Single-use duodenoscopes were developed to eliminate the risk of duodenoscope-associated transmission of infections. However, there are concerns that the performance of single-use duodenoscopes may not be optimal in practice. Limited data exist on the outcomes of ERCP using these endoscopes. <\/p>\n\n\n\n
In this industry-sponsored study, 61 endoscopists (22 centers) performed ERCP in 551 patients using a commercially available single-use duodenoscope (Exalt, Boston Scientific Corporation, Marlborough, Mass). Endoscopists were stratified by volume as expert (>2000 lifetime ERCPs; 46 endoscopists) or less-expert (\u22642000 lifetime ERCPs; 15 endoscopists). ERCPs were categorized as difficult using previously described criteria such as more than 5 contacts with the papilla while attempting to cannulate, more than 5 minutes spent attempting to cannulate following visualization of the papilla, and unintended pancreatic duct cannulation or opacification. <\/p>\n\n\n\n
In total, 55.9% of patients had native papillae (no prior sphincterotomy), and 37 (6.7%) underwent an ERCP procedure with crossover from a single-use to a reusable duodenoscope. Overall, difficult cannulation was seen in 29.2% of all ERCPs; among these cases, 2.9% underwent crossover to a reusable duodenoscope. The overall success rate for ERCP with single-use duodenoscopes was 91.3%; an additional 4.7% of patients had a successful ERCP after crossover to a reusable duodenoscope. ERCP performance, including ERCP success and crossover rates, was similar between experts and less-experts, but experts rated single-use duodenoscopes higher than less-experts. The overall pancreatitis rate was 3.3%, and the overall adverse event rate was 7.8%.<\/p>\n","protected":false},"excerpt":{"rendered":"
Single-use duodenoscopes were developed to eliminate the risk of duodenoscope-associated transmission of infections. However, there are concerns that the performance of single-use duodenoscopes may not be optimal in practice. Limited data exist on the outcomes of ERCP using these endoscopes. In this industry-sponsored study, 61 endoscopists (22 centers) performed ERCP in 551 patients using a … Read more<\/a><\/p>\n","protected":false},"template":"","categories":[1768,67],"tags":[1930,381,2128],"class_list":["post-14434","ec-news","type-ec-news","status-publish","hentry","category-asge-journal-scan","category-bauchspeicheldruese-pankreas","tag-duodenoscope-2","tag-ercp","tag-pancreatobiliary"],"_links":{"self":[{"href":"https:\/\/www.endoscopy-campus.com\/en\/wp-json\/wp\/v2\/ec-news\/14434","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/www.endoscopy-campus.com\/en\/wp-json\/wp\/v2\/ec-news"}],"about":[{"href":"https:\/\/www.endoscopy-campus.com\/en\/wp-json\/wp\/v2\/types\/ec-news"}],"wp:attachment":[{"href":"https:\/\/www.endoscopy-campus.com\/en\/wp-json\/wp\/v2\/media?parent=14434"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.endoscopy-campus.com\/en\/wp-json\/wp\/v2\/categories?post=14434"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.endoscopy-campus.com\/en\/wp-json\/wp\/v2\/tags?post=14434"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}