Endoscopy 2022; 54(S 01): S182
DOI: 10.1055/s-0042-1745056
Abstracts | ESGE Days 2022
ESGE Days 2022 Digital poster exhibition

PERFORMANCE AND APPLICABILITY OF A FIRST GENERATION SINGLE-USE DUODENOSCOPE: A SINGLE-CENTER COHORT STUDY

H. van Malenstein
1   University Hospital Leuven, Department of Gastroenterology and Hepatology, Leuven, Belgium
,
D. Persyn
2   AZ Damiaan, Department of Gastroenterology and Hepatology, Oostende, Belgium
,
A. Schuermans
3   University Hospital Leuven, Department of Infection Control and Epidemiology, Leuven, Belgium
,
M. Dreesen
4   University Hospital Leuven, Department of Pharmaceutical and Pharmacological Sciences, Leuven, Belgium
,
W. Meert
4   University Hospital Leuven, Department of Pharmaceutical and Pharmacological Sciences, Leuven, Belgium
,
K. Buysschaert
1   University Hospital Leuven, Department of Gastroenterology and Hepatology, Leuven, Belgium
,
S. Van Der Merwe
1   University Hospital Leuven, Department of Gastroenterology and Hepatology, Leuven, Belgium
,
W. Laleman
1   University Hospital Leuven, Department of Gastroenterology and Hepatology, Leuven, Belgium
› Author Affiliations
 

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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