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Maieron A, Erhart L, Pramhofer P, Schöfl R, Spaun G, Steiner E, Wewalka F, Ziachehabi A. Biodegradable biliopancreatic stents could help conserve health care resources during the COVID-19 pandemic: An observational multicenter study. Dig Liver Dis 2023; 55:310-315. [PMID: 36653266 PMCID: PMC9842131 DOI: 10.1016/j.dld.2022.12.011] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 08/21/2022] [Revised: 12/03/2022] [Accepted: 12/15/2022] [Indexed: 01/18/2023]
Abstract
BACKGROUND Considering limited resources for follow-up due to COVID-19, we used biodegradable stents (BPBS) for a range of biliopancreatic diseases. AIMS This observational multicenter study aimed to evaluate technical safety and give first insights into clinical utility. METHODS Technical success, clinical success, and necessity of follow-up visits for BPBS placed at three Austrian tertiary care hospitals between April 2020 and January 2021 were retrospectively analyzed. RESULTS 63 stents were deployed in 60 patients. Main indications were prophylaxis of post-ERCP pancreatitis (PEP; n = 30/63; 48%) and bridging of prolonged waiting times to cholecystectomy (n = 21/63; 33%). Median time to surgery was 47 days (range: 136 days). The technical success rate was 94% (n = 59/63; 95% CI [0.84, 0.98]). Technical difficulties primarily arose with dislocations. Clinical success was achieved in 90% (n = 57/63; 95% CI [0.80, 0.96]). Clinical failure despite successful deployment was caused by papillary bleeding (1 patient) and cholestasis (1 patient). Both required reinterventions. No follow-up visits were needed in 97% of cases (n = 57/59; 95% CI [0.88, 1.00]). CONCLUSION Biodegradable stents could help conserve health care resources without compromising treatment standards for PEP prophylaxis, which is particularly valuable in times of restricted resources. First insights into feasibility as bridging to cholecystectomy indicate a favorable safety profile.
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Affiliation(s)
- Andreas Maieron
- University Hospital St. Pölten, Department of Internal Medicine II, Dunant-Platz 1, 3100 St. Pölten, RIN 31420, Austria; Karl Landsteiner University of Health Sciences, Dr.-Karl-Dorrek-Straße 30, 3500 Krems an der Donau, RIN 467773, Austria.
| | - Lukas Erhart
- University Hospital St. Pölten, Department of Internal Medicine II, Dunant-Platz 1, 3100 St. Pölten, RIN 31420, Austria; Karl Landsteiner University of Health Sciences, Dr.-Karl-Dorrek-Straße 30, 3500 Krems an der Donau, RIN 467773, Austria.
| | - Patricia Pramhofer
- University Hospital St. Pölten, Department of Internal Medicine II, Dunant-Platz 1, 3100 St. Pölten, RIN 31420, Austria; Karl Landsteiner University of Health Sciences, Dr.-Karl-Dorrek-Straße 30, 3500 Krems an der Donau, RIN 467773, Austria
| | - Rainer Schöfl
- Ordensklinikum Linz GmbH Barmherzige Schwestern, Department of Internal Medicine IV, Seilerstätte 4, 4010 Linz, RIN 31399, Austria; Johannes Kepler University Linz, Altenberger Straße 69, 4040 Linz, RIN 507730, Austria
| | - Georg Spaun
- Ordensklinikum Linz GmbH Barmherzige Schwestern, Department of Surgery, Seilerstätte 4, 4010 Linz, RIN 31399, Austria
| | - Emanuel Steiner
- University Hospital St. Pölten, Department of Internal Medicine II, Dunant-Platz 1, 3100 St. Pölten, RIN 31420, Austria; Karl Landsteiner University of Health Sciences, Dr.-Karl-Dorrek-Straße 30, 3500 Krems an der Donau, RIN 467773, Austria
| | - Friedrich Wewalka
- Ordensklinikum Linz GmbH Barmherzige Schwestern, Department of Internal Medicine IV, Seilerstätte 4, 4010 Linz, RIN 31399, Austria
| | - Alexander Ziachehabi
