scholarly journals Abstract No. 722 Disposable, single-use, digital endoscopes for percutaneous transhepatic cholangioscopy: technical success, advantages, and cost comparison

2020 ◽  
Vol 31 (3) ◽  
pp. S311
Author(s):  
R. England ◽  
H. Singh ◽  
M. Thomas ◽  
K. Hong
2021 ◽  
Author(s):  
Ayse Lisa Allison ◽  
Esther Ambrose-Dempster ◽  
Teresa Domenech Aparsi ◽  
Maria Bawn ◽  
Miguel Casas Arredondo ◽  
...  

Due to the COVID-19 pandemic, the UK government has mandated the use of face masks in various public settings and recommends the use of reusable masks to combat shortages of medically graded single-use masks in healthcare. To assist decision-making on the choice of masks for future pandemics, where shortages may not be a contributing factor, the UCL Plastic Waste Innovation Hub has carried out a multidisciplinary comparison between single-use and reusable masks based on their anatomy, standalone effectiveness, behavioural considerations, environmental impacts and costs. Although current single-use masks have a higher standalone effectiveness against bacteria and viruses, studies show that reusable masks have adequate performance in slowing infection rates of respiratory viruses. Material Flow Analysis, Life Cycle Assessment and cost comparison show that reusable masks have a lower environmental and economic impact than single-use masks. If every person in the UK uses one single-use mask each day for a year, it will create a total of 124,000 tonnes of waste, 66,000 tonnes of which would be unrecyclable contaminated plastic waste (the masks), with the rest being the recyclable packaging typically used for transportation and distribution of masks.Using reusable masks creates >85% less waste, generates 3.5 times lower impact on climate change and incurs 3.7 times lower costs. Further behavioural research is necessary to understand the extent and current practices of mask use; and how these practices affect mask effectiveness in reducing infection rates. Wearing single-use masks may be preferred over reusable masks due to perceptions of increased hygiene and convenience. Understanding behaviour towards the regular machine-washing of reusable masks for their effective reuse is key to maximise their public health benefits and minimise environmental and economic costs.


Author(s):  
Andrea Lisotti ◽  
Rocco Maurizio Zagari ◽  
Pietro Fusaroli ◽  
Bertrand Napoléon

2017 ◽  
Vol 14 ◽  
pp. 89-95 ◽  
Author(s):  
Osvaldo Ulises Garay ◽  
Garcia Elorrio Ezequiel ◽  
Viviana Rodríguez ◽  
Cintia Spira ◽  
Federico Augustovski ◽  
...  

2008 ◽  
Vol 20 (4) ◽  
pp. 512-518 ◽  
Author(s):  
Elliot Yung ◽  
Michel Gagner ◽  
Alfons Pomp ◽  
Gregory Dakin ◽  
Luca Milone ◽  
...  

2020 ◽  
Vol 46 (Supp1) ◽  
pp. S40-S45
Author(s):  
Eugenio Ventimiglia ◽  
◽  
Alvaro Jiménez Godínez ◽  
Olivier Traxer ◽  
Bhaskar K. Somani ◽  
...  

2018 ◽  
Vol 3 (2) ◽  
pp. 189-195 ◽  
Author(s):  
Anne Sohrt ◽  
Lars Ehlers ◽  
Flemming Witt Udsen ◽  
Anders Mærkedahl ◽  
Brendan A. McGrath

2016 ◽  
Vol 10 (1) ◽  
pp. 54-67 ◽  
Author(s):  
Koichiro Tsutsumi ◽  
Hironari Kato ◽  
Shuntaro Yabe ◽  
Sho Mizukawa ◽  
Hiroyuki Seki ◽  
...  

Background: Bile duct stones after hepaticojejunostomy are considered a troublesome adverse event. Although percutaneous transhepatic procedures using a cholangioscopy is performed to treat these bile duct stones, a peroral endoscopic procedure using a short, double-balloon enteroscope (sDBE) is an alternative. This study aimed to compare the immediate and long-term outcomes of both treatments for bile duct stones in patients who underwent prior hepaticojejunostomy. Methods: Between October 2001 and May 2013, 40 consecutive patients were treated for bile duct stones after hepaticojejunostomy at a tertiary care hospital. Initial success with biliary access, biliary intervention-related technical success, clinical success, adverse events, hospitalization duration, and stone-free survival were retrospectively evaluated. Results: The initial success rates for biliary access were 100% (8/8) with percutaneous transhepatic cholangioscopy (PTCS) and 91% (29/32) with sDBE. In three patients in whom biliary access during initial sDBE failed, successful access with subsequent PTCS was achieved, and biliary intervention-related technical success and clinical success were eventually achieved in all 40 patients. The rate of adverse events was significantly lower with sDBE than with PTCS (10% versus 45%; p = 0.025). The median hospitalization duration for complete stone clearance was significantly shorter with sDBE than with PTCS (10 versus 35 days; p < 0.001). During the median 7.2 year or 3.1 year follow up, the probabilities of being stone-free at 1, 2, and 3 years were 100%, 73%, and 64% for PTCS and 85%, 65%, and 59% for sDBE, respectively ( p = 0.919). Conclusions: sDBE was useful, with few adverse events and short hospitalization; therefore, experienced endoscopists can consider it as first-line treatment for bile duct stones in patients with prior hepaticojejunostomy.


2021 ◽  
Vol 3 ◽  
Author(s):  
Ayşe Lisa Allison ◽  
Esther Ambrose-Dempster ◽  
Maria Bawn ◽  
Miguel Casas Arredondo ◽  
Charnett Chau ◽  
...  

During the coronavirus (COVID-19) pandemic, the UK government mandated the use of face masks in various public settings and recommended the use of reusable masks to combat shortages of medically graded single-use masks in healthcare. To assist decision-making on the choice of masks for future pandemics, where shortages may not be a contributing factor, the University College London (UCL) Plastic Waste Innovation Hub has carried out a multidisciplinary comparison between single-use and reusable masks based on their anatomy, standalone effectiveness, behavioural considerations, environmental impact and costs. Although current single-use masks have a higher standalone effectiveness against bacteria and viruses, studies show that reusable masks have adequate performance in slowing infection rates of respiratory viruses. Material flow analysis (MFA), life cycle assessment (LCA) and cost comparison show that reusable masks have a lower environmental and economic impact than single-use masks. If every person in the UK uses one single-use mask each day for a year, it will create a total of 124,000 tonnes of waste, 66,000 tonnes of which would be unrecyclable contaminated plastic waste (the masks), with the rest being the recyclable packaging typically used for transportation and distribution of masks. Using reusable masks creates >85% less waste, generates 3.5 times lower impact on climate change and incurs 3.7 times lower costs. Further behavioural research is necessary to understand the extent and current practices of mask use; and how these practices affect mask effectiveness in reducing infection rates. Wearing single-use masks may be preferred over reusable masks due to perceptions of increased hygiene and convenience. Understanding behaviour towards the regular machine-washing of reusable masks for their effective reuse is key to maximise their public health benefits and minimise environmental and economic costs.


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