{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,11,21]],"date-time":"2025-11-21T23:23:26Z","timestamp":1763767406971},"reference-count":14,"publisher":"Georg Thieme Verlag KG","issue":"11","license":[{"start":{"date-parts":[[2022,8,9]],"date-time":"2022-08-09T00:00:00Z","timestamp":1660003200000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Endosc Int Open"],"published-print":{"date-parts":[[2022,11]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:p>\n          Background\u2002Biliary tract emergencies are managed with endoscopic retrograde cholangiopancreatography (ERCP) using duodenoscopes, which are reusable devices that require high-level disinfection to minimize risk of cross-contamination. Recent reports about newly developed single-use duodenoscopes (SUDs) suggest equivalent performance with reusable duodenoscopes, but the effectiveness of SUDs in emergency ERCP has not yet been studied.<\/jats:p><jats:p>\n          Patients and methods\u2002We conducted a prospective case series of emergency ERCP procedures using SUDs (EXALT model D-Boston Scientific, United States) in a real-life, tertiary care setting without any possibility of using a back-up reusable duodenoscope. <\/jats:p><jats:p>\n          Results\u2002Twenty-one emergent ERCPs (acute cholangitis 48%, severe jaundice 38\u200a%, others 14\u200a%) were performed in 19 patients (mean age 49.5\u00b115 years). Almost all procedures (20 of 21; 95\u200a%) were technically and clinically successful, whereas selective cannulation failed in one case. Among the successful ERCPs, five (24\u200a%) were achieved by a novice operator. The image was often considered skewed toward yellow tones (48\u200a%), whereas stiffness and pushability for stent insertion were found suboptimal in 5\u200a% of the procedures, without any impact on procedure success.<\/jats:p><jats:p>\n          Conclusions\u2002SUDs are effective and appropriate devices for emergent situations in real life even in non-expert hands and even if a regular duodenoscope is unavailable as a backup.<\/jats:p>","DOI":"10.1055\/a-1921-2109","type":"journal-article","created":{"date-parts":[[2022,8,9]],"date-time":"2022-08-09T23:10:00Z","timestamp":1660086600000},"page":"E1497-E1500","source":"Crossref","is-referenced-by-count":8,"title":["Single-use duodenoscopes are an efficient tool for emergency ERCP in real life"],"prefix":"10.1055","volume":"10","author":[{"given":"Paul","family":"Rivallin","sequence":"additional","affiliation":[{"name":"Endoscopy Unit, Beaujon Hospital, Clichy la Garenne, France, AP-HP, 100 boulevard du general Leclerc, 92110 Clichy la Garenne, France"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Diane","family":"Lorenzo","sequence":"additional","affiliation":[{"name":"Endoscopy Unit, Beaujon Hospital, Clichy la Garenne, France, AP-HP, 100 boulevard du general Leclerc, 92110 Clichy la Garenne, France"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Abdellah","family":"Hedjoudje","sequence":"additional","affiliation":[{"name":"Endoscopy Unit, Beaujon Hospital, Clichy la Garenne, France, AP-HP, 100 boulevard du general Leclerc, 92110 Clichy la Garenne, France"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Fr\u00e9d\u00e9ric","family":"Prat","sequence":"additional","affiliation":[{"name":"Endoscopy Unit, Beaujon Hospital, Clichy la Garenne, France, AP-HP, 100 boulevard du general Leclerc, 92110 Clichy la Garenne, France"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"194","published-online":{"date-parts":[[2022,11,15]]},"reference":[{"key":"ref1","doi-asserted-by":"crossref","first-page":"150608","DOI":"10.1016\/j.tgie.2019.04.006","article-title":"Endoscope-associated infections: A brief summary of the current state and views toward the future","volume":"21","author":"A W Rauwers","year":"2019","journal-title":"Tech Gastrointest Endosc"},{"key":"ref2","doi-asserted-by":"crossref","first-page":"1637","DOI":"10.1136\/gutjnl-2017-315082","article-title":"High prevalence rate of digestive tract bacteria in duodenoscopes: a nationwide study","volume":"67","author":"A W Rauwers","year":"2018","journal-title":"Gut"},{"key":"ref3","doi-asserted-by":"crossref","first-page":"416","DOI":"10.1097\/MOG.0000000000000755","article-title":"Single-use