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KMID : 0359020120450010062
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Korean Journal of Gastrointestinal Endoscopy
2012 Volume.45 No. 1 p.62 ~ p.66
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Performance and Cost of Disposable Biopsy Forceps in Upper Gastrointestinal Endoscopy: Comparison with Reusable Biopsy Forceps
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Lim Chul-Hyun
Choi Myung-Gyu
Kim Won-Chul
Kim Jin-Soo
Cho Yu-Kyung
Park Jae-Myung
Lee In-Seok
Kim Sang-Woo
Choi Gyu-Yong
Chung In-Sik
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Abstract
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Background/Aims: It is believed that disposable biopsy forceps are more costly than reusable biopsy forceps. In this study, we evaluated performance and cost of disposable forceps versus reusable forceps in esophagogastroduodenoscopic biopsy.
Methods: Between October 2009 and July 2010, we enrolled 200 patients undergoing esophagogastroduodenoscopic biopsy at Seoul St. Mary’s Hospital. Biopsies were performed with 100 disposable or 5 reusable forceps by random assignment. Seventy-five additional patients were studied to estimate durability of reusable forceps. The assisting nurses estimated the performance of the forceps. The evaluation of costs included purchase prices and reprocessing costs. The adequacy of the sample was estimated according to the diameter of the obtained tissue.
Results: Performance of disposable forceps was estimated as excellent in 97.0%, good in 2.0% and adequate in 1.0%. Reusable forceps were estimated as excellent in 36.0%, good in 36.0%, adequate in 25.1% and inadequate in 2.9%. The performance of reusable forceps declined with the number of uses. The reprocessing cost of reusable forceps for one biopsy session was calculated as 8,021. The adequacy of the sample was excellent for both forceps.
Conclusions: Disposable forceps showed excellent performance. Considering the reprocessing costs of reusable forceps, usage of disposable forceps with a low price should be considered.
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KEYWORD
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Endoscopy, Biopsy, Disposable equipment, Costs and cost analysis
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