Evidence map›Paper›PMID 40932813›Full record

ArticleEndoscopy international open2025

Characterization of biomechanical risk factors during endoscopic submucosal dissection: Ergonomic pilot study.

Clara Yzet, Léa Leroy, Sylvain Chamot, Mathieu Pioche, Franck Brazier, Jean-Phillippe Le Mouel, Jérôme Rivory, Romain Gerard, Alexandru Lupu, Julien Branche and 3 more

Abstract read
In one paragraph

Article in Endoscopy international open, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

  1. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

13 authors.

Clara YzetGastroenterology, Amiens-Picardy University Hospital, Amiens, France.
Léa LeroyRegional Center for Occupational and Environmental Diseases of Hauts-de-France, Amiens-Picardy University Hospital South Site, Amiens, France.
Sylvain ChamotRegional Center for Occupational and Environmental Diseases of Hauts-de-France, Amiens-Picardy University Hospital South Site, Amiens, France.
Mathieu PiocheGastroenterology, Edouard Herriot Hospital, Lyon, France.
Franck BrazierGastroenterology, Amiens-Picardy University Hospital, Amiens, France.
Jean-Phillippe Le MouelGastroenterology, Amiens-Picardy University Hospital, Amiens, France.
Jérôme RivoryGastroenterology, Edouard Herriot Hospital, Lyon, France.
Romain GerardGastroenterology, CHRU de Lille, Lille, France.
Alexandru LupuGastroenterology and Endoscopy, Pavillon L Edouard Herriot Hospital, Lyon, France.
Julien BrancheGastroenterology, Lille Regional and University Hospital, Lille, France.
Stéphane DelanaudLaboratoire PériTox UMR_I 01, Institut d'Ingénierie de la Santé-UFR Médecine, Université de Picardie Jules Verne, Amiens, France.
Mathurin FumeryGastroenterology, Amiens-Picardy University Hospital, Amiens, France.
Frederic TelliezLaboratoire PériTox UMR_I 01, Institut d'Ingénierie de la Santé-UFR Médecine, Université de Picardie Jules Verne, Amiens, France.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background and study aims: Musculoskeletal disorders (MSDs) are prevalent among endoscopists. The aim of this study was to evaluate biomechanical risk factors for MSDs in gastroenterologists performing ESD. Methods: An observational study was performed among interventional endoscopists performing ESD in three French centers. Physical constraints were assessed using an analog scale of perceived physical effort intensity and physiological sensors to measure joint angulation kinematics and muscle activity levels (flexor and extensor carpi radialis muscles) during diagnostic colonoscopy and ESD. High muscle strain was defined as any muscle activation exceeding 10% of maximum voluntary contraction (MVC). Two distinct sub-tasks of ESD were identified: lesion marking and circumferential incision phase (ESD-1) and dissection phase (ESD-2). Results: Six interventional gastroenterologists participated in the study. Perceived physical effort was significantly greater for ESD compared with colonoscopy ( Conclusions: ESD increased the risk of musculoskeletal strain. It is crucial to develop prevention programs to reduce risk of MSD in the population of gastroenterologists.

Indexed as

Endoscopic resection (polypectomy, ESD, EMRc, ...)Endoscopy Lower GI TractQuality and logistical aspectsQuality managementTraining

Identifiers

PMID40932813
PMCPMC12417774

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.