Clinical Endoscopy

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Best practice of gastrointestinal endoscopy during Mpox upsurge: an Indonesian Society for Digestive Endoscopy recommendation: Rabbinu Rangga Pribadi, Ahmad Fariz Malvi Zamzam Zein, Raisa Wibowo, Achmad Fauzi, Abdul Aziz Rani, Marcellus Simadibrata, Dadang Makmun, Murdani Abdullah, Ari Fahrial Syam, Muhammad Miftahussurur, Agasjtya Wisjnu Wardhana, Amanda Pitarini Utari, Andi Muhammad Luthfi Parewangi, Arles Arles, Arnelis Arnelis, Bradley Jimmy Waleleng, Bogi Pratomo Wibowo, Fauzi Yusuf, Hasan Maulahela, Hery Djagat Purnomo, I Dewa Nyoman Wibawa, Ignatia Sinta Murti, Indra Marki, Kaka Renaldi, Masrul Lubis, Muhammad Begawan Bestari, Muhammad Firhat Idrus, Pieter Saragih, Putut Bayupurnama, Ruswhandi Ruswhandi, Saskia Aziza Nursyirwan, Suyata Suyata, Titong Sugihartono, Triyanta Yuli Pramana, Virly Nanda Muzellina, Yustar Mulyadi, on behalf of the Indonesian Society for Digestive Endoscopy; Clin Endosc 2025;58(5):662-669. Published online July 30, 2025; DOI: https://doi.org/10.5946/ce.2024.294

Abstract PDF PubReader ePub: The emergence of Mpox as a significant zoonotic viral threat presents new challenges in gastrointestinal endoscopy. This article outlines the risk of Mpox transmission during gastrointestinal endoscopy, particularly through respiratory droplets and contact with the mucosal surfaces. Gastrointestinal endoscopy may also facilitate transmission by fomites, as the Mpox virus can persist on medical instruments and surfaces for long periods. Nosocomial Mpox transmission is a significant concern in both endemic and non-endemic regions. This highlights the necessity for enhanced infection control measures in gastrointestinal endoscopy, including pre-endoscopic assessment, proper use of personal protective equipment, and rigorous post-procedural disinfection. Additionally, vaccination of healthcare workers frequently exposed to high-risk situations is emphasized. Ongoing surveillance and monitoring of healthcare workers are key components in minimizing the transmission risk. Although no direct cases of Mpox transmission via gastrointestinal endoscopy have been reported, these recommendations mitigate the potential risks associated with such procedures and necessitate strict adherence to infection control protocols. By adhering to these protocols and adapting to current practices, gastrointestinal endoscopy can be safely performed during the Mpox upsurge, ensuring the protection of both patients and healthcare workers.

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Quality indicators in endoscopic retrograde cholangiopancreatography: a brief review of established guidelines: Zubin Dev Sharma, Rajesh Puri; Clin Endosc 2023;56(3):290-297. Published online April 11, 2023; DOI: https://doi.org/10.5946/ce.2022.210

Endoscopic retrograde cholangiopancreatography (ERCP) is an invasive endoscopic technique that has many diagnostic and therapeutic implications. It is a procedure with small but significant life-threatening complications. To ensure the best possible care, minimize complications, and improve the quality of health care, a constant review of the performance of the operator using ideal benchmark standards is needed. Hence, quality indicators are necessary. The American and European Societies of Gastrointestinal Endoscopy have provided guidelines on quality measures for ERCP, which describe the skills to be developed and training to be implemented in performing quality ERCP. These guidelines have divided the indicators into pre-procedure, intraprocedural, and post-procedure measures. The focus of this article was to review the quality indicators of ERCP.