- Kepler University Hospital, Med Campus III., Department of Gastroenterology and Hepatology, Krankenhausstraße 9, 4020 Linz, RIN 31197, Austria; Johannes Kepler University Linz, Altenberger Straße 69, 4040 Linz, RIN 507730, Austria
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2
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Sultan S. Gastrointestinal Endoscopy in Patients with Coronavirus Disease 2019: Indications, Findings, and Safety. Gastroenterol Clin North Am 2023; 52:157-172. [PMID: 36813423 PMCID: PMC9678816 DOI: 10.1016/j.gtc.2022.11.002] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/23/2022]
Abstract
The coronavirus disease 2019 (COVID-19) pandemic has changed the practice of gastroenterology and how we perform endoscopy. As with any new or emerging pathogen, early in the pandemic, there was limited evidence and understanding of disease transmission, limited testing capability, and resource constraints, especially availability of personal protective equipment (PPE). As the COVID-19 pandemic progressed, enhanced protocols with particular emphasis on assessing the risk status of patients and proper use of PPE have been incorporated into routine patient care. The COVID-19 pandemic has taught us important lessons for the future of gastroenterology and endoscopy.
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Affiliation(s)
- Shahnaz Sultan
- Division of Gastroenterology, Hepatology and Nutrition, University of Minnesota, 420 Delaware Street Southeast, MMC 36, Minneapolis, MN 55455, USA.
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3
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Cunha Neves JA, Roseira J, Queirós P, Sousa HT, Pellino G, Cunha MF. Targeted intervention to achieve waste reduction in gastrointestinal endoscopy. Gut 2023; 72:306-313. [PMID: 35985798 DOI: 10.1136/gutjnl-2022-327005] [Citation(s) in RCA: 15] [Impact Index Per Article: 15.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 01/19/2022] [Accepted: 08/02/2022] [Indexed: 01/10/2023]
Abstract
OBJECTIVE Endoscopy is healthcare's third largest generator of medical waste in hospitals. This prospective study aimed to measure a single unit's waste carbon footprint and perform a pioneer intervention towards a more sustainable endoscopy practice. The relation of regulated medical waste (RMW; material fully contaminated with blood or body fluids or containing infectious agents) versus landfill waste (non-recyclable material not fully contaminated) may play a critical role. DESIGN In a four-stage prospective study, following a 4-week observational audit with daily weighing of both waste types (stage 1), stage 2 consisted of a 1-week intervention with team education of waste handling. Recycling bins were placed in endoscopy rooms, landfill and RMW bins were relocated. During stages 3 (1 month after intervention) and 4 (4 months after intervention), daily endoscopic waste was weighed. Equivalence of 1 kg of landfill waste to 1 kg carbon dioxide equivalent (CO2e) and 1 kg of RMW to 3kgCO2e was assumed. Paired samples t-tests for comparisons. RESULTS From stage 1 to stage 3, mean total waste and RMW were reduced by 12.9% (p=0.155) and 41.4% (p=0.010), respectively, whereas landfill (p=0.059) and recycling waste increased (paper: p=0.001; plastic: p=0.007). While mean endoscopy load was similar (46.2 vs 44.5, p=0.275), a total decrease of CO2e by 31.6% (138.8kgCO2e) was found (mean kgCO2e109.7 vs 74.9, p=0.018). The annual reduction was calculated at 1665.6kgCO2e. All these effects were sustained 4 months after the intervention (stage 4) without objections by responsible endoscopy personnel. CONCLUSION In this interventional study, applying sustainability measures to a real-world scenario, RMW reduction and daily recycling were achieved and sustained over time, without compromising endoscopy productivity.
