: February 1, 2025. https://www.asge.org/docs/default-source/guidelines/asge-guideline-on-the-role-of-ergonomics-summary.pdf
  4. Austin K, Schoenberger H, Sesto M, Gaumnitz E, Teo Broman A, Saha S. Musculoskeletal injuries are commonly reported among gastroenterology trainees: Results of a national survey. Dig Dis Sci. 2019;64(6):1439-1447.
  5. Shergill AK, Rempel D, Barr A, et al. Biomechanical risk factors associated with distal upper extremity musculoskeletal disorders in endoscopists performing colonoscopy. Gastrointest Endosc. 2021;93(3):704–711.e3. doi:10.1016/j.gie.2020.11.001
  6. Lipowska A, Shergill A. Coping with burnout and repetitive injuries -The hazards of endoscopy: Ergonomics guide the way. GI & Hepatology News. September 1, 2023. Accessed: February 1, 2025. https://www.mdedge.com/gihepnews/article/264737/practice-management/coping-burnout-and-repetitive-injuries/page/0/2
  7. Taking Care of You: Ergonomic Essentials for Your Practice (DV074). American Society for Gastrointestinal Endoscopy. May 2017. Accessed: February 1, 2025. https://learn.asge.org/Listing/Taking-Care-of-You-Ergonomic-Essentials-for-Your-Practice-DV074-231
  8. Shergill A, Shin E, Woods K, et al. “MYSELF” - A novel and easy-to-implement pre-procedure ergonomic time-out that reduces endoscopists’ risk of musculoskeletal injury. Gastrointest Endosc. 2024;99(6) Supplement AB154. Accessed: February 1, 2025. https://www.giejournal.org/article/S0016-5107(24)01207-0/abstract
Author and Disclosure Information

Amandeep K. Shergill, MD, MS
Professor of Clinical Medicine, Division of Gastroenterology
University of California
San Francisco, California

Amandeep K. Shergill, MD, MS, reported the following relevant financial disclosures: Serve(d) as a director, officer, partner, employee, advisor, consultant, or trustee for: Boston Scientific; Neptune Medical; Dragonfly Endoscopy; UpToDate; Serve(d) as a speaker or a member of a speakers bureau for: Pentax Medical EMEA; Received income in an amount equal to or greater than $250 from: Neptune; Dragonfly Endoscopy; Pentax EMEA; UpToDate

 

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GI and Hepatology News
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Endoscopy
Author(s)
Amandeep Shergill, MD, MS
Author(s)
Amandeep Shergill, MD, MS
Author and Disclosure Information

Amandeep K. Shergill, MD, MS
Professor of Clinical Medicine, Division of Gastroenterology
University of California
San Francisco, California

Amandeep K. Shergill, MD, MS, reported the following relevant financial disclosures: Serve(d) as a director, officer, partner, employee, advisor, consultant, or trustee for: Boston Scientific; Neptune Medical; Dragonfly Endoscopy; UpToDate; Serve(d) as a speaker or a member of a speakers bureau for: Pentax Medical EMEA; Received income in an amount equal to or greater than $250 from: Neptune; Dragonfly Endoscopy; Pentax EMEA; UpToDate

 

Author and Disclosure Information

Amandeep K. Shergill, MD, MS
Professor of Clinical Medicine, Division of Gastroenterology
University of California
San Francisco, California

Amandeep K. Shergill, MD, MS, reported the following relevant financial disclosures: Serve(d) as a director, officer, partner, employee, advisor, consultant, or trustee for: Boston Scientific; Neptune Medical; Dragonfly Endoscopy; UpToDate; Serve(d) as a speaker or a member of a speakers bureau for: Pentax Medical EMEA; Received income in an amount equal to or greater than $250 from: Neptune; Dragonfly Endoscopy; Pentax EMEA; UpToDate

 

Click to view more from Gastroenterology Data Trends 2025.

Click to view more from Gastroenterology Data Trends 2025.

