Year 2022 / Volume 114 / Number 2
Editorial
Disposable duodenoscopes. Is healthcare system affordability the main hindrance?

70-72

DOI: 10.17235/reed.2022.8570/2021

Enrique Vázquez-Sequeiros, Juan Ángel González Martín, Agustín Albillos Martínez,

Abstract
The performance of an endoscopic procedure involves introducing an endoscope through the mouth or the anus, which may potentially lead to lethal infection. The risk increases when complex and difficult-to-clean scopes are used, as in the case of duodenoscopes. Side-viewing duodenoscopes are complex in design, with the camera and working channel exit located on one side of the endoscope’s distal end, and with an elevator nail also located at this point for catheter redirection. This complex design may facilitate the presence of blind areas not easy to access for cleaning, resulting in suboptimal disinfection of the duodenoscope and therefore a higher risk of bacterial infection. This is of particular importance in particularly vulnerable patients like those who are immunosuppressed (e.g., transplanted patients) or have a malignant disease and are receiving chemotherapy. Moreover, in the era of ¨superbugs¨, like carbapenem-resistant Enterobacteriaceae, infection outbreaks related to endoscopic retrograde cholangiopancreatography (ERCP) have been reported with a significant mortality rate.
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References
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Vázquez-Sequeiros E, González Martín J, Albillos Martínez A. Disposable duodenoscopes. Is healthcare system affordability the main hindrance?. 8570/2021


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Publication history

Received: 03/01/2022

Accepted: 14/01/2022

Online First: 20/01/2022

Published: 07/02/2022

Article Online First time: 17 days

Article editing time: 35 days


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