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一次性使用十二指肠镜:最新进展与未来

Single Use (Disposable) Duodenoscope: Recent Development and Future.

作者信息

Ryu Kihyun, Jang Sunguk

机构信息

Department of Gastroenterology, Konyang University College of Medicine, Daejeon, Korea.

Digestive Disease Institute, Cleveland Clinic., Cleveland, OH, USA.

出版信息

Clin Endosc. 2022 Mar;55(2):191-196. doi: 10.5946/ce.2021.075. Epub 2021 Jun 22.

DOI:10.5946/ce.2021.075
PMID:34154307
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC8995994/
Abstract

Unlike simple forward-viewing endoscopes such as gastroscope or colonoscope, duodenoscope houses much more complex design to fulfil its function. This design differences leave duodenoscopes more prone to contamination from inadequate disinfection process and potential dissemination of pathogens. Recent reports on dissemination of infection through the duodenoscope mandated an overhaul of duodenoscope utilization including development of a disposable duodenoscope. This article reviews the current state of disposable duodenoscope development, including reported early efficacy as well as its future direction and utilization.

摘要

与胃镜或结肠镜等简单的前视内镜不同,十二指肠镜的设计要复杂得多,以实现其功能。这种设计差异使十二指肠镜更容易受到消毒不充分过程的污染以及病原体的潜在传播。最近关于通过十二指肠镜传播感染的报告要求对十二指肠镜的使用进行全面改革,包括开发一次性十二指肠镜。本文综述了一次性十二指肠镜的发展现状,包括已报道的早期疗效及其未来方向和应用。

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Single Use (Disposable) Duodenoscope: Recent Development and Future.一次性使用十二指肠镜:最新进展与未来
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2
A comparative study of side-viewing duodenoscope and forward-viewing gastroscope to perform endoscopic retrograde cholangiopancreatography in patients with Billroth II gastrectomy.对比观察侧视十二指肠镜和前视胃镜在毕Ⅱ式胃切除术后患者行内镜逆行胰胆管造影术的效果。
Surg Endosc. 2021 Aug;35(8):4222-4230. doi: 10.1007/s00464-020-07904-x. Epub 2020 Aug 28.
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Use of ethylene-oxide gas sterilisation to terminate multidrug-resistant bacterial outbreaks linked to duodenoscopes.使用环氧乙烷气体灭菌来终止与十二指肠镜相关的多重耐药细菌暴发。
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A quarantine process for the resolution of duodenoscope-associated transmission of multidrug-resistant Escherichia coli.一种用于解决十二指肠镜相关多重耐药性大肠杆菌传播问题的隔离流程。
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ERCP with single-use disposable duodenoscopes in four different set-ups.使用一次性十二指肠镜在四种不同设置下进行内镜逆行胰胆管造影(ERCP)。
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Gastroenterol Hepatol (N Y). 2022 May;18(5):248-291.
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Good Practices on Endoscope Reprocessing in Italy: Findings of a Nationwide Survey.意大利内镜再处理的良好实践:一项全国性调查的结果。
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本文引用的文献

1
Clinical Evaluation of a Single-Use Duodenoscope for Endoscopic Retrograde Cholangiopancreatography.一次性使用十二指肠镜用于内镜逆行胰胆管造影术的临床评估
Clin Gastroenterol Hepatol. 2020 Aug;18(9):2108-2117.e3. doi: 10.1016/j.cgh.2019.10.052. Epub 2019 Nov 6.
2
Novel single-use duodenoscope compared with 3 models of reusable duodenoscopes for ERCP: a randomized bench-model comparison.新型一次性使用十二指肠镜与 3 种可复用十二指肠镜在 ERCP 中的比较:一项随机台架模型比较。
Gastrointest Endosc. 2020 Feb;91(2):396-403. doi: 10.1016/j.gie.2019.08.032. Epub 2019 Nov 1.
3
Concept of disposable duodenoscope: at what cost?一次性十二指肠镜的概念:代价几何?
Gut. 2019 Nov;68(11):1915-1917. doi: 10.1136/gutjnl-2019-318227. Epub 2019 Feb 12.
4
Single-use disposable digital flexible ureteroscopes: an ex vivo assessment and cost analysis.一次性使用数码输尿管软镜:一项离体评估和成本分析。
BJU Int. 2018 May;121 Suppl 3:55-61. doi: 10.1111/bju.14235.
5
High prevalence rate of digestive tract bacteria in duodenoscopes: a nationwide study.十二指肠镜中消化道细菌的高流行率:一项全国性研究。
Gut. 2018 Sep;67(9):1637-1645. doi: 10.1136/gutjnl-2017-315082. Epub 2018 Apr 10.
6
Early Assessment of the Likely Cost Effectiveness of Single-Use Flexible Video Bronchoscopes.一次性使用软性视频支气管镜可能的成本效益早期评估。
Pharmacoecon Open. 2017 Jun;1(2):133-141. doi: 10.1007/s41669-017-0012-9.
7
Clinical outcomes and costs of reusable and single-use flexible ureterorenoscopes: a prospective cohort study.可重复使用与单次使用软性输尿管镜的临床结果和成本:一项前瞻性队列研究。
Urolithiasis. 2018 Nov;46(6):587-593. doi: 10.1007/s00240-018-1042-1. Epub 2018 Jan 22.
8
A double-reprocessing high-level disinfection protocol does not eliminate positive cultures from the elevators of duodenoscopes.双次再处理高水平消毒方案无法清除十二指肠镜电梯内的阳性培养物。
Endoscopy. 2018 Jun;50(6):588-596. doi: 10.1055/s-0043-122378. Epub 2017 Dec 13.
9
Disinfection and Sterilization in Health Care Facilities: An Overview and Current Issues.医疗机构中的消毒与灭菌:概述及当前问题
Infect Dis Clin North Am. 2016 Sep;30(3):609-37. doi: 10.1016/j.idc.2016.04.002.
10
Risk factors associated with the transmission of carbapenem-resistant Enterobacteriaceae via contaminated duodenoscopes.与污染的十二指肠镜传播碳青霉烯类耐药肠杆菌科相关的危险因素。
Gastrointest Endosc. 2016 Jun;83(6):1121-9. doi: 10.1016/j.gie.2016.03.790. Epub 2016 Mar 16.