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Affiliation(s)
- João A Cunha Neves
- Department of Gastroenterology, Algarve University Hospital Centre, Portimão, Portugal .,ABC-Algarve Biomedical Centre, University of Algarve, Faro, Portugal
| | - Joana Roseira
- Department of Gastroenterology, Algarve University Hospital Centre, Portimão, Portugal.,ABC-Algarve Biomedical Centre, University of Algarve, Faro, Portugal
| | - Patrícia Queirós
- Department of Gastroenterology, Algarve University Hospital Centre, Portimão, Portugal.,ABC-Algarve Biomedical Centre, University of Algarve, Faro, Portugal
| | - Helena Tavares Sousa
- Department of Gastroenterology, Algarve University Hospital Centre, Portimão, Portugal.,ABC-Algarve Biomedical Centre, University of Algarve, Faro, Portugal
| | - Gianluca Pellino
- Department of Advanced Medical and Surgical Sciences, University of Campania Luigi Vanvitelli, Naples, Italy.,Department of Colorectal Surgery, Vall d'Hebron University Hospital, Barcelona, Spain
| | - Miguel F Cunha
- ABC-Algarve Biomedical Centre, University of Algarve, Faro, Portugal.,Colorectal Disease Group-Department of General Surgery, Algarve University Hospital Centre, Portimão, Portugal
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4
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Karstensen JG, Ebigbo A, Desalegn H, Afihene M, Anigbo G, Antonelli G, Bhat P, Duduyemi B, Guy C, Ijoma U, Ponchon T, Rahmi G, Aabakken L, Hassan C. Colorectal polypectomy and endoscopic mucosal resection: European Society of Gastrointestinal Endoscopy Cascade Guideline. Endosc Int Open 2022; 10:E1427-E1433. [PMID: 36397871 PMCID: PMC9666068 DOI: 10.1055/a-1964-7965] [Citation(s) in RCA: 2] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Track Full Text] [Download PDF] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 10/19/2022] [Accepted: 10/19/2022] [Indexed: 11/17/2022] Open
Affiliation(s)
- John Gásdal Karstensen
- Gastro Unit, Copenhagen University Hospital – Amager and Hvidovre, Hvidovre, Denmark,Department of Clinical Medicine, University of Copenhagen, Copenhagen, Denmark
| | - Alanna Ebigbo
- Central Clinic of Augsburg – Gastroenterology, Augsburg, Germany
| | - Hailemichael Desalegn
- St. Paul’s Hospital Millennium Medical College – Department of Internal Medicine, Addis Ababa, Ethiopia
| | - Mary Afihene
- Kwame Nkrumah University of Science and Technology – Department of Medicine, Kumasi, Ghana
| | - Gideon Anigbo
- Enugu State University Teaching Hospital – Department of Medicine, Enugu, Nigeria
| | - Giulio Antonelli
- Department of Anatomical, Histological, Forensic Medicine and Orthopedics Sciences, “Sapienza” University of Rome, Rome, Italy,Gastroenterology and Digestive Endoscopy Unit, Ospedale dei Castelli Hospital, Ariccia, Rome, Italy
| | - Purnima Bhat
- Australian National University Medical School, Canberra, Australia,Gastroenterology and Hepatology Unit, Canberra Hospital, Canberra, Australia
| | - Babatunde Duduyemi
- Department of Pathology, University of Sierra Leone Teaching Hospitals Complex, Freetown, Sierra Leone
| | - Claire Guy
- Technische Universität München (TUM), Munich, Germany
| | - Uchenna Ijoma
- University of Nigeria Teaching Hospital – Gastroenterology Unit, Department of Medicine, Enugu, Nigeria
| | - Thierry Ponchon
- Gastroenterology and Endoscopy, Edouard Herriot Hospital, Lyon, France
| | - Gabriel Rahmi
- Gastroenterology, Georges-Pompidou European Hospital, Paris, France
| | - Lars Aabakken
- Dept of transplantation medicine, Oslo University Hospital – Rikshospitalet, Oslo, Norway,Faculty of Medicine, University of Oslo, Norway
| | - Cesare Hassan
- Department of Biomedical Sciences, Humanitas University, Milan, Italy,IRCCS Humanitas Research Hospital - Department of Gastroenterology, Milan, Italy
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5
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Nampoolsuksan C, Chinswangwatanakul V, Methasate A, Swangsri J, Trakarnsanga A, Phalanusitthepha C, Parakonthun T, Taweerutchana V, Srisuworanan N, Suwatthanarak T, Tawantanakorn T, Akaraviputh T. Management of aerosol generation during upper gastrointestinal endoscopy. Clin Endosc 2022; 55:588-593. [PMID: 35999697 PMCID: PMC9539303 DOI: 10.5946/ce.2022.062] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 01/28/2022] [Accepted: 03/07/2022] [Indexed: 11/17/2022] Open
