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用于内镜逆行胰胆管造影(ERCP)的一次性十二指肠镜:基本原理、可行性、成本及环境影响

Single-Use Duodenoscopes for ERCP: Rationale, Feasibility, Cost, and Environmental Impact.

作者信息

Lee Timothy, Enslin Sarah, Kaul Vivek

机构信息

Division of Internal Medicine, Department of Medicine, University of Rochester Medical Center, Rochester, New York.

Division of Gastroenterology and Hepatology, Department of Medicine, University of Rochester Medical Center, Rochester, New York.

出版信息

Gastroenterol Hepatol (N Y). 2022 May;18(5):248-291.

Abstract

Recent outbreaks of duodenoscope-associated multidrugresistant organism infections have increased awareness and concern about the pitfalls in high-level disinfection protocols and duodenoscope design. A call for innovative approaches to reduce the risk of transmission of multidrug-resistant organisms through duodenoscopes has led to the development of single-use duodenoscopes. As a new technology, questions have been raised regarding the performance, safety, cost, feasibility of implementation, and environmental impact of these novel duodenoscopes. This article discusses several of these aspects and presents a brief review of the literature.

摘要

近期与十二指肠镜相关的多重耐药菌感染暴发,提高了人们对高水平消毒方案及十二指肠镜设计缺陷的认识与关注。呼吁采用创新方法降低多重耐药菌通过十二指肠镜传播的风险,促使了一次性使用十二指肠镜的研发。作为一项新技术,人们对这些新型十二指肠镜的性能、安全性、成本、实施可行性及环境影响提出了疑问。本文讨论了其中几个方面,并对相关文献进行简要综述。

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本文引用的文献

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Esophageal Perforation after Using a Single-Use Disposable Duodenoscope.使用一次性十二指肠镜后发生的食管穿孔
Case Rep Gastroenterol. 2021 Dec 23;15(3):972-977. doi: 10.1159/000519685. eCollection 2021 Sep-Dec.
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