Initial experience with duodenoscopes with single-use end caps in pediatric ERCP: infection prevention comes at a cost - 16/07/24
Abstract |
Background and Aims |
Duodenoscopes with single-use end caps were introduced to minimize infection risk, but they are unstudied in pediatrics.
Methods |
We collected clinical data and endoscopists’ evaluations of duodenoscopes with single-use end caps versus reusable duodenoscopes over 18 months.
Results |
A total of 106 ERCPs were performed for patients aged 1 to 18 (mean, 14.2) years. Forty-six involved single-use end caps, with 9 requiring crossover to reusable duodenoscopes. ERCPs involving single-use end caps resulted in more instances of mucosal trauma (10 vs 0; P < .05) and post-ERCP pancreatitis (4 vs 1; P < .05) and accounted for 8 of 9 ERCPs requiring advanced cannulation techniques. No post-ERCP infections occurred. Reported challenges included single-use end cap stiffness and difficulty with their alignment for cannulation.
Conclusions |
We report difficulty with advancement, greater reliance on advanced cannulation techniques, and higher rates of post-ERCP pancreatitis when using duodenoscopes with single-use end caps in pediatric ERCP. This area warrants further study.
Le texte complet de cet article est disponible en PDF.Graphical abstract |
Abbreviations : PEP
Plan
Vol 100 - N° 2
P. 312-316 - août 2024 Retour au numéro
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