An Unrecognized Threat: An Evaluation of Exposure to Air Pollutants During Smoke-Generating Endoscopy Procedures.

Walradt, Trent; Szvarca, Daniel; Hart, Jaime; Adamkiewicz, Gary; Nie, Qiyue; Wissoker, Madeleine; Desai, Khushi; Wang, Yuzhu et al. · Am J Gastroenterol · 2025

cross_sectional · Level IV

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Abstract

To characterize the smoke generated during several endoscopic procedures and evaluate the efficacy of a smoke evacuation system as a preventative measure. Monitoring devices in closure proximity to patients measured particulate matter and volatile organic compounds during endoscopic procedures. The impact of a smoke evacuator system was also assessed. Particulate matter and volatile organic compound levels were significantly elevated during all procedures. The smoke evacuator reduced the exposure. Smoke produced during endoscopy is a potential health risk for endoscopy staff. Protective measures and further research on long-term exposure effects are warranted.

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