Single-use duodenoscopes and duodenoscopes with disposable end caps

Arvind J. Trindade, Andrew Copland, Amit Bhatt, Juan Carlos Bucobo, Vinay Chandrasekhara, Kumar Krishnan, Mansour A. Parsi, Nikhil Kumta, Ryan Law, Rahul Pannala, Erik F. Rahimi, Monica Saumoy, Guru Trikudanathan, Julie Yang, David R. Lichtenstein

Research output: Contribution to journalArticlepeer-review

Abstract

Background and Aims: Multidrug-resistant infectious outbreaks associated with duodenoscopes have been documented internationally. Single-use duodenoscopes, disposable distal ends, or distal end cap sealants could eliminate or reduce exogenous patient-to-patient infection associated with ERCP. Methods: This document reviews technologies that have been developed to help reduce or eliminate exogenous infections because of duodenoscopes. Results: Four duodenoscopes with disposable end caps, 1 end sheath, and 2 disposable duodenoscopes are reviewed in this document. The evidence regarding their efficacy in procedural success rates, reduction of duodenoscope bacterial contamination, clinical outcomes associated with these devices, safety, and the financial considerations are discussed. Conclusions: Several technologies discussed in this document are anticipated to eliminate or reduce exogenous infections during endoscopy requiring a duodenoscope. Although disposable duodenoscopes can eliminate exogenous ERCP-related risk of infection, data regarding effectiveness are needed outside of expert centers. Additionally, with more widespread adoption of these new technologies, more data regarding functionality, medical economics, and environmental impact will accrue. Disposable distal end caps facilitate duodenoscope reprocessing; postmarketing surveillance culture studies and real-life patient infection analyses are important areas of future research.

Original languageEnglish (US)
Pages (from-to)997-1005
Number of pages9
JournalGastrointestinal endoscopy
Volume93
Issue number5
DOIs
StatePublished - May 2021

Bibliographical note

Publisher Copyright:
© 2021 American Society for Gastrointestinal Endoscopy

PubMed: MeSH publication types

  • Practice Guideline

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