Coronavirus disease-2019: implications for the gastroenterologist

被引:8
作者
Bilal, Mohammad [1 ]
Sawhney, Mandeep S. [1 ]
Feuerstein, Joseph D. [1 ]
机构
[1] Harvard Med Sch, Div Gastroenterol & Hepatol, Beth Israel Deaconess Med Ctr, Boston, MA 02115 USA
关键词
coronavirus; coronavirus disease-2019; endoscopy; gastroenterology; pandemic; telemedicine; GASTROINTESTINAL ENDOSCOPY; CLINICAL CHARACTERISTICS; COVID-19;
D O I
10.1097/MOG.0000000000000694
中图分类号
R57 [消化系及腹部疾病];
学科分类号
摘要
Purpose of review The COVID-19 pandemic has impacted the practicing gastroenterologist in several ways. Although majority of COVID-19 patients present with respiratory symptoms, gastrointestinal symptoms are also seen. COVID-19 has also disrupted gastrointestinal endoscopy services in numerous ways. There are also concerns regarding the impact of these changes on gastrointestinal cancer screening and management of chronic gastrointestinal diseases. The purpose of this review is to provide an overview of the implications of COVID-19 for the practicing gastroenterologist. Recent findings COVID-19 patients can have gastrointestinal symptoms including diarrhea, nausea and vomiting, abdominal pain and anorexia. Separate from the management of COVID-19 patients, there has been a reduction in endoscopy volume worldwide. This has also resulted in reduction/cessation of in-person clinic visits and an increasing use of telemedicine services. In addition, patients with certain chronic diseases like chronic liver disease or inflammatory bowel disease may have worse outcomes during the COVID-19 pandemic. Gastroenterologists need to rapidly adapt to the challenges being faced and need to make both systems and practice-based changes to the endoscopy unit and outpatient clinic practices. Gastroenterologists should stay up-to-date with the rapidly evolving literature regarding gastrointestinal symptoms in COVID-19 patients as well as its impact on chronic gastrointestinal illnesses.
引用
收藏
页码:23 / 29
页数:7
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