In Vitro Study and In Vivo Application of a Reusable Double-Channel Sphincterotome

Ra, Kozarek; Raltz, SL; Brandabur, JJ; Dj, Patterson; Ball, Terrance J.; Mg, Gluck; Se, Sumida; Sk, Roach; De, Drajpuch; Dl, Irizarry

doi:10.1055/s-2001-14262

Cited by 4 publications

(4 citation statements)

References 9 publications

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“…The 2010 ASGE Technology Committee guideline on ERCP cannulation and sphincterotomy devices [124], claims that reprocessed reusable devices offer potential cost savings when available and adequately reprocessed [118]. Several studies support the idea that reusable devices are safe when adequately reprocessed [112,[114][115][116][117][118]. Worldwide, although several infection outbreaks have occurred that were related to duodenoscope reprocessing [125][126][127][128], this has never been described with reusable devices.…”

Section: Position Statementmentioning

confidence: 99%

“…The "single-use" label is solely based on the decision of manufacturers [106]. The following GI endoscopy accessories have been marketed as resusable and are still available in some places: ▪ bougie dilators [107][108][109] ▪ biopsy forceps [110][111][112] ▪ band ligation devices [113] ▪ sphincterotomes [114][115][116][117][118] ▪ baskets for stone retrieval [118,119] ▪ reloadable clip applicators [120] ▪ suction and air valves [121] ▪ snares, guidewires, and balloon expanders [121] ▪ personal protective equipment [122].…”

Section: Single-use Accessoriesmentioning

confidence: 99%

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Reducing the environmental footprint of gastrointestinal endoscopy: European Society of Gastrointestinal Endoscopy (ESGE) and European Society of Gastroenterology and Endoscopy Nurses and Associates (ESGENA) Position Statement

Dinis‐Ribeiro²,

et al. 2022

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Climate change and the destruction of ecosystems by human activities are among the greatest challenges of the 21st century and require urgent action. Health care activities significantly contribute to the emission of greenhouse gases and waste production, with gastrointestinal (GI) endoscopy being one of the largest contributors. This Position Statement aims to raise awareness of the ecological footprint of GI endoscopy and provides guidance to reduce its environmental impact. The European Society of Gastrointestinal Endoscopy (ESGE) and the European Society of Gastroenterology and Endoscopy Nurses and Associates (ESGENA) outline suggestions and recommendations for health care providers, patients, governments, and industry. Main statements 1 GI endoscopy is a resource-intensive activity with a significant yet poorly assessed environmental impact. 2 ESGE-ESGENA recommend adopting immediate actions to reduce the environmental impact of GI endoscopy. 3 ESGE-ESGENA recommend adherence to guidelines and implementation of audit strategies on the appropriateness of GI endoscopy to avoid the environmental impact of unnecessary procedures. 4 ESGE-ESGENA recommend the embedding of reduce, reuse, and recycle programs in the GI endoscopy unit. 5 ESGE-ESGENA suggest that there is an urgent need to reassess and reduce the environmental and economic impact of single-use GI endoscopic devices. 6 ESGE-ESGENA suggest against routine use of single-use GI endoscopes. However, their use could be considered in highly selected patients on a case-by-case basis. 7 ESGE-ESGENA recommend inclusion of sustainability in the training curricula of GI endoscopy and as a quality domain. 8 ESGE-ESGENA recommend conducting high quality research to quantify and minimize the environmental impact of GI endoscopy. 9 ESGE-ESGENA recommend that GI endoscopy companies assess, disclose, and audit the environmental impact of their value chain. 10 ESGE-ESGENA recommend that GI endoscopy should become a net-zero greenhouse gas emissions practice by 2050.

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Section: Position Statementmentioning

confidence: 99%

Section: Single-use Accessoriesmentioning

confidence: 99%

Reducing the environmental footprint of gastrointestinal endoscopy: European Society of Gastrointestinal Endoscopy (ESGE) and European Society of Gastroenterology and Endoscopy Nurses and Associates (ESGENA) Position Statement

Dinis‐Ribeiro²,

et al. 2022

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“…Moreover, the functionality of reusable accessories may be maintained after several uses including biopsy forceps, sphincterotomes, and baskets. [59][60][61][62][63] Single-use or reuse of accessories: The way forward…”

Section: Endoscopic Accessoriesmentioning

confidence: 99%

“…On the contrary, reusable accessories may be more economical with a less negative impact on the environment. Moreover, the functionality of reusable accessories may be maintained after several uses including biopsy forceps, sphincterotomes, and baskets 59–63 …”

Section: Endoscopic Accessoriesmentioning

confidence: 99%

Single‐use accessories and endoscopes in the era of sustainability and climate change—A balancing act

Nabi,

Tang,

Sundaram

et al. 2023

J of Gastro and Hepatol

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Gastrointestinal (GI) endoscopy is among the highest waste generator in healthcare facilities. The major reasons include production of large‐volume non‐renewable waste, use of single‐use devices, and reprocessing or decontamination processes. Single‐use endoscopic accessories have gradually replaced reusable devices over last two decades contributing to the rising impact of GI endoscopy on ecosystem. Several reports of infection outbreaks with reusable duodenoscopes raised concerns regarding the efficacy and adherence to standard disinfection protocols. Even the enhanced reprocessing techniques like double high‐level disinfection have not been found to be the perfect ways for decontamination of duodenoscopes and therefore, paved the way for the development of single‐use duodenoscopes. However, the use of single‐use endoscopes is likely to amplify the net waste generated and carbon footprint of any endoscopy unit. Moreover, single‐use devices challenge one of the major pillars of sustainability, that is, “reuse.” In the era of climate change, a balanced approach is required taking into consideration patient safety as well as financial and environmental implications. The possible solutions to provide optimum care while addressing the impact on climate include selective use of disposable duodenoscopes and careful selection of accessories during a case. Other options include use of disposable endcaps and development of effective high‐level disinfection techniques. The collaboration between the healthcare professionals and the manufacturers is paramount for the development of environmental friendly devices with low carbon footprint.

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Update on endoscopic tissue sampling devices

Barkun¹,

Liu²,

Carpenter³

et al. 2006

Gastrointestinal Endoscopy

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In Vitro Study and In Vivo Application of a Reusable Double-Channel Sphincterotome

Cited by 4 publications

References 9 publications

Reducing the environmental footprint of gastrointestinal endoscopy: European Society of Gastrointestinal Endoscopy (ESGE) and European Society of Gastroenterology and Endoscopy Nurses and Associates (ESGENA) Position Statement

Reducing the environmental footprint of gastrointestinal endoscopy: European Society of Gastrointestinal Endoscopy (ESGE) and European Society of Gastroenterology and Endoscopy Nurses and Associates (ESGENA) Position Statement

Single‐use accessories and endoscopes in the era of sustainability and climate change—A balancing act

Update on endoscopic tissue sampling devices

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