KMID : 1048120220110010001
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International Journal of Gastrointestinal Intervention 2022 Volume.11 No. 1 p.1 ~ p.4
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Single-use endoscopes: A narrative review
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Elghannam Maged Tharwat
Hassanien Moataz Hassan Ameen Yosry Abdelrahman Elattar Gamal Mohammed El Ray Ahmed Ali Turky Emad Abdel Wahab El Talkawy Mohammed Darwish
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Abstract
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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.
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KEYWORD
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Ease of reprocessing, Economic benefit, Infection transmission, Reusable flexible scopes, Single use duodenoscopes
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