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KMID : 1048120220110010001
International Journal of Gastrointestinal Intervention
2022 Volume.11 No. 1 p.1 ~ p.4
Single-use endoscopes: A narrative review
Elghannam Maged Tharwat

Hassanien Moataz Hassan
Ameen Yosry Abdelrahman
Elattar Gamal Mohammed
El Ray Ahmed Ali
Turky Emad Abdel Wahab
El Talkawy Mohammed Darwish
Abstract
The transmission of infections through gastrointestinal endoscopy is a vital issue. The main problem lies in the use of duodenoscopes due to mechanical aspects of the scope design. Even with high-level disinfection, sterilization of the scope can fail. Hence, the Food and Drug Administration has encouraged a shift to single-use endoscopes. Available options include endoscopes with single-use components (mainly single-use endcaps), fully single-use duodenoscopes (SUDs), and even those with a disposable elevator mechanism. Clinical trials revealed that both reusable and single-use scopes have the same efficacy, while single-use scopes have benefits in terms of infection control, economic considerations, and ease of reprocessing. A few drawbacks are left to be dealt with. Reusable duodenoscopes with removable/disposable endcaps are satisfactory except in specific situations where SUDs are better to use.
KEYWORD
Ease of reprocessing, Economic benefit, Infection transmission, Reusable flexible scopes, Single use duodenoscopes
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