PORTABLE DISPOSABLE GASTROINTESTINAL ENDOSCOPES FOR GASTROINTESTINAL BLEEDING AT THE EMERGENCY BEDSIDE: A PROSPECTIVE RANDOMIZED NON-INFERIORITY TRIAL

Objective: The portable disposable gastrointestinal endoscope system is a new type of internal device that is highly portable and can perform endoscopy without waiting for preoperative infectious testing, while eliminating the risk of cross-infection caused by repeated use.The purpose of this study was to investigate the feasibility and safety of this type of gastrointestinal endoscopy in the application of gastrointestinal bleeding at the emergency bedside.
Methods: This is a single-center, controlled study that collects data from patients who underwent emergency bedside gastrointestinal endoscopy for gastrointestinal bleeding at the Strategic Support Team Specialty Medical Center from 04 to 06 2023.Patients were randomly assigned to use portable portable disposable gastrointestinal endoscopy and Pentax endoscope.The success rate of all endoscopic techniques, clinical operability, image quality score, equipment preparation time, operation time, equipment death or death rate, and adverse event incidence were recorded.
Results: A total of 42 patients were included, including 21 cases of portable disposable gastrointestinal endoscope and traditional gastrointestinal endoscope, and there were no significant differences in age, gender and mean hemoglobin concentration in the two groups (P>0.05). The success rate of endoscopy in both groups was 95.2%, and there was no statistical significance in terms of clinical operability, image quality score, incidence of equipment or death, and incidence of adverse events (P>0.05). Compared with traditional endoscopes, the portable disposable gastrointestinal endoscope was significantly shortened (P<0.05) in terms of equipment preparation time and transportation time, and there was no need for subsequent decontamination endoscopes.
Conclusion:The portable disposable gastrointestinal endoscope is safe and feasible, its operation performance and acquisition image quality are good, it is easy to transport, shorten the preparation and transportation time of emergency bedside gastrointestinal endoscopy, and save labor costs.Disposable portable gastrointestinal endoscopy at the emergency bedside may be a viable alternative to traditional gastrointestinal endoscopy.
Keywords：Emergency bedside; Portable disposable gastrointestinal endoscopy; gastrointestinal bleeding.