S992 Don't Blame the Duodenoscope Elevator, the Channels Are Contaminated as Well: A Systematic Review and Meta-Analysis

Introduction: The elevator mechanism has been suggested as the main reason for multiple outbreaks associated with contaminated reusable patient-ready duodenoscopes. The elevator is difficult to clean even with all precautions, and specially designed brushes are recommended for proper cleaning. However, the narrow channels of the duodenoscope might pose a risk of contamination since they are prone to scratches by the insertion of various...