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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
AbstractAbstract PDFPubReaderePub
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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  • 120 Download
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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
AbstractAbstract PDFPubReaderePub
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.

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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
  • 7,778 View
  • 341 Download
  • 8 Web of Science
  • 11 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
AbstractAbstract PDFPubReaderePub
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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