*EMBARGOED All research presented at the 2019 ACG Annual Scientific Meeting and Postgraduate Course is strictly embargoed until Monday, October 28, 2019, at 8:00 am CDT.
Oral 16 Single-Use Duodenoscope for Endoscopic Retrograde Cholangiopancreatography: Performance Ratings From a Case Series of 60 Patients
Author Insight from V. Raman Muthusamy, MD, MAS, FACG, University of California Los Angeles, David Geffen School of Medicine
What’s new here and important for clinicians?
That in a case series of 60 patients describing the initial human use of a disposable duodenoscope, seven endoscopists at 6 centers found the performance of the device to be comparable to reusable duodenoscopes over a wide range of ERCP-related performance metrics. These included cannulation, sphincterotomy, stone removal, stent placement and dilation of strictures. Overall, 58/60 cases were successfully performed using only the single use duodenoscope and 92.1% of ratings for specific ERCP maneuvers rated the single use device as preferred (1.7%) or neutral (90.4%) compared to the resuable duodenoscope. In those cases where the single use device was not preferred or neutral, issues with cannulation or stent placement/removal were reasons cited. Additional device modifications to address these issues have already been initiated.
What do patients need to know?
That a variety of advances in reprocessing methods and endoscope design are occurring that aim to minimize and ultimately eliminate the risk of duodenoscope-transmitted infections between patients. These advances now include the development of a single use duodenoscope. The device is expected to be commercially available in the near future.
V. Raman Muthusamy, MD, MAS, FACG, University of California Los Angeles, David Geffen School of Medicine
raman [at] mednet [dot] ucla [dot] edu
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