Abstract：
BACKGROUND:Most breaches of endoscope disinfection result from inadequate manual cleaning or improper use of disinfectants. This is a description of how a quality assurance program identified rinse water as a source of bacterial contamination and how it facilitated the introduction of a novel means of delivering rinse water of high purity. METHODS:Between 1996 and 2001, weekly samples were obtained from accessory and suction channels of endoscopes as well as the internal chambers of automated washing machines. Samples were processed for routine bacterial and mycobacterial culture. RESULTS:Bacteria were isolated in 8.7% of samples collected between 1996 and 1998. Of 36 positive samples, 20 (54%) were Pseudomonas sp. Analysis of rinse water from pipework downstream from filters demonstrated high growth of Pseudomonas sp, suggesting biofilm within piping was contaminating rinse water. A system of hot water flushing of pipework was developed that maintains a temperature above 60 degrees C for 60 minutes on a daily basis. This resulted in a consistently low level of bacterial contamination. CONCLUSION:This report demonstrates the value of a quality assurance program for endoscope disinfection and shows how rinse water may contaminate disinfected endoscopes. A system of hot water purging of the rinse water delivery system markedly reduces this contamination.
journal_name
Gastrointest Endoscjournal_title
Gastrointestinal endoscopyauthors
Pang J,Perry P,Ross A,Forbes GMdoi
10.1016/s0016-5107(02)70046-1keywords:
subject
Has Abstractpub_date
2002-09-01 00:00:00pages
402-6issue
3eissn
0016-5107issn
1097-6779pii
S0016-5107(02)70046-1journal_volume
56pub_type
杂志文章abstract：BACKGROUND:Radiofrequency ablation (RFA) is an endoscopic technique used to eradicate Barrett's esophagus (BE). However, such ablation can commonly lead to neosquamous epithelium overlying residual BE glands not visible by conventional endoscopy and may evade detection on random biopsy samples. OBJECTIVE:To demonstrat...
journal_title：Gastrointestinal endoscopy
pub_type： 杂志文章
doi：10.1016/j.gie.2012.02.003
更新日期：2012-07-01 00:00:00
abstract：BACKGROUND AND AIMS:Chromoendoscopy (CE) has been shown to generate both a superior diagnostic yield and dysplasia detection rate than conventional white-light endoscopy and requires a high-quality bowel preparation. The aim of this study was to identify predictors of the ability to perform CE in patients with inflamma...
journal_title：Gastrointestinal endoscopy
pub_type： 杂志文章
doi：10.1016/j.gie.2018.09.039
更新日期：2019-02-01 00:00:00
abstract：BACKGROUND AND AIMS:Markedly increased liver chemistries in patients presenting with acute calculous cholecystitis (AC) often prompt an evaluation for concomitant choledocholithiasis (CDL). However, current guidelines directing the workup for CDL fail to address this unique population. The aims of this study are to def...
journal_title：Gastrointestinal endoscopy
pub_type： 杂志文章
doi：10.1016/j.gie.2018.11.017
更新日期：2019-05-01 00:00:00
abstract：BACKGROUND AND AIMS:Lumen-apposing metal stents (LAMSs) are used to perform necrosectomy in walled-off necrosis (WON). Although necrosectomy is not required for pancreatic pseudocyst (PP), an increasing number of PPs are also being drained with LAMSs in view of their ease of deployment. The aim of the present study was...
journal_title：Gastrointestinal endoscopy
pub_type： 杂志文章
doi：10.1016/j.gie.2017.11.033
更新日期：2018-05-01 00:00:00
abstract：BACKGROUND AND AIMS:Blue-light imaging (BLI) is a new chromoendoscopy technique, potentially useful for differentiating neoplastic from nonneoplastic lesions. The present study was aimed at comparing BLI with high-definition white light (HDWL) in the real-time histology prediction of colon polyps <10 mm. METHODS:Conse...
journal_title：Gastrointestinal endoscopy
pub_type： 杂志文章,随机对照试验
doi：10.1016/j.gie.2018.09.027
更新日期：2019-03-01 00:00:00
abstract：BACKGROUND:The "mother-baby" endoscope system currently used for peroral cholangioscopy (POC) has several limitations. Endoscopic direct cholangioscopy when using an ultra-slim upper endoscope with a guidewire to maintain access has been reported, but appropriate accessories are required to increase the success rate. H...
