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Related Concept Videos

Endoscopic Procedures V: ERCP01:26

Endoscopic Procedures V: ERCP

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Endoscopic Retrograde Cholangiopancreatography (ERCP) is a diagnostic procedure that combines endoscopy and fluoroscopy to diagnose and treat conditions related to the bile ducts, pancreatic ducts, and gallbladder. This procedure is beneficial for identifying and addressing blockages, gallstones, strictures, and tumors within the biliary or pancreatic systems. ERCP is both diagnostic and therapeutic, offering the ability to visualize and treat identified problems in one session.
Patient...
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Endoscopic Procedures I: Esophagogastroduodenoscopy01:29

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An Esophagogastroduodenoscopy (EGD) is a diagnostic procedure in which an endoscopist uses a flexible, lighted endoscope to visualize the upper gastrointestinal (GI) tract. The procedure includes visualizing the oropharynx, esophagus, stomach, and the first part of the small intestine, the duodenum.
During an EGD, the endoscope can be used to:
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Endoscopic Procedures IV: Sigmoidoscopy and Laproscopy01:26

Endoscopic Procedures IV: Sigmoidoscopy and Laproscopy

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Sigmoidoscopy and laparoscopy are distinct medical procedures that enable physicians to internally inspect different parts of the GI tract. Although they serve different purposes, each is essential for diagnosing and, in some cases, treating various medical conditions.
Sigmoidoscopy
Sigmoidoscopy is a diagnostic procedure that uses a flexible sigmoidoscope equipped with a light source and camera to examine the rectum and sigmoid colon. The procedure involves inserting the tube through the anus...
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Related Experiment Video

Updated: Jun 30, 2025

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Can single-use versus standard duodenoscope improve ergonomics in ERCP? A comparative, simulation-based pilot study.

Vincenzo Cennamo1, Alberto Botter2, Stefano Landi1

  • 1Department of Gastroenterology and Interventional Endoscopy, Bellaria-Maggiore Hospital, AUSL Bologna, Bologna, Italy.

Endoscopy International Open
|March 20, 2024
PubMed
Summary

A lighter single-use duodenoscope significantly reduced upper arm muscle activity for endoscopists during endoscopic retrograde cholangiopancreatography (ERCP). This ergonomic advantage may improve musculoskeletal health for physicians performing these procedures.

Keywords:
Diagnostic ERCERC topicsPancreatobiliary (ERCP/PTCD)Quality and logistical aspectsQuality management

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Area of Science:

  • Gastroenterology
  • Ergonomics
  • Musculoskeletal Health

Background:

  • Gastrointestinal endoscopy frequently leads to musculoskeletal disorders and injuries (MSDs/MSIs) among endoscopists.
  • Assessing ergonomic differences between single-use and reusable duodenoscopes is crucial for physician well-being.

Purpose of the Study:

  • To evaluate the ergonomic benefits of a lighter, single-use duodenoscope compared to a standard reusable duodenoscope.
  • To assess the impact on endoscopists performing endoscopic retrograde cholangiopancreatography (ERCP).

Main Methods:

  • A preclinical, comparative simulation study using an anatomic bench model.
  • Surface electromyography (EMG) recorded muscle activity in the left forearm and arm.
  • Inertial sensor-based motion capture analyzed body posture during simulated ERCP procedures.

Main Results:

  • A significant reduction (13-42%) in biceps brachii muscle activity was observed with the single-use duodenoscope.
  • Reduced muscle activation amplitude and duration in forearm muscles were noted with the single-use scope.
  • Endoscopists maintained specific wrist extension and ulnar deviation postures during procedures.

Conclusions:

  • A lighter duodenoscope demonstrates a promising effect in decreasing upper arm muscle exertion during ERCP.
  • The use of lighter, single-use duodenoscopes may offer significant benefits for the musculoskeletal health of endoscopists.