DEN Open (Apr 2023)

Shielding device for endoscopic procedures during lower gastrointestinal endoscopy

  • Daisuke Kikuchi,
  • Daiki Ariyoshi,
  • Yugo Suzuki,
  • Yorinari Ochiai,
  • Hiroyuki Odagiri,
  • Junnosuke Hayasaka,
  • Masami Tanaka,
  • Tetsuya Morishima,
  • Keita Kimura,
  • Hiroshi Ezawa,
  • Sanae Nakagawa,
  • Risa Iwamoto,
  • Yoshinori Matsuwaki,
  • Shu Hoteya

DOI
https://doi.org/10.1002/deo2.173
Journal volume & issue
Vol. 3, no. 1
pp. n/a – n/a

Abstract

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Abstract Objectives The coronavirus pandemic significantly impacted endoscopic practice. During lower gastrointestinal endoscopy, infectious substances disseminate; therefore, we developed an infection control device (STEP‐L) for lower gastrointestinal endoscopy and examined its usefulness. Methods STEP‐L wraps around the patient's buttocks and covers the endoscope. Using lower endoscopy training models, three endoscopists performed 18 colonoscopies with STEP‐L (group S) and without (group C). Endoscopic insertion time and pigmented areas of ​​gloves and diapers after the examination were compared between both groups. Results Insertion of the endoscope up to the cecum was possible in all 18 examinations. The insertion time to the cecum was 52.4 ± 19.0 s in group S and 53.9 ± 13.3 s in group C. The pigmented areas of the ​​gloves measured 39,108.0 ± 16,155.3 pixels in group C, but were significantly reduced to 2610.5 ± 4333.8 pixels in group S (p < 0.05). The pigmented areas of the diapers measured 2280.9 ± 3285.2 pixels in group C, but were significantly reduced to 138.0 ± 82.9 pixels in group S (p < 0.05). Conclusions Using STEP‐L does not change the insertion time, and is technically feasible. STEP‐L significantly reduces the adhesion of virtual pollutants to the surroundings, suggesting that this device is useful for infection control during lower gastrointestinal endoscopy.

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