duodenoscopes: where are we and where are we going?","volume":"37","author":"S Peter","year":"2021","journal-title":"Curr Opin Gastroenterol"},{"key":"ref4","doi-asserted-by":"crossref","first-page":"838","DOI":"10.1136\/gutjnl-2020-321836","article-title":"Equivalent performance of single-use and reusable duodenoscopes in a randomised trial","volume":"70","author":"J Y Bang","year":"2021","journal-title":"Gut"},{"key":"ref5","doi-asserted-by":"publisher","DOI":"10.1055\/a-1508-5664","article-title":"Sterile laparoscopic transgastric ERCP with single-use disposable duodenoscope","author":"M Bulut","year":"2021","journal-title":"Endoscopy"},{"key":"ref6","doi-asserted-by":"crossref","first-page":"421","DOI":"10.1080\/17434440.2021.1917990","article-title":"Device profile of the EXALT Model D single-use duodenoscope for endoscopic retrograde cholangiopancreatography: overview of its safety and efficacy","volume":"18","author":"D Ehrlich","year":"2021","journal-title":"Expert Rev Med Devices"},{"key":"ref7","first-page":"2108","article-title":"Clinical evaluation of a single-use duodenoscope for endoscopic retrograde cholangiopancreatography","volume":"18","author":"V R Muthusamy","year":"2020","journal-title":"Clin Gastroenterol Hepatol Off Clin Pract J Am Gastroenterol Assoc"},{"key":"ref8","doi-asserted-by":"crossref","first-page":"319","DOI":"10.1016\/j.vgie.2021.03.005","article-title":"Single-use duodenoscope in the management of an elderly patient with difficult bile duct stones: laser lithotripsy using a disposable cholangioscope","volume":"6","author":"D N Reddy","year":"2021","journal-title":"VideoGIE"},{"key":"ref9","doi-asserted-by":"publisher","DOI":"10.1016\/j.gie.2019.08.032","article-title":"Novel single-use duodenoscope compared with 3 models of reusable duodenoscopes for ERCP: a randomized bench-model comparison","author":"A S Ross","year":"2019","journal-title":"Gastrointest Endosc"},{"key":"ref10","doi-asserted-by":"publisher","DOI":"10.1016\/j.gie.2021.06.017","article-title":"Single-use duodenoscope for ERCP performed by endoscopists with a range of experience in procedures of variable complexity","author":"A Slivka","year":"2021","journal-title":"Gastrointest Endosc"},{"key":"ref11","doi-asserted-by":"publisher","DOI":"10.1111\/den.13965","article-title":"Evaluation of the performances of a single\u2010use duodenoscope: Prospective multi\u2010center national study","author":"B Napol\u00e9on","year":"2021","journal-title":"Dig Endosc"},{"key":"ref12","doi-asserted-by":"crossref","first-page":"801","DOI":"10.1001\/jama.2016.0287","article-title":"The Third International Consensus Definitions for Sepsis and Septic Shock (Sepsis-3)","volume":"315","author":"M Singer","year":"2016","journal-title":"JAMA"},{"key":"ref13","doi-asserted-by":"crossref","first-page":"535","DOI":"10.1016\/S0016-5107(00)70285-9","article-title":"Grading ERCPs by degree of difficulty: a new concept to produce more meaningful outcome data","volume":"51","author":"S M Schutz","year":"2000","journal-title":"Gastrointest Endosc"},{"key":"ref14","doi-asserted-by":"crossref","first-page":"590275","DOI":"10.3389\/fpubh.2020.590275","article-title":"COVID-19 solutions are climate solutions: lessons from reusable gowns","volume":"8","author":"N Baker","year":"2020","journal-title":"Front Public Health"}],"container-title":["Endoscopy International Open"],"original-title":[],"language":"en","link":[{"URL":"http:\/\/www.thieme-connect.de\/products\/ejournals\/pdf\/10.1055\/a-1921-2109.pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2022,11,15]],"date-time":"2022-11-15T23:49:57Z","timestamp":1668556197000},"score":1,"resource":{"primary":{"URL":"http:\/\/www.thieme-connect.de\/DOI\/DOI?10.1055\/a-1921-2109"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2022,8,9]]},"references-count":14,"journal-issue":{"issue":"11","published-online":{"date-parts":[[2022,11,15]]},"published-print":{"date-parts":[[2022,11]]}},"URL":"https:\/\/doi.org\/10.1055\/a-1921-2109","archive":["Portico","CLOCKSS"],"relation":{},"ISSN":["2364-3722","2196-9736"],"issn-type":[{"value":"2364-3722","type":"print"},{"value":"2196-9736","type":"electronic"}],"subject":[],"published-other":{"date-parts":[[2022,8,9]]},"published":{"date-parts":[[2022,8,9]]}}}