Citations

Citations to this article as recorded by

Endoscopic retrograde cholangiopancreatography training conditions, results from a pan‐European survey: Between vision and reality
Karim Hamesch, Oscar Cahyadi, Stavros Dimitriadis, Marcus Hollenbach, Pilar Acedo, Myriam Ayari, Helena Dauvarte, Egle Dieninyte, Viktor Domislovic, Ana Dugic, Martin Ďuriček, Omar Elshaarawy, Anne Fennessy, Mark Enrik Geissler, Zornitsa Gorcheva, Amer Ha
United European Gastroenterology Journal.2025; 13(3): 474. CrossRef
Endoscopic retrograde cholangiopancreatography training using a silicone simulator fabricated using a 3D printing technique (with videos)
Suk Pyo Shin, Kyong Joo Lee, Min Je Sung, Jong Chan Kim, Guk Bae Kim, Moo Yeop Kim, Sung Yong Han, Sung Ill Jang, Mamoru Takenaka, Chang-Il Kwon
Scientific Reports.2025;[Epub] CrossRef
How to measure quality in ERCP?
Franco Ana Rita, Arvanitakis Marianna, Teles de Campos Sara
Best Practice & Research Clinical Gastroenterology.2025; 76: 101999. CrossRef
Percutaneous transhepatic biliary drainage versus endoscopic ultrasound-guided biliary drainage with intended primary metal stent for malignant distal biliary obstruction: a European prospective controlled multicentre trial (PUMa trial)
D Schmitz, J B Gornals, J J Vila, A Schmidt, T Kleemann, J R Aparicio, A Amanzada, M Dollhopf, E Redondo-Cerezo, J Weigt, T Voigtländer, T von Hahn, J Rudi, C V Tortosa, A Küllmer, M Perez-Miranda
Endoscopy.2025; 57(S 02): S6. CrossRef
Development of a Checklist for Evaluating Pancreatobiliary Endoscopy Training Facilities and Educational Programs
Hyung Ku Chon, Sung-Jo Bang, Eaum Seok Lee, Tae Ju Jeon, Chang Hwan Park
The Korean Journal of Pancreas and Biliary Tract.2025; 30(2): 93. CrossRef
The utility of endoscopic ultrasound in detecting missed common bile duct stones
Mahmoud Farouk, Mona Kaddah, Hussein H. Okasha, Katarzyna M. Pawlak, Gaurav Muktesh, Petko Karagyozov, Michał Żorniak, Mohammed Tag-Adeen, Elsayed Ghoneem, Rasha M.M. Ahmed, Mahmoud Alansary, Khaled Ragab, Ramy El-Hendawy, Adnan A. Mohamed
Al-Azhar Assiut Medical Journal.2025; 23(2): 317. CrossRef
The effect of clinical ERCP experience using a virtual reality simulator and salivary biochemical stress markers
Nikola Boyanov, Konstantinos Georgiou, Tanya Deneva, Katina Shtereva, Katerina Madzharova, Gabriel Sandblom, Lars Enochsson
Scandinavian Journal of Surgery.2025; 114(4): 453. CrossRef
Diagnostic Accuracy of Cholangioscopy in the Investigation of Indeterminate Biliary Strictures: A Retrospective Study of a High Volume Endoscopic Retrograde Cholangiopancreatography Center
Henrique Coelho, Fábio Correia, Mariana Cardoso, Gonçalo Alexandrino, Luís Lourenço, David Horta, Jorge Canena
GE - Portuguese Journal of Gastroenterology.2025; : 1. CrossRef
Advancements in Research on Challenges in Selective Biliary Cannulation during Endoscopic Retrograde Cholangiopancreatography (ERCP)
天雨张
Journal of Clinical Personalized Medicine.2024; 03(01): 100. CrossRef
Development of an Automated Endoscopic Retrograde Cholangiopancreatography Quality Report Card Using an Integrated Analytics Suite
Anmol Singh, Eric Swei, Celestina Tolosa, Matthew Alverson, Todd A. Brenner, Avleen Kaur, Aida Metri, Mohammed Rifat Shaik, Nikhil Bush, Branislav Bujnak, Alexandra T. Strauss, Mouen Khashab, Eun Ji Shin, Vikesh K. Singh, Venkata S. Akshintala
Techniques and Innovations in Gastrointestinal Endoscopy.2024; 26(3): 230. CrossRef
Validity of a virtual reality endoscopic retrograde cholangiopancreatography simulator: can it distinguish experts from novices?
Konstantinos Georgiou, Nikola Boyanov, Pantelis Antonakis, Dimitrios Thanasas, Gabriel Sandblom, Lars Enochsson
Frontiers in Surgery.2023;[Epub] CrossRef

