Single-use Duodenoscope: The Cleaner Standard.

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  • Additional Information
    • Source:
      Publisher: Wolters Kluwer Health, Inc Country of Publication: United States NLM ID: 7910017 Publication Model: Print-Electronic Cited Medium: Internet ISSN: 1539-2031 (Electronic) Linking ISSN: 01920790 NLM ISO Abbreviation: J Clin Gastroenterol Subsets: MEDLINE
    • Publication Information:
      Publication: <2015- > : Philadelphia, PA : Wolters Kluwer Health, Inc.
      Original Publication: New York, Masson.
    • Subject Terms:
      Duodenoscopes*/microbiology ; Cholangiopancreatography, Endoscopic Retrograde*/instrumentation ; Cholangiopancreatography, Endoscopic Retrograde*/methods ; Disposable Equipment* ; Equipment Contamination*/prevention & control ; Disinfection*/methods ; Equipment Reuse*/standards; Humans ; Cross Infection/prevention & control
    • Abstract:
      Endoscopic retrograde cholangiopancreatography (ERCP) is the gold standard in the endoscopic management of biliary disease. An average of 700,000 ERCPs are performed every year, and most are performed using a reusable flexible duodenoscope. The innovation of disposable duodenoscopes has changed the dynamic in the advanced endoscopy field of study to primarily reduce or eliminate the risk of cross-contamination between patients. Many factors affect whether institutions can convert from standard reusable duodenoscopes to single-use duodenoscopes including the cost of the devices, reimbursement from insurance companies for the new devices, and the overall environmental impact. However, the reduction of cross-contamination leading to active infection in patients, environmental waste produced with high-level disinfection procedures, staff and equipment required for reprocessing, and the inability to frequently upgrade duodenoscopes for optimal performance are all factors that favor transitioning to single-use duodenoscopes. As these devices are new to the field of gastroenterology, the purpose of this review is to analyze the advantages and disadvantages of transitioning to single-use devices and a brief mention of alternative options for institutions unable to make this change.
      (Copyright © 2024 Wolters Kluwer Health, Inc. All rights reserved.)
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    • Publication Date:
      Date Created: 20240403 Date Completed: 20241223 Latest Revision: 20241223
    • Publication Date:
      20241224
    • Accession Number:
      10.1097/MCG.0000000000001994
    • Accession Number:
      38567887