Abstract
In the highly contagious coronavirus disease 2019 pandemic, aerosol-generating procedures (AGPs) are associated with high-risk of transmission. Upper gastrointestinal endoscopy is a procedure with the potential to cause dissemination of bodily fluids. At present, there is no consensus that endoscopy is defined as an AGP. This review discusses the current evidence on this topic with additional management. Prevailing publications on coronavirus related to upper gastrointestinal endoscopy and aerosolization from the PubMed and Scopus databases were searched and reviewed. Comparative quantitative analyses showed a significant elevation of particle numbers, implying that aerosols were generated by upper gastrointestinal endoscopy. The associated source events have also been reported. To reduce the dispersion, certain protective measures have been developed. Endoscopic unit protocols are recommended for the concerned personnel. Therefore, upper gastrointestinal endoscopy should be classified as an AGP. Proper practices should be adopted by healthcare workers and patients.
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Affiliation(s)
- Chawisa Nampoolsuksan
- Department of Surgery, Faculty of Medicine Siriraj Hospital, Mahidol University, Bangkok, Thailand
| | | | - Asada Methasate
- Department of Surgery, Faculty of Medicine Siriraj Hospital, Mahidol University, Bangkok, Thailand
| | - Jirawat Swangsri
- Department of Surgery, Faculty of Medicine Siriraj Hospital, Mahidol University, Bangkok, Thailand
| | - Atthaphorn Trakarnsanga
- Department of Surgery, Faculty of Medicine Siriraj Hospital, Mahidol University, Bangkok, Thailand
| | | | - Thammawat Parakonthun
- Department of Surgery, Faculty of Medicine Siriraj Hospital, Mahidol University, Bangkok, Thailand
| | - Voraboot Taweerutchana
- Department of Surgery, Faculty of Medicine Siriraj Hospital, Mahidol University, Bangkok, Thailand
| | - Nicha Srisuworanan
- Department of Surgery, Faculty of Medicine Siriraj Hospital, Mahidol University, Bangkok, Thailand
| | - Tharathorn Suwatthanarak
- Department of Surgery, Faculty of Medicine Siriraj Hospital, Mahidol University, Bangkok, Thailand
| | | | - Thawatchai Akaraviputh
- Department of Surgery, Faculty of Medicine Siriraj Hospital, Mahidol University, Bangkok, Thailand
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6
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Conlon C, Campion J, Mehigan Farrelly N, Ring E, Dunne T, Gorman D, Murphy S, Kelleher B, Stewart S, Leyden J, Lahiff C. Endoscopy training through the COVID-19 pandemic: maintaining procedural volumes and key performance standards. Frontline Gastroenterol 2022; 14:38-44. [PMID: 36540618 PMCID: PMC9271842 DOI: 10.1136/flgastro-2021-102069] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 11/30/2021] [Accepted: 05/25/2022] [Indexed: 02/04/2023] Open
Abstract
OBJECTIVE Endoscopy departments have experienced considerable challenges in the provision of endoscopy services since the start of the COVID-19 pandemic. Several studies have reported a reduction of procedures performed by trainee endoscopists during the pandemic. The aim of this study was to assess the impact on colonoscopy training and quality in an academic centre throughout successive waves of the pandemic. METHODS This was a single-centre, retrospective, observational study comparing colonoscopies performed at a tertiary endoscopy centre in Ireland at different stages of the pandemic with those performed during a similar time frame prepandemic. Data were collected using electronic patient records. Primary outcomes were procedure volumes, adenoma detection rate and mean adenoma per procedure. RESULTS In the prepandemic period, 798 colonoscopies were performed. During the same period in 2020, 172 colonoscopies were performed. In 2021, during the third wave of the pandemic, 538 colonoscopies were performed. Percentages