Clin Endosc.  2020 May;53(3):276-285. 10.5946/ce.2020.106.

Multidisciplinary and Multisociety Practice Guideline on Reprocessing Flexible Gastrointestinal Endoscopes and Endoscopic Accessories

Affiliations
  • 1Department of Internal Medicine, The Catholic University of Korea College of Medicine, Seoul, Korea
  • 2Department of Internal Medicine, Yeungnam University College of Medicine, Daegu, Korea
  • 3Department of Internal Medicine, Jeonbuk National University Medical School, Jeonju, Korea
  • 4Department of Internal Medicine, Yonsei University College of Medicine, Seoul, Kroea
  • 5Department of Internal Medicine, Dankook University College of Medicine, Cheonan, Korea
  • 6Department of Internal Medicine, Ewha Womans University College of Medicine, Seoul, Korea
  • 7Department of Internal Medicine, National Health Insurance Service Ilsan Hospital, Goyang, Korea
  • 8Department of Internal Medicine, Eulji University School of Medicine, Daejeon, Korea
  • 9Department of Internal Medicine, Seoul National University College of Medicine, Seoul, Korea
  • 10Department of Internal Medicine, Kyung Hee University School of Medicine, Seoul, Korea
  • 11Department of Internal Medicine, Sungkyunkwan University School of Medicine, Seoul, Korea
  • 12Department of Internal Medicine, Hallym University College of Medicine, Seoul, Korea
  • 13Department of Internal Medicine, University of Ulsan College of Medicine, Seoul, Korea
  • 14Department of Internal Medicine, Daegu Catholic University School of Medicine, Daegu, Korea
  • 15Department of Internal Medicine, Soonchunhyang University College of Medicine, Seoul, Korea
  • 16Department of Internal Medicine, Keimyung University School of Medicine, Daegu, Korea
  • 17CHA Bundang Medical Center, Sungnam, Korea
  • 18The Catholic University of Korea Seoul St. Mary’s Hospital, Seoul, Korea
  • 19Soon Chun Hyang University Seoul Hospital, Seoul, Korea

Abstract

The area of endoscopic application has been continuously expanded since its introduction in the last century and the frequency of its use also increased stiffly in the last decades. Because gastrointestinal endoscopy is naturally exposed to diseased internal organs and contact with pathogenic materials, endoscopy mediated infection or disease transmission becomes a major concern in this field. Gastrointestinal endoscopy is not for single use and the proper reprocessing process is a critical factor for safe and reliable endoscopy procedures. What needed in these circumstances is a practical guideline for reprocessing the endoscope and its accessories which is feasible in the real clinical field to guarantee acceptable prevention of pathogen transmission. This guideline contains principles and instructions of the reprocessing procedure according to the step by step. And it newly includes general information and updated knowledge about endoscopy-mediated infection and disinfection. Multiple societies and working groups participated to revise; Korean Association for the Study of the Liver, the Korean Society of Infectious Diseases, Korean College of Helicobacter and Upper Gastrointestinal Research, the Korean Society of Gastroenterology, Korean Society of Gastrointestinal Cancer, Korean Association for the Study of Intestinal Diseases, Korean Pancreatobiliary Association, the Korean Society of Gastrointestinal Endoscopy Nurses and Associates and Korean Society of Gastrointestinal Endoscopy. Through this cooperation, we enhanced communication and established a better concordance. We still need more researches in this field and fill up the unproven area. And our guidelines will be renewed accordingly.

Keyword

Endoscope reprocessing; Endoscopy; Guideline
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