| ISSN |
1007-9327 (print) and 2219-2840 (online) |
| Open Access |
This article is an open-access article that was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution NonCommercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: http://creativecommons.org/licenses/by-nc/4.0/ |
| Copyright |
© The Author(s) 2020. Published by Baishideng Publishing Group Inc. All rights reserved. |
| Article Reprints |
For details, please visit: http://www.wjgnet.com/bpg/gerinfo/247
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| Permissions |
For details, please visit: http://www.wjgnet.com/bpg/gerinfo/207
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| Publisher |
Baishideng Publishing Group Inc, 7041 Koll Center Parkway, Suite 160, Pleasanton, CA 94566, USA |
| Website |
http://www.wjgnet.com |
| Category |
Gastroenterology & Hepatology |
| Manuscript Type |
Clinical and Translational Research |
| Article Title |
SpyGlass application for duodenoscope working channel inspection: Impact on the microbiological surveillance
|
| Manuscript Source |
Unsolicited Manuscript |
| All Author List |
Tao-Chieh Liu, Chen-Ling Peng, Hsiu-Po Wang, Hsin-Hung Huang and Wei-Kuo Chang |
| ORCID |
|
| Funding Agency and Grant Number |
| Funding Agency |
Grant Number |
| Ministry of National Defense-Medical Affairs Bureau, Tri-Service General Hospital |
TSGH-D-109182 |
|
| Corresponding Author |
Wei-Kuo Chang, MD, PhD, Associate Professor, Division of Gastroenterology, Department of Internal Medicine, Tri-Service General Hospital, National Defense Medical Center, No. 325, Chengong Road, Sec.2, Neihu, Taipei 114, Taiwan. weikuohome@hotmail.com |
| Key Words |
Duodenoscope; Working channel; Visual inspection; Microbiological surveillance; Reprocessing; Endoscope reprocessing |
| Core Tip |
This study demonstrated that the common abnormal visual inspection findings of patient-ready duodenoscopes were scratches (52.6%), buckling (78.9%), stains (73.7%), debris (73.7%), and fluids (31.6%). The risk of duodenoscopes of being scratched, buckled, and stained, and accumulating debris was significantly higher at the bending section than at the insertion tube. The presence of debris and fluids is susceptible for microbiological contamination. Multivariate analysis demonstrated that fluids, but not debris, is an independent factor that determines bacterial culture positivity. Working channel inspection may be added to the current recommendations to identify suboptimal reprocessing or duodenoscopes requiring evaluation, repair, or replacement. |
| Publish Date |
2020-07-14 15:42 |
| Citation |
Liu TC, Peng CL, Wang HP, Huang HH, Chang WK. SpyGlass application for duodenoscope working channel inspection: Impact on the microbiological surveillance. World J Gastroenterol 2020; 26(26): 3767-3779 |
| URL |
https://www.wjgnet.com/1007-9327/full/v26/i26/3767.htm |
| DOI |
https://dx.doi.org/10.3748/wjg.v26.i26.3767 |
