首页|The outcomes and safety of patients undergoing endoscopic retrograde cholangiopancreatography combining a single-use cholangioscope and a single-use duodenoscope:A multicenter retrospective international study

The outcomes and safety of patients undergoing endoscopic retrograde cholangiopancreatography combining a single-use cholangioscope and a single-use duodenoscope:A multicenter retrospective international study

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  • 国家科技期刊平台
  • NETL
  • NSTL
  • 万方数据
  • 维普
Background:Duodenoscope-related multidrug-resistant organism(MDRO)infections raise concerns.Dis-posable duodenoscopes have been recently introduced in the market and approved by regulatory agencies with the aim to reduce the risk of endoscopic retrograde cholangiopancreatography(ERCP)associated in-fections.The aim of this study was to evaluate the outcome of procedures performed with single-use duodenoscopes in patients with clinical indications to single-operator cholangiopancreatoscopy.Methods:This is a multicenter international,retrospective study combining all patients who underwent complex biliopancreatic interventions using the combination of a single-use duodenoscope and a single-use cholangioscope.The primary outcome was technical success defined as ERCP completion for the in-tended clinical indication.Secondary outcomes were procedural duration,rate of cross-over to reusable duodenoscope,operator-reported satisfaction score(1 to 10)on performance rating of the single-use duo-denoscope,and adverse event(AE)rate.Results:A total of 66 patients(26,39.4％female)were included in the study.ERCP was categorized according to ASGE ERCP grading system as 47(71.2％)grade 3 and 19(28.8％)grade 4.The technical success rate was 98.5％(65/66).Procedural duration was 64(interquartile range 15-189)min,cross-over rate to reusable duodenoscope was 1/66(1.5％).The satisfaction score of the single-use duodenoscope classified by the operators was 8.6±1.3 points.Four patients(6.1％)experienced AEs not directly related to the single-use duodenoscope,namely 2 post-ERCP pancreatitis(PEP),1 cholangitis and 1 bleeding.Conclusions:Single-use duodenoscope is effective,reliable and safe even in technically challenging pro-cedures with a non-inferiority to reusable duodenoscope,making these devices a viable alternative to standard reusable equipment.

Single-operator cholangioscopySingle-use duodenoscopeEndoscopic retrogradecholangiopancreatographyIndeterminate biliary strictureDifficult biliary stones

Alessandro Fugazza、Matteo Colombo、Michel Kahaleh、V.Raman Muthusamy、Bick Benjamin、Wim Laleman、Carmelo Barbera、Carlo Fabbri、Jose Nieto、Abed Al-Lehibi、Mohan Ramchandani、Amy Tyberg、Haroon Shahid、Avik Sarkar、Dean Ehrlich、Stuart Sherman、Cecilia Binda、Marco Spadaccini、Andrea Iannone、Kareem Khalaf、Nageshwar Reddy、Andrea Anderloni、Alessandro Repici

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Division of Gastroenterology and Digestive Endoscopy,Humanitas Research Hospital-IRCCS,Via Manzoni 56,20089,Rozzano,Milano,Italy

Gastroenterology,Rutgers Robert Wood Johnson

New Brunswick,New Jersey,USA

Vatche and Tamar Manoukian Division of Digestive Diseases,University of California,Los Angeles School of Medicine at UCLA,Los Angeles,California,USA

Division of Digestive and Liver Disorders

Indiana University School of Medicine,Indianapolis,IN,USA

Department of Gastroenterology and Hepatology,University Hospitals Leuven,KU Leuven,3000 Leuven,Belgium

U.O.C.di Gastroenterologia ed Endoscopia Digestiva,Ospedale Giuseppe Mazzini,ASL Teramo,Italy

Gastroenterology and Digestive Endoscopy Unit,Forlì-Cesena Hospitals,AUSL Romagna,Forlì-Cesena,Italy

Borland Groover Clinic,Jacksonville,Florida,USA

Department of Gastroenterology and Hepatology,King Fahad Medical City,Riyadh,Saudi Arabia

Asian Institute of Gastroenterology,Hyderabad,India

Section of Gastroenterology,Department of Emergency and Organ Transplantation,University of Bari,Bari 70124,Italy

Department of Biomedical Sciences,Humanitas University,Via Rita Levi Montalcini 4,20090,Pieve Emanuele,Milan,Italy

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2024

10.1016/j.hbpd.2023.04.002

国际肝胆胰疾病杂志(英文版)
浙江省医学学术交流管理中心,浙江大学医学院附属第一医院,浙江大学出版社有限责任公司

国际肝胆胰疾病杂志(英文版)

影响因子：0.668
ISSN：1499-3872
年,卷(期)：2024.23(1)
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