Since the last hard copy distribution of the BSG guidelines in 2003 there have been significant developments in decontamination practice, and revised guidance on endoscopy in patients at risk of variant CJD (vCJD). There is also good news in that endoscope manufacturers will shortly be in a position to offer centrally funded refurbishment of some endoscopes in quarantine. This ring-fenced funding will also make it less likely that “invasive” endoscopy (such as biopsy and diathermy) will be denied to patients at risk of vCJD (for example patients with haemophilia and related disorders).

Summary:

- Updated BSG Decontamination Guidelines
- Updated Advice on Transmissible Spongiform Encephalopathy Agents
- Central Funding for Endoscope Refurbishment
- Conclusions