References
  1. Ridtitid W, Cote GA, Leung W, et al. Prevalence and risk factors for musculoskeletal injuries related to endoscopy. Gastrointest Endosc. 2015;81(2):294-302 e294.
  2. Mohan N, Singla M, Pawa S, et al. Gastroenterologists’ goals for ergonomic colonoscopes: results of a national survey. Gastrointest Endosc. 2025;s0016-5107(25)00051-3. doi:10.1016/j.gie.2025.01.027
  3. Pawa S, Kwon RS, Fishman DS, et al. American Society for Gastrointestinal Endoscopy guideline on the role of ergonomics for prevention of endoscopy-related injury: summary and recommendations. Gastrointest Endosc. 2023;98(4):482-491. Accessed: February 1, 2025. https://www.asge.org/docs/default-source/guidelines/asge-guideline-on-the-role-of-ergonomics-summary.pdf
  4. Austin K, Schoenberger H, Sesto M, Gaumnitz E, Teo Broman A, Saha S. Musculoskeletal injuries are commonly reported among gastroenterology trainees: Results of a national survey. Dig Dis Sci. 2019;64(6):1439-1447.
  5. Shergill AK, Rempel D, Barr A, et al. Biomechanical risk factors associated with distal upper extremity musculoskeletal disorders in endoscopists performing colonoscopy. Gastrointest Endosc. 2021;93(3):704–711.e3. doi:10.1016/j.gie.2020.11.001
  6. Lipowska A, Shergill A. Coping with burnout and repetitive injuries -The hazards of endoscopy: Ergonomics guide the way. GI & Hepatology News. September 1, 2023. Accessed: February 1, 2025. https://www.mdedge.com/gihepnews/article/264737/practice-management/coping-burnout-and-repetitive-injuries/page/0/2
  7. Taking Care of You: Ergonomic Essentials for Your Practice (DV074). American Society for Gastrointestinal Endoscopy. May 2017. Accessed: February 1, 2025. https://learn.asge.org/Listing/Taking-Care-of-You-Ergonomic-Essentials-for-Your-Practice-DV074-231
  8. Shergill A, Shin E, Woods K, et al. “MYSELF” - A novel and easy-to-implement pre-procedure ergonomic time-out that reduces endoscopists’ risk of musculoskeletal injury. Gastrointest Endosc. 2024;99(6) Supplement AB154. Accessed: February 1, 2025. https://www.giejournal.org/article/S0016-5107(24)01207-0/abstract
References
  1. Ridtitid W, Cote GA, Leung W, et al. Prevalence and risk factors for musculoskeletal injuries related to endoscopy. Gastrointest Endosc. 2015;81(2):294-302 e294.
  2. Mohan N, Singla M, Pawa S, et al. Gastroenterologists’ goals for ergonomic colonoscopes: results of a national survey. Gastrointest Endosc. 2025;s0016-5107(25)00051-3. doi:10.1016/j.gie.2025.01.027
  3. Pawa S, Kwon RS, Fishman DS, et al. American Society for Gastrointestinal Endoscopy guideline on the role of ergonomics for prevention of endoscopy-related injury: summary and recommendations. Gastrointest Endosc. 2023;98(4):482-491. Accessed: February 1, 2025. https://www.asge.org/docs/default-source/guidelines/asge-guideline-on-the-role-of-ergonomics-summary.pdf
  4. Austin K, Schoenberger H, Sesto M, Gaumnitz E, Teo Broman A, Saha S. Musculoskeletal injuries are commonly reported among gastroenterology trainees: Results of a national survey. Dig Dis Sci. 2019;64(6):1439-1447.
  5. Shergill AK, Rempel D, Barr A, et al. Biomechanical risk factors associated with distal upper extremity musculoskeletal disorders in endoscopists performing colonoscopy. Gastrointest Endosc. 2021;93(3):704–711.e3. doi:10.1016/j.gie.2020.11.001
  6. Lipowska A, Shergill A. Coping with burnout and repetitive injuries -The hazards of endoscopy: Ergonomics guide the way. GI & Hepatology News. September 1, 2023. Accessed: February 1, 2025. https://www.mdedge.com/gihepnews/article/264737/practice-management/coping-burnout-and-repetitive-injuries/page/0/2
  7. Taking Care of You: Ergonomic Essentials for Your Practice (DV074). American Society for Gastrointestinal Endoscopy. May 2017. Accessed: February 1, 2025. https://learn.asge.org/Listing/Taking-Care-of-You-Ergonomic-Essentials-for-Your-Practice-DV074-231
  8. Shergill A, Shin E, Woods K, et al. “MYSELF” - A novel and easy-to-implement pre-procedure ergonomic time-out that reduces endoscopists’ risk of musculoskeletal injury. Gastrointest Endosc. 2024;99(6) Supplement AB154. Accessed: February 1, 2025. https://www.giejournal.org/article/S0016-5107(24)01207-0/abstract
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Endoscopy is a major component of the work of gastroenterologists, with 61% of gastroenterologists reporting spending more than 40% of their time performing endoscopic procedures.1 Endoscopists are particularly prone to sustaining musculoskeletal injuries in their practice, given that current scopes were not designed to accommodate the range of physician hand sizes and strength.2 In addition, the 2023 American Society for Gastrointestinal Endoscopy (ASGE) guidelines note that the endoscopy volume of the current-day endoscopist makes this a physically taxing career for many operators.3

The ASGE systematic review and meta-analysis found an overall endoscopy-related injury (ERI) rate of 57.7%, with survey results ranging from 39% to 89%.3 These injuries, in some cases, start during fellowship, with 1 in 5 gastrointestinal fellows developing endoscopy-related pain and/or injuries.4 Musculoskeletal injuries can occur as result of microtrauma caused by the repetitive motions, prolonged awkward postures, and sustained high pinch force used during endoscopy.5 Additional risk factors for injury include higher procedure volume (> 20 cases per week), more time spent doing endoscopy per week (> 16 hours per week), and cumulative years performing endoscopy.3

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