ArticleGastrointestinal endoscopy2018
Scoping the scope: endoscopic evaluation of endoscope working channels with a new high-resolution inspection endoscope (with video).
Article in Gastrointestinal endoscopy, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 24 papers.
What it found
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
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Who cites it
24 citing papers in PubMed, 68 citations in OpenAlex.
- Efficacy of spray flushing in the reprocessing of flexible endoscopes: A randomized controlled trial.World journal of gastroenterology · 2024Trial
- Factors associated with flexible cystoscope longevity: an analysis of supplier and health service datasets.BJU international · 2026Article
- The role of ATP bioluminescence in monitoring surface hygiene in hospital settings: a comprehensive review.Antimicrobial resistance and infection control · 2026Review
- Effects of different drying temperatures and times on the drying efficiency in reprocessing of flexible endoscopes.Saudi journal of gastroenterology : official journal of the Saudi Gastroenterology Association · 2026Article
- Effectiveness of drying in digestive endoscope reprocessing: Systematic review on residual droplets and microorganisms.Endoscopy international open · 2026Review
- A review on computer-aided diagnostic system to classify the disorders of the gastrointestinal tract.European journal of medical research · 2025Review
- Beyond Endoscopes: Pilot Study of Surgical Instrument Lumen Inspection.Biomedical instrumentation & technology · 2024Article
- Impact of Borescope Inspections on Endoscope Repair Frequency and Costs.Biomedical instrumentation & technology · 2024Article
- Assessment of endoscope reprocessing at World Gastroenterology Organisation training centers using adenosine triphosphate testing.Endoscopy international open · 2024Article
- High Prevalence Rate of Microbial Contamination in Patient-Ready Gastrointestinal Endoscopes in Tehran, Iran: an Alarming Sign for the Occurrence of Severe Outbreaks.Microbiology spectrum · 2022Article
- Efficacy of a novel channel-cleaning ball brush for endoscope reprocessing: a randomized controlled trial.Clinical endoscopy · 2022Article
- Borescope inspection of endoscope working channels: Why and how?Endoscopy international open · 2022Article
- Initial application of deep learning to borescope detection of endoscope working channel damage and residue.Endoscopy international open · 2022Article
- A narrative review on current duodenoscope reprocessing techniques and novel developments.Antimicrobial resistance and infection control · 2021Review
- Recent Advances in Endoscope Disinfection: Where Do We Stand in the COVID era?Techniques and innovations in gastrointestinal endoscopy · 2021Review
- The Effectiveness of Drying on Residual Droplets, Microorganisms, and Biofilms in Gastrointestinal Endoscope Reprocessing: A Systematic Review.Gastroenterology research and practice · 2021Review
- Duodenoscope-associated infection prevention: A call for evidence-based decision making.Endoscopy international open · 2020Review
- SpyGlass application for duodenoscope working channel inspection: Impact on the microbiological surveillance.World journal of gastroenterology · 2020Review
- Duodenoscope-associated infections: a review.European journal of clinical microbiology & infectious diseases : official publication of the European Society of Clinical Microbiology · 2019Review
- Duodenoscope-Associated Infections beyond the Elevator Channel: Alternative Causes for Difficult Reprocessing.Molecules (Basel, Switzerland) · 2019Article
Corrections and comments
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Authors and funding
4 authors at 1 institution in 1 country.
Funding
Abstract
BACKGROUND AND
aimsOutbreaks of transmission of infection related to endoscopy despite reported adherence to reprocessing guidelines warrant scrutiny of all potential contributing factors. Recent reports from ambulatory surgery centers indicated widespread significant occult damage within endoscope working channels, raising concerns regarding the potential detrimental impact of this damage on the adequacy of endoscope reprocessing.
methodsWe inspected working channels of all 68 endoscopes at our academic institution using a novel flexible inspection endoscope. Inspections were recorded and videos reviewed by 3 investigators to evaluate and rate channel damage and/or debris. Working channel rinsates were obtained from all endoscopes, and adenosine triphosphate (ATP) bioluminescence was measured.
resultsOverall endoscope working channel damage was rated as minimal and/or mild and was consistent with expected wear and tear (median 1.59 on our 5-point scale). Our predominant findings included superficial scratches (98.5%) and scratches with adherent peel (76.5%). No channel perforations, stains, or burns were detected. The extent of damage was not predicted by endoscope age. Minor punctate debris was common, and a few small drops of fluid were noted in 42.6% of endoscopes after reprocessing and drying. The presence of residual fluid predicted higher ATP bioluminescence values. The presence of visualized working channel damage or debris was not associated with elevated ATP bioluminescence values.
conclusionThe flexible inspection endoscope enables high-resolution imaging of endoscope working channels and offers endoscopy units an additional modality for endoscope surveillance, potentially complementing bacterial cultures and ATP values. Our study, conducted in a busy academic endoscopy unit, indicated predominately mild damage to endoscope working channels, which did not correlate with elevated ATP values.
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Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.