Single-use duodenoscope for ERCP performed by endoscopists with a range of experience in procedures of variable complexity
| Autor: | Adam Slivka, Andrew S. Ross, Divyesh V. Sejpal, Bret T. Petersen, Marco J. Bruno, Douglas K. Pleskow, V. Raman Muthusamy, Jennifer S. Chennat, Rajesh Krishnamoorthi, Calvin Lee, John A. Martin, Jan-Werner Poley, Jonah M. Cohen, Adarsh M. Thaker, Joyce A. Peetermans, Matthew J. Rousseau, Gregory P. Tirrell, Richard A. Kozarek, Asif Khalid, Rohit Das, Harkirat Singh, Kishore Vipperla, Andrew Antony, Jun-Ho Choi, Michael Larsen, Joanna Law, Jagpal Klair, Adarsh Thaker, Barham Abu Dayyeh, Vinay Chandrasekhara, Michael Levy, Ryan Law, Jeff Insull |
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| Přispěvatelé: | Gastroenterology & Hepatology |
| Jazyk: | angličtina |
| Rok vydání: | 2021 |
| Předmět: |
Cholangiopancreatography
Endoscopic Retrograde medicine.medical_specialty Single use Endoscope business.industry General surgery Gastroenterology Endoscopy Gastrointestinal digestive system diseases Catheterization Clinical trial Crossover rate Humans Medicine Duodenoscopes Radiology Nuclear Medicine and imaging In patient Completion time business Adverse effect Gastrointestinal endoscopy |
| Zdroj: | Gastrointestinal Endoscopy, 94(6), 1046-1055. Mosby Inc. |
| ISSN: | 1097-6779 0016-5107 |
| Popis: | Background and Aims: Expert endoscopists previously reported ERCP outcomes for the first commercialized single-use duodenoscope. We aimed to document usability of this device by endoscopists with different levels of ERCP experience. Methods: Fourteen “expert” (>2000 lifetime ERCPs) and 5 “less-expert” endoscopists performed consecutive ERCPs in patients without altered pancreaticobiliary anatomy. Outcomes included ERCP completion for the intended indication, rate of crossover to another endoscope, device performance ratings, and serious adverse events. Results: Two hundred ERCPs including 81 (40.5%) with high complexity (American Society for Gastrointestinal Endoscopy grades 3-4) were performed. Crossover rate (11.3% vs 2.5%, P =.131), ERCP completion rate (regardless of crossovers) (96.3% vs 97.5%, P =.999), median ERCP completion time (25.0 vs 28.5 minutes, P =.130), mean cannulation attempts (2.8 vs 2.8, P =.954), and median overall satisfaction with the single-use duodenoscope (8.0 vs 8.0 [range, 1.0-10.0], P =.840) were similar for expert versus less-expert endoscopists, respectively. The same metrics were similar by procedural complexity except for shorter median completion time for grades 1 to 2 versus grades 3 to 4 (P Conclusions: In consecutive ERCPs including high complexity procedures, endoscopists with varying ERCP experience had good procedural success and reported high device performance ratings. (Clinical trial registration number: NCT04223830.) |
| Databáze: | OpenAIRE |
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