Endoscopy 2019; 51(04): S200
DOI: 10.1055/s-0039-1681763
ESGE Days 2019 ePosters
Friday, April 5, 2019 09:00 – 17:00: Clinical Endoscopic Practice ePosters
Georg Thieme Verlag KG Stuttgart · New York

ERCP WITH THE PENTAX ED34-I10T2 WITH DISPOSABLE ELEVATOR CAP VERSUS STANDARD DUODENOSCOPE

F Straulino
1   Medizinische Klinik II, Klinikum Hanau, Hanau, Germany
,
A Genthner
1   Medizinische Klinik II, Klinikum Hanau, Hanau, Germany
,
S Kangalli
1   Medizinische Klinik II, Klinikum Hanau, Hanau, Germany
,
I Reiffenstein
1   Medizinische Klinik II, Klinikum Hanau, Hanau, Germany
,
A Eickhoff
1   Medizinische Klinik II, Klinikum Hanau, Hanau, Germany
› Author Affiliations
Further Information

Publication History

Publication Date:
18 March 2019 (online)

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Aims:

The germ-free processing of endoscopes is a central issue regarding patient safety in endoscopy. Especially duodenoscopes with the additional mechanism of the albarran lever are critical. With the ED34-i10T2 Pentax Medical introduced a new duodenoscope. It is almost identical to the standard duodenoscope but it contains a disposable elevator cap which has to be changed after every use.

Methods:

We investigated the ED34-i10T2 in routine clinical practice and compared it to the standard duodenoscope regarding time to the papilla duodeni, time until intubation of the common bile duct and time for the manual pre-cleaning of the endoscope. Furthermore the examiner and the endoscopic nurse were questioned about the subjective handling during endoscopy and the cleaning of the endoscope. Complications were recorded.

Results:

We did 37 ERCPs with the standard duodenoscope and 34 ERCPs with the ED34-i10T2. The average time to the papilla duodeni was similar with 73.5 vs. 81.2 seconds. The time until intubation of the common bile duct was on average 745.7 seconds vs. 391.3 seconds. The mean time for the manual pre-cleaning was 305 seconds vs. 324.9 seconds. Because of heterogenous individual values there was no statistical significance. With the standard duodenoscope there was one bleeding after papillotomy and two patients with a post-ERCP pancreatitis. With the ED34-i10T2 there was one bleeding and one post-ERCP pancreatitis. The feeling from the examiner was that with the disposable elevator cap the fixation of the guidewire and use of the fiberoptical cholangioscope was easier. The cleaning was subjective more comfortable with the ED34-i10T2 because auf the disposable elevator cap.

Conclusions:

In summary there was no significant difference between the new ED34-i10T2 with the disposable elevator cap and the standard duodenoscope regarding handling, complications and time for the examination or cleaning in clinical practice.

The risk of cross-contamination with potential infectious germs could be reduced.