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Hi Corinne
I do know that using the same scope for a diagnostic gastroscopy then colonoscopy on the same patient has been a common practice. But it would very much surprise me if using the same biopsy forceps, where there is actual invasion of mucosa, would be clinically appropriate. Not just from an infection control perspective of spreading viral/bacterial particles around within different body sites, but also the risk of spreading malignant cells around to different body sites. I don’t recall having seen any definitive practice guidelines to refute this practice, but would question the safety of it. Also, if biopsy tissue from various body sites is all collected with the same biopsy forceps, is there not risk of tissue contamination and not then being sure of what is actually where if positive pathology is found?
Would be keen to here form some endoscopy experts about this.
Cheers
Michael
Michael Wishart
Infection Control Coordinator
A 627 Rode Road, Chermside QLD 4032
P (07) 3326 3068 | F (07) 3607 2226 | E michael.wishart@svha.org.au | W http://www.hsnph.org.au
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Good morning,
Just trying to trace some evidence around biopsy forceps in gastroscopy being used in colonoscopy for the same patient. Does anyone have any information for or against in regard to infection?
Corinne Egan-Hirst
Quality and Safety Manager
Rosemont Endoscopy Centre
42265499
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