Borescope examination: Is there value in visual assessment of endoscope channels?

The recent recognition of duodenoscope-related multidrug-resistant infectious outbreaks has prompted the review of current endoscope reprocessing practices. Multiple society and manufacturer recommendations have outlined the importance of meticulous stepwise reprocessing, with emphasis on adequacy of precleaning and washing and on visual inspection to identify endoscope damage and verify reprocessing efficacy. However, some outbreaks have occurred despite documented adherence to all steps, which suggests that the current recommendations may be inadequate.

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