Formal Training in Endoscope Handling and Care Reduces Repair Costs

Formal Training in Endoscope Handling and Care Reduces Repair Costs

Douglas K. Rex, MD, MASGE, reviewing Mahawongkajit P, et al. Endosc Int Open 2022 Jan.

In the current study, a medical center in Thailand instituted a formal educational program focused on personal awareness of endoscope handling and manipulation, the correct choice and use of accessories, and strict adherence to cleaning, disinfection, carriage, and storage, with emphasis on appropriate components for new endoscopists, nurses, and nurse assistants. After the course, repair costs decreased by 40% from the precourse period, with the biggest drop in endoscope damages caused by nozzle and channel blockages and a lesser decrease in damages caused by leaks.

Douglas K. Rex, MD, FASGE


This is the second study to show a significant reduction in instrument damage associated with formal training of endoscopists and other personnel in best practices for handling and processing endoscopes.

Note to readers: At the time we reviewed this paper, its publisher noted that it was not in final form and that subsequent changes might be made.


Mahawongkajit P, Techagumpuch A, Auksornchat K. Effects of basic endoscopic handling and care training on gastrointestinal endoscopy logistics. Endosc Int Open 2022;10:E56-E61. (

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