ESGE and ESGENA Position Statement on gastrointestinal endoscopy and the COVID-19 pandemic

被引:284
作者
Gralnek, Ian M. [1 ]
Hassan, Cesare [2 ]
Beilenhoff, Ulrike
Antonelli, Giulio [2 ]
Ebigbo, Alanna [3 ]
Pellise, Maria [4 ]
Arvanitakis, Marianna [5 ]
Bhandari, Pradeep [6 ]
Bisschops, Raf [7 ]
Van Hooft, Jeanin E. [8 ]
Kaminski, Michal F. [9 ,10 ]
Triantafyllou, Konstantinos [11 ]
Webster, George [12 ]
Pohl, Heiko [13 ,14 ]
Dunkley, Irene [15 ]
Fehrke, Bjoern [16 ]
Gazic, Mario [17 ]
Gjergek, Tatjana [18 ]
Maasen, Siiri [19 ]
Waagenes, Wendy [20 ]
de Pater, Marjon [21 ]
Ponchon, Thierry [22 ]
Siersema, Peter D. [23 ]
Messmann, Helmut [3 ]
Dinis-Ribeiro, Mario [24 ]
机构
[1] Technion Israel Inst Technol, Emek Med Ctr, Inst Gastroenterol & Hepatol, Afula Israel & Rappaport Fac Med, Haifa, Israel
[2] Nuovo Regina Margherita Hosp, Rome, Italy
[3] Univ Klinikum Augsburg, Med Klin 3, Augsburg, Germany
[4] Univ Barcelona, Ctr Invest Biomed Red Enfermedades Hepat & Digest, Inst Invest Biomed August Pi & Sunyer IDIBAPS, Hosp Clin Barcelona,Dept Gastroenterol, Barcelona, Spain
[5] Univ Libre Bruxelles, Dept Gastroenterol, Erasme Univ Hosp, Brussels, Belgium
[6] Portsmouth Hosp NHS Trust, Gastroenterol, Portsmouth, Hants, England
[7] Catholic Univ Leuven KUL, Hosp Leuven, Dept Gastroenterol & Hepatol, TARGID, Leuven, Belgium
[8] Univ Amsterdam, Amsterdam Univ Med Ctr, Dept Gastroenterol & Hepatol, Amsterdam, Netherlands
[9] Maria Sklodowska Curie Natl Res Inst Oncol, Dept Canc Prevent, Warsaw, Poland
[10] Maria Sklodowska Curie Natl Res Inst Oncol, Dept Oncol & Gastroenterol, Warsaw, Poland
[11] Natl & Kapodistrian Univ Athens, Attikon Univ Gen Hosp, Med Sch, Dept Internal Med Propaedeut 2,Hepatogastroentero, Athens, Greece
[12] Univ College London Hosp, Dept Gastroenterol, London, England
[13] Dartmouth Geisel Sch Med, Hanover, NH USA
[14] VA Med Ctr, Sect Gastroenterol, White River Jct, VT USA
[15] North West Anglia NHS Fdn Trust, Hinchingbrooke, Huntingdon, England
[16] Inselspital Bern, Bern, Switzerland
[17] Gen Hosp, Bjelovar, Croatia
[18] Univ Med Ctr, Ljubljana, Slovenia
[19] Tallinn Healthcare Coll, Tallinn, Estonia
[20] Hvidovre Univ Hosp, Copenhagen, Denmark
[21] Amsterdam UMC Locat AMC, Amsterdam, Netherlands
[22] Edouard Herriot Hosp Lyon, Gastroenterol Div, Lyon, France
[23] Radboud Univ Nijmegen, Dept Gastroenterol & Hepatol, Med Ctr, Nijmegen, Netherlands
[24] Portuguese Oncol Inst Porto, Gastroenterol Dept, Porto, Portugal
关键词
INFECTION;
D O I
10.1055/a-1155-6229
中图分类号
R57 [消化系及腹部疾病];
学科分类号
摘要
We are currently living in the throes of the COVID-19 pandemic that imposes a significant stress on health care providers and facilities. Europe is severely affected with an exponential increase in incident infections and deaths. The clinical manifestations of COVID-19 can be subtle, encompassing a broad spectrum from asymptomatic mild disease to severe respiratory illness. Health care professionals in endoscopy units are at increased risk of infection from COVID-19. Infection prevention and control has been shown to be dramatically effective in assuring the safety of both health care professionals and patients. The European Society of Gastrointestinal Endoscopy ( www.esge.com ) and the European Society of Gastroenterology and Endoscopy Nurses and Associates ( www.esgena.org ) are joining forces to provide guidance during this pandemic to help assure the highest level of endoscopy care and protection against COVID-19 for both patients and endoscopy unit personnel. This guidance is based upon the best available evidence regarding assessment of risk during the current status of the pandemic and a consensus on which procedures to perform and the priorities on resumption. We appreciate the gaps in knowledge and evidence, especially on the proper strategy(ies) for the resumption of normal endoscopy practice during the upcoming phases and end of the pandemic and therefore a list of potential research questions is presented. New evidence may result in an updated statement.
引用
收藏
页码:483 / 490
页数:8
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