of colonoscopies performed by trainees were 46.0% (n=367) in 2019, 25.6% (n=44) in 2020 and 45.2% (n=243) in 2021. Adenoma detection rate was 21.3% in 2019, 38.6% in 2020 and 23.9% in 2021. Mean adenoma per procedure was 0.45 in 2019, 0.86 in 2020 and 0.49 in 2021. Caecal intubation rate was 90.74% in 2019, 90.9% in 2020 and 95.88% in 2021. CONCLUSION The COVID-19 pandemic initially had a negative impact on overall colonoscopy volumes and training. Despite a reduction in procedural volume, key performance standards were maintained by trainees. Maintenance of hands-on training is essential to allow trainees achieve and retain competency in endoscopy.
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Affiliation(s)
- Caroline Conlon
- Gastrointestinal Unit, Mater Misericordiae University Hospital, Dublin, Ireland
| | - John Campion
- Gastrointestinal Unit, Mater Misericordiae University Hospital, Dublin, Ireland
| | | | - Eabha Ring
- Gastrointestinal Unit, Mater Misericordiae University Hospital, Dublin, Ireland
| | - Talulla Dunne
- Gastrointestinal Unit, Mater Misericordiae University Hospital, Dublin, Ireland
| | - Dora Gorman
- Gastrointestinal Unit, Mater Misericordiae University Hospital, Dublin, Ireland
| | - Suzanne Murphy
- Gastrointestinal Unit, Mater Misericordiae University Hospital, Dublin, Ireland
| | - Barry Kelleher
- Gastrointestinal Unit, Mater Misericordiae University Hospital, Dublin, Ireland,School of Medicine and Medical Science, University College Dublin, Dublin, Ireland
| | - Stephen Stewart
- Gastrointestinal Unit, Mater Misericordiae University Hospital, Dublin, Ireland,School of Medicine and Medical Science, University College Dublin, Dublin, Ireland
| | - Jan Leyden
- Gastrointestinal Unit, Mater Misericordiae University Hospital, Dublin, Ireland,School of Medicine and Medical Science, University College Dublin, Dublin, Ireland
| | - Conor Lahiff
- Gastrointestinal Unit, Mater Misericordiae University Hospital, Dublin, Ireland,School of Medicine and Medical Science, University College Dublin, Dublin, Ireland
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7
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Evolution of International Pediatric Endoscopic Practice Changes During the Coronavirus Disease 2019 Pandemic. J Pediatr Gastroenterol Nutr 2022; 74:e138-e142. [PMID: 35185114 PMCID: PMC9172578 DOI: 10.1097/mpg.0000000000003416] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 12/10/2022]
Abstract
OBJECTIVES The coronavirus disease 2019 (COVID-19) pandemic has drastically altered endoscopic practices. We initially reported the international impact of COVID-19 on pediatric endoscopic practice. This follow-up study aimed to assess changes 7 months following the initial survey to delineate practice change patterns as the pandemic evolved. METHODS Pediatric gastroenterologists who responded to the initial survey were re-surveyed seven months later using Research Electronic Data Capture (REDCap). The survey recorded information on changes in pediatric endoscopic practice patterns, including COVID-19 screening and testing processes and personal protective equipment (PPE) utilization. Additionally, endoscopists' risk tolerance of COVID-19 transmission was evaluated. RESULTS Seventy-five unique institutions from 21 countries completed surveys from the 145 initial responses (51.7% response rate). Procedural volumes increased at most institutions (70.7%) and most were performing previously postponed cases (90.7%). Ninety-seven percent of institutions were performing pre-endoscopy screening with 78.7% testing all patients. Many institutions (34.7%) have performed procedures on COVID-19 positive patients. There was significantly less PPE reuse (P < 0.05) and fewer institutions recommending full PPE for all endoscopies (43.2% vs 59.2%, P = 0.013). Overall, pediatric endoscopists' risk tolerance of COVID-19 transmission is low. CONCLUSIONS This is the first survey to highlight the evolution of pediatric endoscopic practices related to the COVID-19 pandemic, underscoring the need for ongoing pandemic-related guidance for pediatric endoscopic practice.
