Korean J Pancreas Biliary Tract.
2025 Oct;30(4):139-152. 10.15279/kpba.2025.30.4.139.
Recommendations for the Cleaning and Disinfection of Duodenoscope: A Consensus Statement
- Affiliations
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- 1Department of Internal Medicine, Pusan National University School of Medicine, Yangsan, Korea
- 2Division of Gastroentrology, Biomedical Research Institute, Pusan National University Hospital, Busan, Korea
- 3Department of Internal Medicine, Kyungpook National University Chilgok Hospital, School of Medicine, Kyungpook National University, Daegu, Korea
- 4Department of Internal Medicine, Inje University Sanggye Paik Hospital, Inje University College of Medicine, Seoul, Korea
- 5Division of Gastroenterology, Department of Internal Medicine, Hanyang University Seoul Hospital, Seoul, Korea
- 6Department of Internal Medicine, Kosin University Gospel Hospital, Kosin University College of Medicine, Busan, Korea
- 7Department of Internal Medicine, Samsung Changwon Hospital, Sungkyunkwan University School of Medicine, Changwon, Korea
- 8Department of Internal Medicine, Chungnam National University Hospital, Chungnam National University College of Medicine, Daejeon, Korea
- 9Department of Internal Medicine, St. Vincent’s Hospital, College of Medicine, The Catholic University of Korea, Seoul, Korea
- 10Department of Internal Medicine, Asan Medical Center, University of Ulsan College of Medicine, Seoul, Korea
- 11Department of Internal Medicine, Soonchunhyang University Seoul Hospital, Soon Chun Hyang University College of Medicine, Seoul, Korea
- 12Department of Internal Medicine, Chonnam National University Hospital, Chonnam National University Medical School, Gwangju, Korea
- 13Department of Internal Medicine, Ulsan University Hospital, University of Ulsan College of Medicine, Ulsan, Korea
- KMID: 2573426
- DOI: http://doi.org/10.15279/kpba.2025.30.4.139
Abstract
- Duodenoscopes, which are used for endoscopic retrograde cholangiopancreatography (ERCP), structurally differ from gastrointestinal endoscopes due to their elevator mechanisms and complex internal channels. These features increase the risk of contamination with patient fluids and organic debris, posing significant infection risks. Despite multiple revisions of general endoscopic disinfection guidelines, specific guidelines tailored for duodenoscope reprocessing do not exist in our society and leaving gaps in infection control. Thus, the ERCP/endoscopic ultrasound (EUS) Research Group under the Korean Pancreatobiliary Association’s Quality Management Committee developed dedicated reprocessing guidelines focusing on pre-cleaning, cleaning, high-level disinfection, rinsing, drying, and storage procedures specifically for duodenoscopes. Recommendations are graded by strength (“strong” or “weak”) and based on evidence levels (A to D). These practical guidelines aim to enhance patient safety by standardizing duodenoscope reprocessing practices, minimizing infection transmission, and promoting continuous quality improvement within clinical practice.
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