This clinical practice guideline from the American Society for Gastrointestinal Endoscopy provides an evidence-based approach to strategies to prevent endoscopy-related injury (ERI) in GI endoscopists. It is accompanied by the article subtitled “Methodology and Review of Evidence,” which provides a detailed account of the methodology used for the evidence review. This document was developed using the Grading of Recommendations Assessment, Development and Evaluation framework. The guideline estimates the rates, sites, and predictors of ERI. Additionally, it addresses the role of ergonomics training, microbreaks and macrobreaks, monitor and table positions, antifatigue mats, and use of ancillary devices in decreasing the risk of ERI. We recommend formal ergonomics education and neutral posture during the performance of endoscopy, achieved through adjustable monitor and optimal procedure table position, to reduce the risk of ERI. We suggest taking microbreaks and scheduled macrobreaks and using antifatigue mats during procedures to prevent ERI. We suggest the use of ancillary devices in those with risk factors predisposing them to ERI.

美国胃肠内窥镜学会的这份临床实践指南为胃肠道内窥镜医师预防内窥镜相关损伤 (ERI) 的策略提供了基于证据的方法。附有题为“方法论和证据审查”的文章，其中详细介绍了证据审查所使用的方法。本文件是使用建议评估、制定和评价分级框架制定的。该指南估计了 ERI 的发生率、部位和预测因子。此外，它还阐述了人体工程学培训、微断裂和宏观断裂、显示器和工作台位置、抗疲劳垫以及辅助设备的使用在降低 ERI 风险中的作用。我们建议在内窥镜检查过程中进行正式的人体工程学教育和中立姿势，通过可调节的显示器和最佳的手术台位置来实现，以降低 ERI 的风险。我们建议在手术过程中进行微休息和预定的宏观休息，并使用抗疲劳垫来预防 ERI。我们建议对于那些有易患 ERI 危险因素的患者使用辅助装置。