Performance Characteristics and Technical Outcomes of Single-use Gastroscopes Used Bedside Versus Reusable Gastroscopes in the Endoscopy Unit for Subacute Patients
Led by Zealand University Hospital · Updated on 2025-06-15
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12 weeks
Total Duration
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What this Trial Is About
This research investigates whether using single-use gastroscopes at the bedside can reduce the time from the decision to perform an early gastroscopy compared to using reusable gastroscopes in the endoscopy unit. The study focuses on patients referred for subacute gastroscopy and aims to assess performance and technical outcomes of these two approaches. It is sponsored by Zealand University Hospital and involves adult patients admitted to the surgical department.
Participants will be divided into two groups based on the study period. In the first period, gastroscopies are performed in the endoscopy unit using reusable Olympus gastroscopes. In the second period, gastroscopies are conducted at the patient's bedside using CE-marked single-use Ambu aScope Gastro gastroscopes. Both procedures are done without general anesthesia, and the study is non-randomized.
During the study, researchers will measure the time from indication to procedure, procedure duration, technical success, sedation needs, complications, and patient outcomes such as discharge timing and readmissions. Additional assessments include biopsy targeting ability, endoscopist ratings, and nurse learning curves. Follow-up will cover up to three months post-procedure, with safety monitoring at 24, 72 hours, and 30 days. The total duration depends on timing from indication to discharge and follow-up periods.
CONDITIONS
Brief Title
Performance Characteristics and Technical Outcomes of Single-use Gastroscopes Used Bedside Versus Reusable Gastroscopes Used in the Endoscopy Unit Evaluated in Subacute Patients
Who Can Participate
Age: 18Years +
All Genders
Eligibility Criteria
You may qualify if you...
Patients of any gender aged 18 years or older
Admitted to the acute section of the surgical department at Zealand University Hospital
Referred to early esophagogastroduodenoscopy (EGD) without general anesthesia
You will not qualify if you...
ASA score of 4 or higher indicating severe systemic disease
Unstable patient condition
Suspicion of ventricular retention
Suspicion of active bleeding
Need for expert endoscopist, such as for stenting
Patients younger than 18 years old
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Your Study Journey
Screening
Duration - 2 to 4 weeks
Participants are screened for eligibility to participate in the trial.
Treatment
Duration - Up to 2 weeks
Participants undergo gastroscopy procedures using either single-use gastroscopes bedside in their room or reusable gastroscopes in the endoscopy unit.
1 procedure visit (in-person)
Follow-up
Duration - Up to 3 months
Participants are monitored for complications, need for additional gastroscopy, and other health outcomes after the procedure.
Visits at 24 and 72 hours post-procedure and additional assessments up to 3 months
Reducing the environmental footprint of gastrointestinal endoscopy: European Society of Gastrointestinal Endoscopy (ESGE) and European Society of Gastroenterology and Endoscopy Nurses and Associates (ESGENA) Position Statement.
Enrique Rodríguez de Santiago, Mario Dinis-Ribeiro, Heiko Pohl...
Evaluation of a single-use gastroscope in patients presenting with suspected upper gastrointestinal hemorrhage: a pilot feasibility study (One-Scope I).