Procedure-related musculoskeletal symptoms in gastrointestinal endoscopists in Korea

AIM： To determine the prevalence and risk factors of work-related musculoskeletal disorders in gastrointestinal endoscopists in Korea. METHODS： A survey of musculoskeletal symptoms, using a self-administered questionnaire, was conducted on 55 endoscopists practicing in general hospitals or health promotion centers. RESULTS： Forty-nine （89.1%） endoscopists reported musculoskeletal pain on at least one anatomic location and 37 （67.3%） endoscopists complained of pain at rest. Twenty-six （47.3%） endoscopists had severe musculoskeletal pain defined as a visual analogue score greater than 5.5. Factors related to the development of severe pain were （1） standing position during upper endoscopy, （2） specific posture/ habit during endoscopic procedures, and （3） multiple symptomatic areas. Finger pain was more common in beginners, whereas shoulder pain was more common in experienced endoscopists. Sixteen percent of symptomatic endoscopists have modified their practice or reduced the number of endoscopic examinations. Only a few symptomatic endoscopists had sought professional consultation with related specialists. CONCLUSION： The prevalence of musculoskeletal pain in endoscopists is very high. The location of pain was different between beginners and experienced endoscopists. Measures for the prevention and adequate management of endoscopy-related musculoskeletal symptoms are necessary.