In vitro and in vivo evaluation of a reusable double-channel sphincterotome

Lee, Roger M.; Vida, Francisco; Kozarek, Richard A.; Raltz, Shirley L.; Ball, Terrence J.; Patterson, David J.; Brandabur, John J.; Glück, Michael; Tomás, Albert; Sumida, Stanford E.; Irizarry, David C.; Jane, Celia

doi:10.1016/s0016-5107(99)70046-5

Cited by 20 publications

(8 citation statements)

References 16 publications

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“…Despite the eventual dysfunction of all one-time-use or reusable gastrointestinal accessories, several points can be made about the current study in relation to previous such studies in our unit [19]. One, another currently marketed double-channel sphincterotome is available that can safely be reprocessed and reused.…”

Section: Discussionmentioning

confidence: 96%

“…These dollars could only be construed as theoretical if an institution had not done comparable reprocessing/reuse studies, and reprocessing of such one-time-use devices was prohibited. At the time of its clinical introduction, therefore, we evaluated the first reusable double-channel sphincterotome marketed in the United States (Medi-Globe, Inc., Tempe, Arizona, United States) [19]. To our surprise, this device actually could be used fewer than three times, as the distal cutting wire progressively cut through the polyethylene sheath at the distal end of the sphincterotome.…”

Section: Discussionmentioning

confidence: 99%

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

Raltz²,

Brandabur³

et al. 2001

Endoscopy

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Section: Discussionmentioning

confidence: 96%

Section: Discussionmentioning

confidence: 99%

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

Raltz²,

Brandabur³

et al. 2001

Endoscopy

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“…[11][12][13][14] Primary problem concerning reuse of these accessories is sterility and proper performance subsequent to reprocessing. [11,15] We have been using these instruments after proper sterilization from last 3 years without any major problems. We use them on an average 3-4 times before they are discarded, but every instrument is sterilized before second use.…”

Section: Discussionmentioning

confidence: 99%

An unusual complication during papillotomy: Breaking of papillotome cutting wire and its subsequent penetration of papilla

Shah

Kadla

Khan

et al. 2014

Journal of Digestive Endoscopy

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Thousands of papillotomies are done word wide in day today practice by Gastroenterologists. Papillotomy is a procedure which is fascinating by its results but frightening by its complications. There are some usual, unusual and unknown complications. The usual ones are Pancreatitis, hemorrhage, perforation and biliary sepsis. The unusual complications include subcutaneous emphysema, pneumothorax, pneumomediastinum, pneumoperitoneum, migration of stents, systemic air embolism, portobiliary fistula, placement of ENBD in portal vein, basket impaction and breakage of basket etc. We report a forty year old female with an unknown complication; the breakage of papillotome cutting wire and its subsequent penetration of papilla.

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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%

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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In vitro and in vivo evaluation of a reusable double-channel sphincterotome

Cited by 20 publications

References 16 publications

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

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

An unusual complication during papillotomy: Breaking of papillotome cutting wire and its subsequent penetration of papilla

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

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