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8
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Pausawasdi N, Manomaiwong E, Kaosombatwattana U, Karaketklang K, Charatcharoenwitthaya P. The Effects of COVID-19 on Clinical Outcomes of Non-COVID-19 Patients Hospitalized for Upper Gastrointestinal Bleeding during the Pandemic. J Clin Med 2022; 11:jcm11092461. [PMID: 35566587 PMCID: PMC9102445 DOI: 10.3390/jcm11092461] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/23/2022] [Revised: 04/18/2022] [Accepted: 04/25/2022] [Indexed: 11/25/2022] Open
Abstract
This study aims to investigate the effects of COVID-19 on clinical outcomes of non-COVID-19 patients hospitalized for upper gastrointestinal bleeding (UGIB) during the pandemic. A retrospective review is conducted. We recruited patients with UGIB admitted during the pandemic’s first wave (April 2020 to June 2020), and the year before the pandemic. The outcomes between the two groups were compared using propensity score matching (PSM). In total, 60 patients (pandemic group) and 460 patients (prepandemic group) are included. Patients admitted during the pandemic (mean age of 67 ± 14 years) had a mean Glasgow−Blatchford score of 10.8 ± 3.9. They were older (p = 0.045) with more underlying malignancies (p = 0.028), had less history of NSAID use (p = 0.010), had a lower platelet count (p = 0.007), and had lower serum albumin levels (p = 0.047) compared to those admitted before the pandemic. Esophagogastroduodenoscopy (EGD) was performed less frequently during the pandemic (43.3% vs. 95.4%, p < 0.001). Furthermore, the procedure was less likely to be performed within 24 h after admission (p < 0.001). After PSM, admissions during the pandemic were significantly associated with decreased chances of receiving an endoscopy (adjusted odds Ratio (OR), 0.02; 95% CI, 0.003−0.06, p < 0.001) and longer hospital stay (adjusted OR, 2.17; 95% CI, 1.13−3.20, p < 0.001). Additionally, there was a slight increase in 30-day mortality without statistical significance (adjusted OR, 1.92; 95% CI, 0.71−5.19, p = 0.199) and a marginally higher rebleeding rate (adjusted OR, 1.34; 95% CI, 0.44−4.03, p = 0.605). During the pandemic, the number of EGDs performed in non-COVID-19 patients with UGIB decreased with a subsequent prolonged hospitalization and potentially increased 30-day mortality and rebleeding rate.
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Affiliation(s)
- Nonthalee Pausawasdi
- Siriraj GI Endoscopy Center, Faculty of Medicine Siriraj Hospital, Mahidol University, Bangkok 10700, Thailand; (N.P.); (U.K.)
