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Comparing the Safety and Efficacy of Two Commercially Available Single-Use Duodenoscopes: A Multicenter Study.
Shahid, Haroon M; Bareket, Romy; Tyberg, Amy; Sarkar, Avik; Simon, Alexa; Gurram, Krishna; Gress, Frank G; Bhenswala, Prashant; Chalikonda, Divya; Loren, David E; Kowalski, Thomas E; Kumar, Anand; Vareedayah, Ashley A; Abhyankar, Priya R; Parker, Kasey; Gabr, Moamen M; Nieto, Jose; De Latour, Rabia; Zolotarevsky, Mitchelle; Barber, Jeremy; Zolotarevsky, Eugene; Vazquez-Sequeiros, Enrique; Gaidhane, Monica; Andalib, Iman; Kahaleh, Michel.
Afiliación
  • Shahid HM; Endoscopy, Robert Wood Johnson Medical School, New Brunswick, NJ.
  • Bareket R; Endoscopy, Robert Wood Johnson Medical School, New Brunswick, NJ.
  • Tyberg A; Endoscopy, Robert Wood Johnson Medical School, New Brunswick, NJ.
  • Sarkar A; Endoscopy, Robert Wood Johnson Medical School, New Brunswick, NJ.
  • Simon A; Endoscopy, Robert Wood Johnson Medical School, New Brunswick, NJ.
  • Gurram K; Elmhurst Mount Sinai, Icahn School of Medicine New York.
  • Gress FG; Mount Sinai Health System, New York, NY.
  • Bhenswala P; Mount Sinai Health System, New York, NY.
  • Chalikonda D; Thomas Jefferson University, Philadelphia, PA.
  • Loren DE; Thomas Jefferson University, Philadelphia, PA.
  • Kowalski TE; Thomas Jefferson University, Philadelphia, PA.
  • Kumar A; Thomas Jefferson University, Philadelphia, PA.
  • Vareedayah AA; NYU Langone Health.
  • Abhyankar PR; UK HealthCare Chandler Hospital, Lexington, KY.
  • Parker K; UK HealthCare Chandler Hospital, Lexington, KY.
  • Gabr MM; UK HealthCare Chandler Hospital, Lexington, KY.
  • Nieto J; Borland Groover Clinic, Jacksonville, FL.
  • De Latour R; NYU Langone Health.
  • Zolotarevsky M; Spectrum Health Medical Center, Grand Rapids, MI.
  • Barber J; Spectrum Health Medical Center, Grand Rapids, MI.
  • Zolotarevsky E; Spectrum Health Medical Center, Grand Rapids, MI.
  • Vazquez-Sequeiros E; Hospital Universitario Quironsalud Madrid, Madrid, Madrid, Spain.
  • Gaidhane M; Endoscopy, Robert Wood Johnson Medical School, New Brunswick, NJ.
  • Andalib I; Elmhurst Mount Sinai, Icahn School of Medicine New York.
  • Kahaleh M; Endoscopy, Robert Wood Johnson Medical School, New Brunswick, NJ.
J Clin Gastroenterol ; 57(8): 798-803, 2023 09 01.
Article en En | MEDLINE | ID: mdl-35997700
INTRODUCTION: Single-use disposable duodenoscopes (SDD) have been developed to mitigate infectious risks related to reusable duodenoscopes. The aim of this study is to compare the safety and efficacy of the two available SDDs in the United States. METHODS: We conducted a comparative study of 2 SDD in consecutive ERCP procedures performed by expert endoscopists from 9 academic centers. Performance ratings, procedure details, and adverse events were collected. RESULTS: A total of 201 patients were included: 129 patients underwent ERCP with Exalt (mean age 63, Males- 66 (51%), 72 with aScope Duodeno (mean age 65, males=30 (42%). A majority of endoscopists had performed >2000 ERCPs in both groups (71% Exalt, 93% aScope Duodeno). Technical success was 92% in both groups (n=119 Exalt-group, n=66 aScope-Duodeno-group). The procedural complexity for the ERCP cases performed were: Grade 1: 35 cases (18%), Grade 2: 83 cases (41%), Grade 3: 65 cases (32%), and Grade 4: 18 cases (9%). Thirteen patients (10%) from the Exalt group and 16 patients (22%) from the aScope Duodeno group required conversion to a reusable duodenoscope. On a scale of 1 to 5, Exalt and aScope Duodeno, respectively, were rated: 2.31 versus 2.60 for location and visualization quality, 1.38 versus 1.57 for maneuverability based on papillary orientation, 1.48 versus 1.15 for suction/air control, and 2.31 versus 2.34 for elevator efficiency. None of the adverse events were related to the SDDs. CONCLUSIONS: The 2 SDDs were comparable. Further ongoing enhancements to these devices will improve maneuverability and clinical effectiveness.
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Colangiopancreatografia Retrógrada Endoscópica / Duodenoscopios Tipo de estudio: Clinical_trials Límite: Aged / Humans / Male / Middle aged Idioma: En Revista: J Clin Gastroenterol Año: 2023 Tipo del documento: Article Pais de publicación: Estados Unidos
Texto completo
Añadir a Mi BVS
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Colangiopancreatografia Retrógrada Endoscópica / Duodenoscopios Tipo de estudio: Clinical_trials Límite: Aged / Humans / Male / Middle aged Idioma: En Revista: J Clin Gastroenterol Año: 2023 Tipo del documento: Article Pais de publicación: Estados Unidos