Patterns of endoscopy during COVID-19 pandemic: a global survey of interventional inflammatory bowel disease practice.

Chen, Yan, Yu, Qiao, Farraye, Francis A, Kochhar, Gursimran S, Bernstein, Charles N, Navaneethan, Udayakumar, Wu, Kaicun, Zhong, Jie, Schwartz, David A, Wu, Hao, Zheng, Jing-Jing, Iacucci, Marietta, Kiran, Ravi P and Shen, Bo (2020) Patterns of endoscopy during COVID-19 pandemic: a global survey of interventional inflammatory bowel disease practice. Intestinal research. ISSN 1598-9100.

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Official URL: https://irjournal.org/articles/print.php

Abstract

Background/Aims

Performance of diagnostic or therapeutic endoscopic procedures in inflammatory bowel disease (IBD) patients can be challenging during a viral pandemic; the main concerns being the safety and protection of patients and health care providers (HCP). The aim of this study is to identify endoscopic practice patterns and outcomes of IBD and coronavirus disease 19 (COVID-19) with a worldwide survey of HCP.

Methods

The 20-item survey questionnaire was sent to physician members of the American Society for Gastrointestinal Endoscopy Special Interest Group in Interventional IBD, Chinese IBD Society Endoscopy Interest Group, and the China Crohn's and Colitis Foundation.

Results

A total of 141 respondents submitted valid responses. Nighty-five respondents (67.9%) reported that at least 25% of their scheduled emergent endoscopic procedures were canceled or postponed during the pandemic. Fifty-six respondents (40.0%) have performed emergent endoscopy during the pandemic. A few respondents (9/140, 6.4%) estimated that more than 25% of their patients had worsened disease due to delayed or canceled emergent endoscopy procedures. More than 80% of respondents believed that personal protective equipment (PPE) for the endoscopy team, room sterilization, and pre-procedure screening of patients for COVID-19 were necessary. Out of 140 respondents, 16 (11.4%) reported that several of their patients had COVID-19. Eight clinicians (5.7%) reported that they or their endoscopy colleagues developed work-related COVID-19.

Conclusions

Cancellation of elective and emergent endoscopy in IBD care during the pandemic was common. Few respondents reported that their patients' disease conditions worsened due to the cancellation of the endoscopy procedure. Most respondents voiced the need for proper PPE during the procedure regardless of patients' COVID-19 status and screening the patients for COVID-19.

Item Type: Article
Subjects: WC Communicabable diseases
WI Digestive system. Gastroenterology
Divisions: Planned IP Care > Gastroentrology
Related URLs:
Depositing User: Mrs Yolande Brookes
Date Deposited: 11 Jun 2020 13:32
Last Modified: 11 Jun 2020 13:32
URI: http://www.repository.uhblibrary.co.uk/id/eprint/3169

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