Use of fluoroscopy in endoscopy: indications, uses, and safety considerations

Historically, fluoroscopy was a tool of the radiologist. Interventional cardiologists and vascular surgeons have revolutionized their respective fields by adopting and adapting its use to their respective practice. The expansion of fluoroscopic utilization has also flourished within the field of endoscopy. While the indications for fluoroscopy during endoscopic procedures continue to expand, formal training in radiation exposure and protection is still not widely emphasized during advanced endoscopy training. This article presents current indications and uses of fluoroscopy in endoscopy along with a review of radiation exposure and safety tips for the endoscopist.