Post written by Yervant Ichkhanian, MD, and Mark A. Gromski, MD, from the Indiana University School of Medicine, Indianapolis, Indiana, USA. Duodenoscope-related infections—especially those involving multidrug-resistant organisms—have driven innovation in endoscopic technology. This study, conducted at a high-volume tertiary care center, explores the evolving integration of single-use duodenoscopes into routine endoscopic retrograde cholangiopancreatography (ERCP) practice. The goal was to examine, over …
Tag: duodenoscope
Contaminated duodenoscopes in ERCP: sensitivity of detection and risk of underdetection
Post written by Koen van der Ploeg, MD, MSc, from the Department of Gastroenterology and Hepatology and the Department of Medical Microbiology and Infectious Diseases, Erasmus University Medical Center, Rotterdam, The Netherlands. Endoscopes are exposed to a high load of GI flora during endoscopic procedures. Consequently, an extensive reprocessing protocol, including high-level disinfection, is performed after each …
Environmental and health outcomes of single-use versus reusable duodenoscopes
Post written by Lyndon V. Hernandez, MD, MPH, from GI Associates and the Division of Gastroenterology, Medical College of Wisconsin, Milwaukee, Wisconsin, USA. Concern about serious duodenoscope-related infection from multidrug-resistant organisms has facilitated single-use duodenoscopes (SDs) to permeate the market, promising a safer alternative to reusable duodenoscopes (RDs) by virtually eliminating this risk. Using mathematical modeling, …
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Technological review: developments in innovative duodenoscopes
Post written by Mark A. Gromski, MD, from the Division of Gastroenterology and Hepatology, Department of Medicine, Indiana University School of Medicine, Indianapolis, Indiana, USA. The development of innovative duodenoscopes has recently been a dynamic area within interventional endoscopy. In this paper, we aimed to review the status of innovative duodenoscopes, first by putting into …
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Sterile disposable elevator cap in the reduction of cross-contamination
Post written by Carlos Robles-Medranda, MD, from the Instituto Ecuatoriano de Enfermedades Digestivas (IECED, Guayaquil, Ecuador. In the present Tools and Techniques video recently published on VideoGIE, we presented our experience with a novel duodenoscope with a sterile disposable elevator cap for the performance of 700 ERCP procedures. This equipment, which has a 35% reduced …
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Contributing factors to an outbreak of multidrug-resistant K pneumoniae
Post written by Arjan W. Rauwers, MD, from the Department of Gastroenterology and Hepatology, Erasmus MC University Medical Center, Rotterdam, The Netherlands. Worldwide, an increasing number of duodenoscope-associated outbreaks are reported. The contributing factors to an outbreak are not well understood. We report on an investigation after the outbreak of a multidrug-resistant Klebsiella pneumoniae (MRKP) …
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New methods of teaching the axis in ERCP: Can I write my name?
Post written by Ivo Boškoski, MD, PhD, from the Fondazione Policlinico Gemelli, Rome, Italy, and IHU, Istitut de Chirurgie Guidée par l’Image, Strasbourg, France. This is a unique video case in which we used the Boškoski-Costamagna ERCP trainer, a duodenoscope and a specially designed pen, to write the word ERCP. This video shows to young …
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Managing large duodenal lipoma by duodenoscope
Yong Pang, MD, and colleagues from the General Hospital of Chengdu Military Region of PLA in China report on this video case "Unroofing and grasp-and-snare techniques in the management of large duodenal lipoma by duodenoscope combined with double-channel endoscope." In this video, we describe a new combined method for endoscopic resection of large duodenal lipoma. …
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