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Gastrointestinal endoscopic practice during COVID-19 pandemic: a multi-institutional survey.
Maruyama, Hirotsugu; Hosomi, Shuhei; Nebiki, Hiroko; Fukuda, Takashi; Nakagawa, Koichiro; Okazaki, Hirotoshi; Yamagami, Hirokazu; Hara, Junichi; Tanigawa, Tetsuya; Machida, Hirohisa; Aomatsu, Kazuki; Watanabe, Yoshihisa; Sato, Hiroshi; Uno, Hironori; Takaishi, Osamu; Nomura, Tsutomu; Ochi, Masahiro; Oshitani, Nobuhide; Adachi, Kenji; Higashimori, Akira; Ominami, Masaki; Nadatani, Yuji; Fukunaga, Shusei; Otani, Koji; Tanaka, Fumio; Kamata, Noriko; Nagami, Yasuaki; Taira, Koichi; Watanabe, Toshio; Fujiwara, Yasuhiro.
  • Maruyama H; Department of Gastroenterology, Osaka City University Graduate School of Medicine.
  • Hosomi S; Department of Gastroenterology, Osaka City University Graduate School of Medicine.
  • Nebiki H; Department of Gastroenterology, Osaka City General Hospital.
  • Fukuda T; Department of Gastroenterology, Minamiosaka Hospital.
  • Nakagawa K; Department of Gastroenterology, Higashisumiyoshi Morimoto Hospital.
  • Okazaki H; Department of Gastroenterology, PL Hospital.
  • Yamagami H; Department of Gastroenterology, Ishikiriseiki Hospital.
  • Hara J; Department of Gastroenterology, Baba Memorial Hospital.
  • Tanigawa T; Department of Gastroenterology, Osaka City Juso Hospital.
  • Machida H; Department of Gastroenterology, Machida Gastroenterical Hospital.
  • Aomatsu K; Department of Internal Medicine and Gastroenterology, Izumiotsu Municipal Hospital.
  • Watanabe Y; Department of Gastroenterology, Asakayama General Hospital.
  • Sato H; Department of Gastroenterology, Kashiwara Municipal Hospital.
  • Uno H; Department of Gastroenterology, Osaka Ekisaikai Hospital.
  • Takaishi O; Department of Gastroenterology, Naniwaikuno Hospital.
  • Nomura T; Department of Gastroenterology, Yamamoto Third Hospital.
  • Ochi M; Department of Internal Medicine, Meijibashi Hospital.
  • Oshitani N; Department of Gastroenterology, Aizenbashi Hospital.
  • Adachi K; Department of Gastroenterology, Shitennouji Hospital.
  • Higashimori A; Department of Gastroenterology, Osaka City University Graduate School of Medicine.
  • Ominami M; Department of Gastroenterology, Osaka City University Graduate School of Medicine.
  • Nadatani Y; Department of Gastroenterology, Osaka City University Graduate School of Medicine.
  • Fukunaga S; Department of Gastroenterology, Osaka City University Graduate School of Medicine.
  • Otani K; Department of Gastroenterology, Osaka City University Graduate School of Medicine.
  • Tanaka F; Department of Gastroenterology, Osaka City University Graduate School of Medicine.
  • Kamata N; Department of Gastroenterology, Osaka City University Graduate School of Medicine.
  • Nagami Y; Department of Gastroenterology, Osaka City University Graduate School of Medicine.
  • Taira K; Department of Gastroenterology, Osaka City University Graduate School of Medicine.
  • Watanabe T; Department of Gastroenterology, Osaka City University Graduate School of Medicine.
  • Fujiwara Y; Department of Gastroenterology, Osaka City University Graduate School of Medicine.
Rom J Intern Med ; 59(2): 166-173, 2021 Jun 01.
Article in English | MEDLINE | ID: covidwho-1171557
ABSTRACT
Introduction. An on-going coronavirus disease 2019 (COVID-19) has become a challenge all over the world. Since an endoscopy unit and its staff are at potentially high risk for severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) infection, we conducted a survey for the management of the gastrointestinal endoscopic practice, personal protective equipment (PPE), and risk assessment for COVID-19 during the pandemic at multiple facilities.Methods. The 11-item survey questionnaire was sent to representative respondent of Department of Gastroenterology, Osaka City University Hospital, and its 19 related facilities.Results. A total of 18 facilities submitted valid responses and a total of 373 health care professionals (HCPs) participated. All facilities (18/18 100%) were screening patients at risk for SARS-CoV-2 infection before endoscopy. During the pandemic, we found that the total volume of endoscopic procedures decreased by 44%. Eleven facilities (11/18 61%) followed recommendations of the Japan Gastroenterological Endoscopy Society (JGES); consequently, about 35%-50% of esophagogastroduodenoscopy and colonoscopy were canceled. Mask (surgical mask or N95 mask), face shield/goggle, gloves (one or two sets), and gown (with long or short sleeves) were being used by endoscopists, nurses, endoscopy technicians, and endoscope cleaning staff in all the facilities (18/18 100%). SARS-CoV-2 infection risk assessment of HCPs was conducted daily in all the facilities (18/18 100%), resulting in no subsequent SARS-CoV-2 infection in HCPs.Conclusion. COVID-19 has had a dramatic impact on the gastrointestinal endoscopic practice. The recommendations of the JGES were appropriate as preventive measures for the SARSCoV-2 infection in the endoscopy unit and its staff.
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Full text: Available Collection: International databases Database: MEDLINE Main subject: Endoscopy, Gastrointestinal / Occupational Exposure / Infection Control / Risk Assessment / COVID-19 Type of study: Observational study / Prognostic study Limits: Humans Country/Region as subject: Asia Language: English Journal: Rom J Intern Med Journal subject: Internal Medicine Year: 2021 Document Type: Article

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Full text: Available Collection: International databases Database: MEDLINE Main subject: Endoscopy, Gastrointestinal / Occupational Exposure / Infection Control / Risk Assessment / COVID-19 Type of study: Observational study / Prognostic study Limits: Humans Country/Region as subject: Asia Language: English Journal: Rom J Intern Med Journal subject: Internal Medicine Year: 2021 Document Type: Article