Endoscopy technical platforms are facing an increase in interventional endoscopy procedures in emergency situations, particularly ERCP, which requires the use of a duodenoscope. This specific device presents a high risk of microbiological contamination.

Operating units are encountering difficulties in managing the organization of these procedures in emergencies and are sometimes forced to refer patients to other facilities.

Indeed, the multi-skilled staff on-call are not sufficiently trained in digestive endoscopy—neither for providing technical assistance in the procedure room nor for the reprocessing of duodenoscopes.

In France, several cases of cross-contamination have been reported due to inadequate endoscope reprocessing, and our study aims to demonstrate that these emergencies should be handled by nurses specialized in endoscopy.

Their specific skills and knowledge will enable patients to access emergency techniques in complete safety.

As part of research proposed by the University of Limoges, a study was conducted at the “Clinique de l’Anjou” in Angers between 2021 and 2023

A review of the literature compiled the recommendations issued by learned societies and their requirements concerning the continuity of care in digestive endoscopy.

Data collected in several European countries revealed several cases of duodenoscope contamination, highlighting the importance of duodenoscope reprocessing, particularly in the context of on-call duty.

Quantitative and qualitative studies in France assessed respectively, the evolution of the number of emergency ERCP performed and the level of practice of nurses in relation to the use of duodenoscopes.

These studies have shown an increase in the number of ERCP performed in emergency situations.

Technical platform managers face significant difficulties in scheduling emergency ERCP and managing duodenoscopes.

The data extracted and analyzed showed that the skill level of multi-skilled nurses was not sufficient for these on-call duties, either in terms of the technical procedures performed in the operating room or the handling of the duodenoscope.

Following the development of interventional activities and endoscopic techniques in technical platforms, it seems important to consider reorganizing on-call nursing duties by calling on specialized staff to ensure optimal and safe care. However, parameters such as human resources and funding will need to be considered to enable this to be put into practice.