- Division of Gastroenterology, Department of Medicine, Faculty of Medicine Siriraj Hospital, Mahidol University, Bangkok 10700, Thailand; (E.M.); (K.K.)
| | - Ekawat Manomaiwong
- Division of Gastroenterology, Department of Medicine, Faculty of Medicine Siriraj Hospital, Mahidol University, Bangkok 10700, Thailand; (E.M.); (K.K.)
| | - Uayporn Kaosombatwattana
- Siriraj GI Endoscopy Center, Faculty of Medicine Siriraj Hospital, Mahidol University, Bangkok 10700, Thailand; (N.P.); (U.K.)
- Division of Gastroenterology, Department of Medicine, Faculty of Medicine Siriraj Hospital, Mahidol University, Bangkok 10700, Thailand; (E.M.); (K.K.)
| | - Khemajira Karaketklang
- Division of Gastroenterology, Department of Medicine, Faculty of Medicine Siriraj Hospital, Mahidol University, Bangkok 10700, Thailand; (E.M.); (K.K.)
| | - Phunchai Charatcharoenwitthaya
- Siriraj GI Endoscopy Center, Faculty of Medicine Siriraj Hospital, Mahidol University, Bangkok 10700, Thailand; (N.P.); (U.K.)
- Division of Gastroenterology, Department of Medicine, Faculty of Medicine Siriraj Hospital, Mahidol University, Bangkok 10700, Thailand; (E.M.); (K.K.)
- Correspondence: ; Tel.: +66-2-419-7282; Fax: +66-2-411-5013
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9
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Endoscopy After the COVID-19 Pandemic—What Will Be Different? CURRENT TREATMENT OPTIONS IN GASTROENTEROLOGY 2022; 20:46-59. [PMID: 35095262 PMCID: PMC8789548 DOI: 10.1007/s11938-022-00370-5] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Accepted: 01/07/2022] [Indexed: 10/26/2022]
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10
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Gralnek IM, Hassan C, Ebigbo A, Fuchs A, Beilenhoff U, Antonelli G, Bisschops R, Arvanitakis M, Bhandari P, Bretthauer M, Kaminski MF, Lorenzo-Zuniga V, Rodriguez de Santiago E, Siersema PD, Tham TC, Triantafyllou K, Tringali A, Voiosu A, Webster G, de Pater M, Fehrke B, Gazic M, Gjergek T, Maasen S, Waagenes W, Dinis-Ribeiro M, Messmann H. ESGE and ESGENA Position Statement on gastrointestinal endoscopy and COVID-19: Updated guidance for the era of vaccines and viral variants. Endoscopy 2022; 54:211-216. [PMID: 34933373 DOI: 10.1055/a-1700-4897] [Citation(s) in RCA: 7] [Impact Index Per Article: 3.5] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 12/13/2022]
Affiliation(s)
- Ian M Gralnek
- Ellen and Pinchas Mamber Institute of Gastroenterology and Hepatology, Emek Medical Center, Afula, Israel and Rappaport Faculty of Medicine Technion Israel Institute of Technology, Haifa, Israel
| | - Cesare Hassan
- Endoscopy Unit, IRCCS Humanitas Clinical and Research Center, Rozzano, Milan, Italy.,Department of Biomedical Sciences, Humanitas University, Pieve Emanuele, Milan, Italy
| | - Alanna Ebigbo
- III Medizinische Klinik Universitätsklinikum Augsburg, Augsburg, Germany
| | - Andre Fuchs
- III Medizinische Klinik Universitätsklinikum Augsburg, Augsburg, Germany
| | | | - Giulio Antonelli
- Department of Anatomical, Histological, Forensic Medicine and Orthopedics Sciences, Sapienza University of Rome, Rome, Italy.,Gastroenterology and Digestive Endoscopy Unit, Ospedale dei Castelli di Ariccia, Rome, Italy
| | - Raf Bisschops
- Department of Gastroenterology and Hepatology, Catholic University of Leuven (KUL), TARGID, University Hospitals Leuven, Leuven, Belgium
| | | | - Pradeep Bhandari
- Gastroenterology, Portsmouth Hospital NHS Trust, Portsmouth, United Kingdom
| | - Michael Bretthauer
- Clinical Effectiveness Research Group, University of Oslo, and Department of Transplantation Medicine, Oslo University Hospital, Oslo, Norway
| | - Michal F Kaminski
