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DOI: 10.1055/s-0042-1745056
PERFORMANCE AND APPLICABILITY OF A FIRST GENERATION SINGLE-USE DUODENOSCOPE: A SINGLE-CENTER COHORT STUDY
Aims Despite standardization and optimization of disinfection protocols, duodenoscope-related infections remain an emerging threat for patients undergoing ERCP. Single-use duodenoscopes could represent a potential alternative avenue to circumvent the problem of reprocessing and thus risk of exogenous patient-to-patient transmission. In this study we tested the feasibility and technical success rate of a recently made available single-use duodenoscope.
Methods The usability, performance and safety of a recently developed single-use duodenoscope was evaluated in a cohort of patients scheduled for ERCP. In this single center study clinical data were collected and a standardized evaluation of scope performance was executed. Outcomes included performance ratings of the single-use duodenoscopes, adverse events (assessed at 3 days and 1 week), and crossover rate to reusable duodenoscopes.
Results Performance of single-use duodenoscopes was evaluated in 52 consecutive patients. The ERCP completion rate with a single-use duodenoscope was 90,4%, after cross-over to reusable duodenoscope 94,2%. The mean ASGE grade was 2,7 with 27 procedures (51,9%) considered as advanced level complexity (ASGE grade 3 & 4). Performance rating showed that 94% of the therapeutic treatments were assessed comparable to when using a traditional reusable duodenoscope. Overall satisfaction amounted to 80%. No major adverse events were experienced related to the use of the single-use endoscope.
Conclusions Single-use duodenoscopes can provide an alternative to avoid the intensive and often inconsistent results of cleaning and disinfection procedures. We confirm feasibility, adequate performance characteristics and safety over a broad range of ERCP procedures, both in terms of indication and complexity, of a recently developed first-generation single-use duodenoscope.
Publication History
Article published online:
14 April 2022
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