Comparing Single-Use Bedside Gastroscopes to Reusable Gastroscopes for Early Endoscopy in Hospital Patients with Upper Gastrointestinal Disorders

What this Trial Is About

This research aims to compare the use of single-use gastroscopes performed bedside with reusable gastroscopes used in the endoscopy unit for patients needing subacute gastroscopy. The study focuses on whether bedside single-use devices can reduce the time from the decision to perform the procedure until it happens. It involves patients admitted to the acute surgical department who require early gastroscopy without general anesthesia. Participants will be divided into two groups based on the time period of the study. In the first period, gastroscopies will be done with reusable gastroscopes at the endoscopy unit. In the second period, gastroscopies will be performed bedside in the patients rooms using single-use CE-marked Ambu aScope Gastro devices. The study compares these two approaches regarding procedure timing and technical outcomes. During the study, researchers will track the time from indication to procedure and discharge, procedure duration, sedation use, and technical success. They will also monitor complications, mortality, readmissions, need for repeat gastroscopy, and endoscopists ratings of the devices. Nurse learning curves during the second period will be assessed. Follow-up includes up to 3 months post-procedure monitoring and a 30-day mortality check. This allows comprehensive evaluation of the devices performance and patient outcomes.

Performance Characteristics and Technical Outcomes of Single-use Gastroscopes Used Bedside Versus Reusable Gastroscopes Used in the Endoscopy Unit Evaluated in Subacute Patients