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Reorganization of the endoscopic activity of Cancer Institutes during phase II of the Covid-19 emergency.
Fiori, Giancarla; Trovato, Cristina; Staiano, Teresa; Magarotto, Andrea; Stigliano, Vittoria; Masci, Enzo; Ciuffi, Mario; Rossi, Giovanni Battista; Fantin, Alberto; Realdon, Stefano; Ugenti, Ippazio; Cannizzaro, Renato.
  • Fiori G; Division of Endoscopy, European Institute of Oncology, Istituto di Ricovero a Cura e Carattere Scientifico (IRCCS), Milan, Italy.
  • Trovato C; Division of Endoscopy, European Institute of Oncology, Istituto di Ricovero a Cura e Carattere Scientifico (IRCCS), Milan, Italy.
  • Staiano T; Diagnostic and Interventional Endoscopy, Candiolo Cancer Institute, FPO - IRCCS - Str. Prov.le 142, km. 3,95 - Candiolo (TO) 10060, Italy.
  • Magarotto A; Diagnostic and Therapeutic Endoscopy Unit, Fondazione IRCCS Istituto Nazionale Tumori, Milan, Italy.
  • Stigliano V; Division of Gastroenterology and Digestive Endoscopy, IRCCS Regina Elena National Cancer Institute, Rome, Italy.
  • Masci E; Diagnostic and Therapeutic Endoscopy Unit, Fondazione IRCCS Istituto Nazionale Tumori, Milan, Italy.
  • Ciuffi M; Endoscopy Unit, IRCCS Centro di Riferimento Oncologico di Basilicata (CROB), 85028 Rionero in Vulture (PZ), Italy.
  • Rossi GB; Gastroenterology and Digestive Endoscopy Unit, Istituto Nazionale per lo Studio e la Cura dei Tumori, IRCCS, Fondazione Giovanni Pascale I-80131 Naples, Italy.
  • Fantin A; U.O. Gastroenterologia IRCCS- Istituto Oncologico Veneto Castelfranco Veneto (TV), Italy.
  • Realdon S; Digestive Endoscopy Unit, Veneto Institute of Oncology IOV-IRCCS, Padua, Italy.
  • Ugenti I; Division of Digestive Endoscopy, Istituto Tumori Giovanni Paolo II, IRCCS, Bari, Italy; D.E.T.O. University of Bari, Italy.
  • Cannizzaro R; Gastroenterologia Oncologica Sperimentale, Centro di Riferimento Oncologico di Aviano (CRO), IRCCS, Via Franco Gallini, 2, 33081 Aviano, Italy. Electronic address: rcannizzaro@cro.it.
Dig Liver Dis ; 52(11): 1346-1350, 2020 11.
Article in English | MEDLINE | ID: covidwho-598784
ABSTRACT
After the lockdown during the emergency phase of the Covid-19 pandemic, we have to deal with phase 2, a period of uncertain duration, with a controlled and progressive return to normalization, in which we need to reconcile our work and our movements with the presence of the virus on our territory. Digestive endoscopic activity is a high-risk transmission procedure for Covid-19. The measures put in place to protect healthcare personnel and patients are stressful and "time-consuming" and lead to a reduction in the number of endoscopic procedures that can be performed. In this scenario, the Oncological Institutes are forced to make a rigorous selection of patients to undergo endoscopic examinations and treatments, according to lists of exceptional priorities, in order to guarantee cancer patients and subjects at high risk of developing digestive tumors, a preferential diagnostic and therapeutic process, protected from contagion risks. For this purpose, cuts and postponing times of endoscopic performances are here proposed, which go beyond the guidelines of scientific societies and have little evidences in the literature. These changes should be applied limited to this exceptional period and in proportion to the capacity of each operating unit in order to meet the demands of the patients.
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Full text: Available Collection: International databases Database: MEDLINE Main subject: Cancer Care Facilities / Endoscopy, Gastrointestinal / Patient Selection Type of study: Diagnostic study / Experimental Studies / Prognostic study Limits: Humans Language: English Journal: Dig Liver Dis Journal subject: Gastroenterology Year: 2020 Document Type: Article Affiliation country: J.dld.2020.06.023

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Full text: Available Collection: International databases Database: MEDLINE Main subject: Cancer Care Facilities / Endoscopy, Gastrointestinal / Patient Selection Type of study: Diagnostic study / Experimental Studies / Prognostic study Limits: Humans Language: English Journal: Dig Liver Dis Journal subject: Gastroenterology Year: 2020 Document Type: Article Affiliation country: J.dld.2020.06.023