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Disposable Duodenoscopes: Evidence and Open Issues.
Life (Basel)
August 2023
Interventional Endoscopy Unit, Istituto di Ricovero e Cura a Carattere Scientifico (IRCCS) San Gerardo dei Tintori, Via GB Pergolesi 33, 20900 Monza, Italy.
Duodenoscope-related infections are a major concern in medicine and GI endoscopy, especially in fragile patients. Disposable duodenoscopes seem to be the right tool to minimize the problem: a good choice for patients with many comorbidities or with a high risk of carrying multidrug resistant bacteria. Urgent endoscopy could also be a good setting for the use of single-use duodenoscopes, especially when the risk of the infection cannot be evaluated.
View Article and Find Full Text PDFThe outcomes and safety of patients undergoing endoscopic retrograde cholangiopancreatography combining a single-use cholangioscope and a single-use duodenoscope: A multicenter retrospective international study.
Hepatobiliary Pancreat Dis Int
February 2024
Division of Gastroenterology and Digestive Endoscopy, Humanitas Research Hospital - IRCCS, Via Manzoni 56, 20089, Rozzano, Milano, Italy; Department of Biomedical Sciences, Humanitas University, Via Rita Levi Montalcini 4, 20090, Pieve Emanuele, Milan, Italy.
Background: Duodenoscope-related multidrug-resistant organism (MDRO) infections raise concerns. Disposable duodenoscopes have been recently introduced in the market and approved by regulatory agencies with the aim to reduce the risk of endoscopic retrograde cholangiopancreatography (ERCP) associated infections. The aim of this study was to evaluate the outcome of procedures performed with single-use duodenoscopes in patients with clinical indications to single-operator cholangiopancreatoscopy.
View Article and Find Full Text PDFMicrobiological surveillance post-reprocessing of flexible endoscopes used in digestive endoscopy: a national study.
J Hosp Infect
January 2023
Department of Health Sciences, University of Genova, Genova, Italy; Operating Unit Hospital Hygiene, Galliera Hospital, Genoa, Italy.
Introduction: Microbiological surveillance of endoscopes is a safety measure for verifying the quality of reprocessing procedures and identifying contaminated devices, but duodenoscope-related outbreaks are still reported.
Aim: To assess the effectiveness of duodenoscope reprocessing procedures in Italy.
Methods: Between December 2019 and April 2020, data obtained from microbiological surveillance post-reprocessing in 15 Italian endoscopy units were collected.
Performance and applicability of a first generation single-use duodenoscope: a single-center cohort study.
Ann Gastroenterol
June 2022
Department of Gastroenterology and Hepatology, Section of Liver and Biliopancreatic Disorders, University Hospitals Leuven, Belgium (Diederik Persyn, Hannah Van Malenstein, Emma Vanderschueren, Kristof Buysschaert, Schalk Van Der Merwe, Wim Laleman).
Background: Despite the standardization and optimization of disinfection protocols, duodenoscope-related infections (DRIs) remain an emerging threat for patients undergoing endoscopic retrograde cholangiopancreatography (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. The aim of our study was to test the feasibility and technical success rate of a recently made available single-use duodenoscope.
View Article and Find Full Text PDFCost utility analysis of strategies for minimizing risk of duodenoscope-related infections.
Gastrointest Endosc
May 2022
Division of Gastroenterology and Hepatology, Stanford University School of Medicine, Stanford, California, USA.
Background And Aims: Transmission of multidrug-resistant organisms by duodenoscopes during ERCP is problematical. The U.S.
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