Initial experience with duodenoscopes with single-use end caps in pediatric ERCP: infection prevention comes at a cost.
Gastrointest Endosc
; 100(2): 312-316, 2024 Aug.
Article
em En
| MEDLINE
| ID: mdl-38462055
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.
Texto completo:
1
Base de dados:
MEDLINE
Assunto principal:
Colangiopancreatografia Retrógrada Endoscópica
/
Duodenoscópios
Idioma:
En
Ano de publicação:
2024
Tipo de documento:
Article