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Management of aerosol generation during upper gastrointestinal endoscopy: Chawisa Nampoolsuksan, Vitoon Chinswangwatanakul, Asada Methasate, Jirawat Swangsri, Atthaphorn Trakarnsanga, Chainarong Phalanusitthepha, Thammawat Parakonthun, Voraboot Taweerutchana, Nicha Srisuworanan, Tharathorn Suwatthanarak, Thikhamporn Tawantanakorn, Thawatchai Akaraviputh; Clin Endosc 2022;55(5):588-593. Published online August 24, 2022; DOI: https://doi.org/10.5946/ce.2022.062

Abstract PDF PubReader ePub

In the highly contagious coronavirus disease 2019 pandemic, aerosol-generating procedures (AGPs) are associated with high-risk of transmission. Upper gastrointestinal endoscopy is a procedure with the potential to cause dissemination of bodily fluids. At present, there is no consensus that endoscopy is defined as an AGP. This review discusses the current evidence on this topic with additional management. Prevailing publications on coronavirus related to upper gastrointestinal endoscopy and aerosolization from the PubMed and Scopus databases were searched and reviewed. Comparative quantitative analyses showed a significant elevation of particle numbers, implying that aerosols were generated by upper gastrointestinal endoscopy. The associated source events have also been reported. To reduce the dispersion, certain protective measures have been developed. Endoscopic unit protocols are recommended for the concerned personnel. Therefore, upper gastrointestinal endoscopy should be classified as an AGP. Proper practices should be adopted by healthcare workers and patients.

Citations

Citations to this article as recorded by

Best practice of gastrointestinal endoscopy during Mpox upsurge: an Indonesian Society for Digestive Endoscopy recommendation
Rabbinu Rangga Pribadi, Ahmad Fariz Malvi Zamzam Zein, Raisa Wibowo, Achmad Fauzi, Abdul Aziz Rani, Marcellus Simadibrata, Dadang Makmun, Murdani Abdullah, Ari Fahrial Syam, Muhammad Miftahussurur, Agasjtya Wisjnu Wardhana, Amanda Pitarini Utari, Andi Muh
Clinical Endoscopy.2025; 58(5): 662. CrossRef
Experimental comparison between general and local exhaust systems for aerosol and droplet particle removal in endoscopy rooms
Marcelo Luiz Pereira, Rogério Vilain, Arlindo Tribess
International Journal of Ventilation.2025; : 1. CrossRef
Aerosol protection using modified N95 respirator during upper gastrointestinal endoscopy: a randomized controlled trial
Chawisa Nampoolsuksan, Thawatchai Akaraviputh, Asada Methasate, Jirawat Swangsri, Atthaphorn Trakarnsanga, Chainarong Phalanusitthepha, Thammawat Parakonthun, Voraboot Taweerutchana, Nicha Srisuworanan, Tharathorn Suwatthanarak, Thikhamporn Tawantanakorn,
Clinical Endoscopy.2024; 57(3): 335. CrossRef
Gastrointestinal Endoscopy in Patients with Coronavirus Disease 2019
Shahnaz Sultan
Gastroenterology Clinics of North America.2023; 52(1): 157. CrossRef
Does an Extraoral Suction Device Reduce Aerosol Generation and Prevent Droplet Exposure to the Examiner during Esophagogastroduodenoscopy?
Shintaro Fujihara, Hideki Kobara, Noriko Nishiyama, Naoya Tada, Yasuhiro Goda, Kazuhiro Kozuka, Takanori Matsui, Taiga Chiyo, Nobuya Kobayashi, Tatsuo Yachida, Tsutomu Masaki
Journal of Clinical Medicine.2023; 12(7): 2574. CrossRef

5,746 View
210 Download
5 Web of Science
5 Crossref

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