Intest Res.  2021 Jul;19(3):332-340. 10.5217/ir.2020.00037.

Patterns of endoscopy during COVID-19 pandemic: a global survey of interventional inflammatory bowel disease practice

Affiliations
  • 1Center for Infllammatory Bowel Diseases, Department of Gastroenterology, The 2nd Affiliated Hospital, School of Medicine, Zhejiang University, Hangzhou, China
  • 2Department Gastroenterology and Hepatology, Mayo Clinic Florida, Jacksonville, FL, USA
  • 3Department of Gastroenterology, Allegheny General Hospital, Pittsburgh, PA, USA
  • 4Section of Gastroenterology, University of Manitoba IBD Clinical and Research Center, Winnepeg, MB, Canada
  • 5Center for Advanced Endoscopy, Florida Hospital, Orlando, FL, USA
  • 6Department of Gastroenterology, Xijin Hospital, The Fourth Military Medical University, Xi’an, China
  • 7Department of Gastroenterology, Ruijin Hospital of Shanghai Jiaotong University, Shanghai, China
  • 8Department of Gastroenterology, Vanderbilt University Medical Center, Nashville, TN, USA
  • 9Department of Gastroenterology, Zhongshan Hospital of Fudan University, Shanghai, China
  • 10The China Crohn’s and Colitis Foundation, Hangzhou, China
  • 11Institute of Translational Medicine, Institute of immunology and immunotherapy and NIHR Biomedical Research Centre, University of Birmingham and University Hospitals Birmingham NHS Foundation Trust, Birmingham, UK
  • 12Division of Colorectal Surgery, Columbia University Irving Medical Center, New York-Presbyterian Hospital, New York, NY, USA
  • 13Center for Inflammatory Bowel Disease, Columbia University Irving Medical Center, New York-Presbyterian Hospital, New York, NY, USA

Abstract

Background/Aims
Performance of diagnostic or therapeutic endoscopic procedures in inflammatory bowel disease (IBD) patients can be challenging during a viral pandemic; the main concerns being the safety and protection of patients and health care providers (HCP). The aim of this study is to identify endoscopic practice patterns and outcomes of IBD and coronavirus disease 19 (COVID-19) with a worldwide survey of HCP.
Methods
The 20-item survey questionnaire was sent to physician members of the American Society for Gastrointestinal Endoscopy Special Interest Group in Interventional IBD, Chinese IBD Society Endoscopy Interest Group, and the China Crohn’s and Colitis Foundation.
Results
A total of 141 respondents submitted valid responses. Nighty-five respondents (67.9%) reported that at least 25% of their scheduled emergent endoscopic procedures were canceled or postponed during the pandemic. Fifty-six respondents (40.0%) have performed emergent endoscopy during the pandemic. A few respondents (9/140, 6.4%) estimated that more than 25% of their patients had worsened disease due to delayed or canceled emergent endoscopy procedures. More than 80% of respondents believed that personal protective equipment (PPE) for the endoscopy team, room sterilization, and pre-procedure screening of patients for COVID-19 were necessary. Out of 140 respondents, 16 (11.4%) reported that several of their patients had COVID-19. Eight clinicians (5.7%) reported that they or their endoscopy colleagues developed work-related COVID-19.
Conclusions
Cancellation of elective and emergent endoscopy in IBD care during the pandemic was common. Few respondents reported that their patients’ disease conditions worsened due to the cancellation of the endoscopy procedure. Most respondents voiced the need for proper PPE during the procedure regardless of patients’ COVID-19 status and screening the patients for COVID-19.

Keyword

COVID-19; Crohn disease; Endoscopy; Inflammatory bowel disease; Ulcerative colitis

Cited by  2 articles

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Jin Wook Lee, Eun Mi Song, Sung-Ae Jung, Sung Hoon Jung, Kwang Woo Kim, Seong-Joon Koh, Hyun Jung Lee, Seung Wook Hong, Jin Hwa Park, Sung Wook Hwang, Dong-Hoon Yang, Byong Duk Ye, Jeong-Sik Byeon, Seung-Jae Myung, Suk-Kyun Yang, Sang Hyoung Park,
J Korean Med Sci. 2021;36(48):e336.    doi: 10.3346/jkms.2021.36.e336.

To overcome medical gap in screening and surveillance of colorectal cancer during the COVID-19 pandemic
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Intest Res. 2023;21(4):418-419.    doi: 10.5217/ir.2023.00144.


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