journal_title：Gastrointestinal endoscopy
pub_type： 杂志文章
doi：10.1016/j.gie.2008.08.043
更新日期：2009-04-01 00:00:00
abstract：:Absolute alcohol is a potentially optimal agent for sclerotherapy of esophageal varices. It is cheap and readily available. We compared the efficacy and safety of alcohol with those of a commonly used sclerosing agent, polidocanol. The study was planned to include patients with previous bleeding from esophageal varice...
journal_title：Gastrointestinal endoscopy
pub_type： 临床试验,杂志文章,随机对照试验
doi：10.1016/s0016-5107(88)71404-2
更新日期：1988-09-01 00:00:00
abstract：BACKGROUND:A simple and safe method for controlled ablation of esophageal mucosa is not currently available. Therefore, an endoscopic cryotherapy device was developed and its efficacy and safety were assessed in a swine model. METHODS:The device consists of a cryogenic system that delivers cold nitrogen gas via a cath...
journal_title：Gastrointestinal endoscopy
pub_type： 杂志文章
doi：10.1016/s0016-5107(99)70352-4
更新日期：1999-07-01 00:00:00
abstract：BACKGROUND AND AIMS:Despite a paucity of women occupying leadership positions in academic medicine, studies have shown a higher ratio of female representation in the program director position compared with division chief in multiple specialties. This study aims to determine whether this trend exists in 3-year gastroent...
journal_title：Gastrointestinal endoscopy
pub_type： 杂志文章
doi：10.1016/j.gie.2017.01.019
更新日期：2017-10-01 00:00:00
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journal_title：Gastrointestinal endoscopy
pub_type： 杂志文章,多中心研究
doi：10.1016/j.gie.2010.06.040
更新日期：2010-10-01 00:00:00
abstract：BACKGROUND:There is increasing interest in the use of propofol, an ultrashort-acting hypnotic agent, for sedation during endoscopic examinations. A protocol was developed for administration of propofol, combined with small doses of midazolam and meperidine, for endoscopic sedation under the direction of a gastroenterol...
journal_title：Gastrointestinal endoscopy
pub_type： 杂志文章
doi：10.1016/s0016-5107(03)02010-8
更新日期：2003-11-01 00:00:00
abstract：BACKGROUND:Proximal migration of a biliary stent is an uncommon event, but its management can present a technical challenge to the therapeutic endoscopist. METHODS:We reviewed the methods that have been used for retrieval of proximally migrated biliary stents in a referral endoscopy center. RESULTS:Forty-four cases w...
journal_title：Gastrointestinal endoscopy
pub_type： 杂志文章
doi：10.1016/s0016-5107(95)70003-x
更新日期：1995-12-01 00:00:00
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journal_title：Gastrointestinal endoscopy
pub_type： 杂志文章
doi：10.1016/j.gie.2009.08.015
更新日期：2010-01-01 00:00:00
abstract：:Forceful dilation of the lower esophageal sphincter is considered primary therapy for achalasia. The Witzel pneumatic balloon dilator, unlike fluoroscopically placed dilators, is placed over a standard gastroscope allowing positioning and dilation under direct vision. We report our experience with the Witzel dilator i...
journal_title：Gastrointestinal endoscopy
pub_type： 杂志文章
doi：10.1016/s0016-5107(90)71120-0
更新日期：1990-09-01 00:00:00
abstract：BACKGROUND:EMR for the treatment of duodenal adenomas is challenging due to a thin wall and rich vascularity. OBJECTIVE:To evaluate a novel technique of "underwater" EMR without prior submucosal injection for the removal of large (≥2 cm) laterally spreading nonampullary duodenal adenomas. DESIGN:Prospective, observat...
journal_title：Gastrointestinal endoscopy
pub_type： 杂志文章
doi：10.1016/j.gie.2013.03.1330
更新日期：2013-09-01 00:00:00
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journal_title：Gastrointestinal endoscopy
pub_type： 杂志文章
doi：10.1016/j.gie.2007.07.021
更新日期：2008-01-01 00:00:00
abstract：BACKGROUND:We assessed the local effects of radiation therapy using intraductal ultrasonography (US) to predict the subsequent patency of metallic stents in bile duct carcinoma. METHODS:Data from 16 patients with extrahepatic-suprapancreatic bile duct carcinoma were prospectively analyzed. Thin-caliber US probes (2.0 ...
