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Technological review: developments in innovative duodenoscopes

  • Mark A. Gromski
    Correspondence
    Reprint requests: Mark Andrew Gromski, MD, Indiana University School of Medicine, Division of Gastroenterology and Hepatology, 550 N University Blvd, Ste 1634, Indianapolis, IN 46202.
    Affiliations
    Division of Gastroenterology and Hepatology, Department of Medicine, Indiana University School of Medicine, Indianapolis, Indiana, USA
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  • Stuart Sherman
    Affiliations
    Division of Gastroenterology and Hepatology, Department of Medicine, Indiana University School of Medicine, Indianapolis, Indiana, USA
    Search for articles by this author
Published:September 03, 2021DOI:https://doi.org/10.1016/j.gie.2021.08.019
      ERCP is an endoscopic and radiographic procedure that permits diagnostic evaluation and therapeutic options for diseases of the pancreatobiliary system. ERCP uses a side-viewing duodenoscope to accomplish these tasks. The duodenoscope universally has an elevator mechanism at the distal tip to assist in cannulation and therapy at the biliary or pancreatic duct orifice. This recessed elevator mechanism makes reprocessing more complex and more difficult than other endoscopes without an elevator mechanism. The aim of this article is to review the risk of infection transmission from duodenoscopes, to describe the developments in innovative duodenoscope design, and to describe key decision points that individual institutions may consider to inform decision-making regarding the adoption and integration of U.S. Food and Drug Administration (FDA)-approved innovative duodenoscopes.

      Abbreviation:

      FDA (U.S. Food and Drug Administration)
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