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Donning a New Approach to the Practice of Gastroenterology: Perspectives From the COVID-19 Pandemic Epicenter.
Sethi, Amrita; Swaminath, Arun; Latorre, Melissa; Behin, Daniel S; Jodorkovsky, Daniela; Calo, Delia; Aroniadis, Olga; Mone, Anjali; Mendelsohn, Robin B; Sharaiha, Reem Z; Gonda, Tamas A; Khanna, Lauren G; Bucobo, Juan Carlos; Nagula, Satish; Ho, Sammy; Carr-Locke, David L; Robbins, David H.
  • Sethi A; New York Presbyterian-Columbia University Irving Medical Center, New York, New York. Electronic address: as3614@cumc.columbia.edu.
  • Swaminath A; Lenox Hill Hospital, Northwell Health, New York, New York.
  • Latorre M; New York University Langone Health, New York, New York.
  • Behin DS; Montefiore Medical Center/Albert Einstein College of Medicine, Bronx, New York.
  • Jodorkovsky D; New York Presbyterian-Columbia University Irving Medical Center, New York, New York.
  • Calo D; Memorial Sloan Kettering Cancer Center, New York, New York.
  • Aroniadis O; Stony Brook University Hospital, Stony Brook, New York.
  • Mone A; Lenox Hill Hospital, Northwell Health, New York, New York.
  • Mendelsohn RB; Memorial Sloan Kettering Cancer Center, New York, New York.
  • Sharaiha RZ; New York Presbyterian Weill Cornell, New York, New York.
  • Gonda TA; New York Presbyterian-Columbia University Irving Medical Center, New York, New York.
  • Khanna LG; New York University Langone Health, New York, New York.
  • Bucobo JC; Stony Brook University Hospital, Stony Brook, New York.
  • Nagula S; Mount Sinai Hospital/Icahn School of Medicine at Mount Sinai, New York, New York.
  • Ho S; Montefiore Medical Center/Albert Einstein College of Medicine, Bronx, New York.
  • Carr-Locke DL; New York Presbyterian Weill Cornell, New York, New York.
  • Robbins DH; Lenox Hill Hospital, Northwell Health, New York, New York.
Clin Gastroenterol Hepatol ; 18(8): 1673-1681, 2020 07.
Article in English | MEDLINE | ID: covidwho-102150
ABSTRACT
The COVID-19 pandemic seemingly is peaking now in New York City and has triggered significant changes to the standard management of gastrointestinal diseases. Priorities such as minimizing viral transmission, preserving personal protective equipment, and freeing hospital beds have driven unconventional approaches to managing gastroenterology (GI) patients. Conversion of endoscopy units to COVID units and redeployment of GI fellows and faculty has profoundly changed the profile of most GI services. Meanwhile, consult and procedural volumes have been reduced drastically. In this review, we share our collective experiences regarding how we have changed our practice of medicine in response to the COVID surge. Although we review our management of specific consults and conditions, the overarching theme focuses primarily on noninvasive measures and maximizing medical therapies. Endoscopic procedures have been reserved for those timely interventions that are most likely to be therapeutic. The role of multidisciplinary discussion, although always important, now has become critical. The support of our faculty and trainees remains essential. Local leadership can encourage well-being by frequent team check-ins and by fostering trainee development through remote learning. Advancing a clear vision and a transparent process for how to organize and triage care in the recovery phase will allow for a smooth transition to our new normal.
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Full text: Available Collection: International databases Database: MEDLINE Type: Article Main subject: Pneumonia, Viral / Infection Control / Coronavirus Infections / Disease Transmission, Infectious / Disease Management / Gastroenterology Subject: Pneumonia, Viral / Infection Control / Coronavirus Infections / Disease Transmission, Infectious / Disease Management / Gastroenterology Language: English Journal: Clin Gastroenterol Hepatol Year: 2020

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Full text: Available Collection: International databases Database: MEDLINE Type: Article Main subject: Pneumonia, Viral / Infection Control / Coronavirus Infections / Disease Transmission, Infectious / Disease Management / Gastroenterology Subject: Pneumonia, Viral / Infection Control / Coronavirus Infections / Disease Transmission, Infectious / Disease Management / Gastroenterology Language: English Journal: Clin Gastroenterol Hepatol Year: 2020