journal_title：Gastrointestinal endoscopy
pub_type： 临床试验,杂志文章
doi：10.1016/s0016-5107(00)70439-1
更新日期：2000-04-01 00:00:00
abstract：BACKGROUND:Helicobacter Pylori is strongly associated with peptic ulcer disease. A correlation between high IgG serum antibody concentrations and a clinical diagnosis has been reported. It has been recognized that peptic ulcer disease occurs with increased frequency in cirrhosis. In this study, we attempted to establis...
journal_title：Gastrointestinal endoscopy
pub_type： 临床试验,杂志文章
doi：10.1053/ge.1999.v50.98595
更新日期：1999-09-01 00:00:00
abstract：BACKGROUND AND AIMS:There is a growing need for valid, efficient, and easy scoring scales to rate the quality of cohort studies. We aimed to develop and validate a quality assessment score to be used for cohort studies. METHODS:We followed a rigorous process to establish content, face, and construct validity. Most que...
journal_title：Gastrointestinal endoscopy
pub_type： 杂志文章
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更新日期：2021-02-01 00:00:00
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journal_title：Gastrointestinal endoscopy
pub_type： 杂志文章,meta分析
doi：10.1016/j.gie.2018.12.026
更新日期：2019-05-01 00:00:00
abstract：BACKGROUND:The scientific potential of animal models of carcinogenesis has not been fully realized because of our limited ability to monitor tumor growth in vivo. OBJECTIVE:To develop an endoscopy-based protocol for the accurate estimation of adenoma size in vivo from images obtained during colonoscopy. DESIGN:To com...
journal_title：Gastrointestinal endoscopy
pub_type： 杂志文章
doi：10.1016/j.gie.2008.09.054
更新日期：2009-03-01 00:00:00
abstract：BACKGROUND:Endoscopic ultrasound (EUS) guided fine-needle aspiration (FNA) of pancreatic lesions is being increasingly used. Our aim was to determine the safety, accuracy, and clinical utility of EUS-guided FNA in both the diagnosis and staging of pancreatic cancer. METHODS:Forty-four patients (24 men/20 women) had EU...
journal_title：Gastrointestinal endoscopy
pub_type： 杂志文章
doi：10.1016/s0016-5107(97)70149-4
更新日期：1997-05-01 00:00:00
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journal_title：Gastrointestinal endoscopy
pub_type： 杂志文章
doi：10.1016/j.gie.2010.10.044
更新日期：2011-02-01 00:00:00
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journal_title：Gastrointestinal endoscopy
pub_type： 杂志文章
doi：10.1016/s0016-5107(84)72460-6
更新日期：1984-12-01 00:00:00
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journal_title：Gastrointestinal endoscopy
pub_type： 杂志文章
doi：10.1016/s0016-5107(97)70173-1
更新日期：1997-06-01 00:00:00
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journal_title：Gastrointestinal endoscopy
pub_type： 杂志文章
doi：10.1016/s0016-5107(89)72716-4
更新日期：1989-03-01 00:00:00
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journal_title：Gastrointestinal endoscopy
pub_type： 杂志文章
doi：10.1016/s0016-5107(97)70266-9
更新日期：1997-03-01 00:00:00
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journal_title：Gastrointestinal endoscopy
pub_type： 杂志文章
doi：10.1016/j.gie.2006.03.936
更新日期：2006-08-01 00:00:00
abstract：:Gastroenterologists are frequently asked to perform a variety of endoscopic procedures in patients with AIDS. A study published 6 years ago concluded that costly and inefficient practices resulted from anxiety about transmitting human immunodeficiency virus (HIV) to endoscopic personnel. We re-examined, by means of a ...
journal_title：Gastrointestinal endoscopy
pub_type： 杂志文章
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更新日期：1994-07-01 00:00:00
abstract：BACKGROUND:Diagnosis of pancreatic exocrine insufficiency (PEI) is hindered by methodological difficulties of pancreatic function tests. The probability of PEI in chronic pancreatitis (CP) increases as pancreatic fibrosis develops. Pancreatic fibrosis in CP may be quantified by EUS elastography. OBJECTIVE:To evaluate ...
journal_title：Gastrointestinal endoscopy
pub_type： 杂志文章
doi：10.1016/j.gie.2014.06.040
更新日期：2015-01-01 00:00:00