- Department of Cancer Prevention and Department of Oncological Gastroenterology, The Maria Sklodowska-Curie National Research Institute of Oncology, Warsaw, Poland
| | - Vicente Lorenzo-Zuniga
- Department of Gastroenterology, University and Polytechnic La Fe Hospital/IIS La Fe, Valencia. Spain
| | - Enrique Rodriguez de Santiago
- Department of Gastroenterology and Hepatology, Hospital Universitario Ramón y Cajal, Universidad de Alcalá, Ramón y Cajal Health Research Institute (IRYCIS), Madrid, Spain
| | - Peter D Siersema
- Department of Gastroenterology and Hepatology, Radboud University Medical Center, Nijmegen, The Netherlands
| | - Tony C Tham
- Division of Gastroenterology, Ulster Hospital, Dundonald, Belfast, Northern Ireland
| | - Konstantinos Triantafyllou
- Hepatogastroenterology Unit, Second Department of Internal Medicine - Propaedeutic, Medical School, National and Kapodistrian University of Athens, Attikon University General Hospital, Athens, Greece
| | - Alberto Tringali
- Digestive Endoscopy Unit, Fondazione IRCCS-Istituto Nazionale Tumori, Milan, Italy
| | - Andrei Voiosu
- Department of Gastroenterology and Hepatology, Colentina Clinical Hospital, Bucharest, Romania.,Carol Davila University of Medicine and Pharmacy, Bucharest, Romania
| | - George Webster
- Department of Gastroenterology, University College London Hospitals, London, United Kingdom
| | | | - Björn Fehrke
- Department of Pneumonology, Inselspital, University Hospital, Bern, Switzerland
| | - Mario Gazic
- General Hospital Bjelovar, Bjelovar, Croatia
| | | | | | | | - Mario Dinis-Ribeiro
- Porto Comprehensive Cancer Center (Porto.CCC) and RISE@CI-IPOP (Health Research Network), Porto, Portugal
| | - Helmut Messmann
- III Medizinische Klinik Universitätsklinikum Augsburg, Augsburg, Germany
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11
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Subramaniam S, Al-Kandari A, Bhandari P. A brave new world: the gastrointestinal lab during and after a pandemic. Curr Opin Gastroenterol 2022; 38:55-60. [PMID: 34871194 DOI: 10.1097/mog.0000000000000799] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 12/10/2022]
Abstract
PURPOSE OF REVIEW The COVID-19 global pandemic resulted in a radical change in the provision and delivery of endoscopy services worldwide. As we emerge from this pandemic, various strategies were advocated to resume endoscopy whilst prioritizing the safety and wellbeing of patients and staff. RECENT FINDINGS This review summarizes the main changes including infection control and prevention measures in endoscopy and explores the overarching impact of the pandemic on the gastrointestinal lab. Various solutions are outlined to enable the well tolerated resumption of endoscopy services including retention of certain infection control measures, use of personal protective equipment, testing and vaccination. Strategies to deal with the mounting backlog of cases are also discussed. SUMMARY The COVID-19 pandemic wreaked havoc on healthcare systems worldwide and affected the provision and delivery of gastrointestinal diagnostic services, such as endoscopy necessitating a new way of working and an emphasis on infection control and better use of technology that are likely to be here to stay in the post pandemic era.
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Affiliation(s)
- Sharmila Subramaniam
- Department of Gastroenterology, Portsmouth Hospitals University NHS Trust, Portsmouth, United Kingdom
| | - Asma Al-Kandari
- Department of Gastroenterology, Al-Jahra Hospital, Kuwait City, Kuwait
| | - Pradeep Bhandari
- Department of Gastroenterology, Portsmouth Hospitals University NHS Trust, Portsmouth, United Kingdom
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