Pediatr Gastroenterol Hepatol Nutr.
2023 Nov;26(6):291-300. 10.5223/pghn.2023.26.6.291.
Impact of the Coronavirus Disease 2019 Pandemic on Pediatric Gastrointestinal Endoscopy: A Questionnaire-based Internet Survey of 162 Institutional Experiences in Asia Pacific
- Darma A
1,2 - Arai K3
- Wu Jf4
- Ukarapol N5
- Hagiwara Si6
- Oh SH7
- Treepongkaruna S8
- on behalf Endoscopy Subcommittee of the Scientific Committee Asian Pan-Pacific Society of Pediatric Gastroenterology, and Hepatology and Nutrition (APPSPGHAN)
- Affiliations
-
- 1Department of Child Health, Dr. Soetomo General Academic Hospital, Surabaya, Indonesia
- 2Department of Child Health, Faculty of Medicine, Universitas Airlangga, Surabaya, Indonesia
- 3Division of Gastroenterology, National Center for Child Health and Development, Tokyo, Japan
- 4Department of Pediatrics, National Taiwan University Hospital, Taipei, Taiwan
- 5Department of Pediatrics, Faculty of Medicine, Chiang Mai University, Chiang Mai, Thailand
- 6Department of Gastroenterology, Nutrition and Endocrinology, Osaka Women’s and Children’s Hospital, Osaka, Japan
- 7Departments of Pediatrics, Asan Medical Center Children’s Hospital, University of Ulsan College of Medicine, Seoul, Korea
- 8Department of Pediatrics, Faculty of Medicine, Ramathibodi Hospital, Mahidol University, Bangkok, Thailand
- KMID: 2548038
- DOI: http://doi.org/10.5223/pghn.2023.26.6.291
Abstract
- Purpose
The impact of coronavirus 2019 (COVID-19) on gastrointestinal (GI) endoscopy procedures in adults has been reported, with a drastic reduction in the number of procedures. However, there are no sufficient data regarding the impact on pediatric GI endoscopy. Here, we aimed to report that impact in the Asia-Pacific region.
Methods
A questionnaire-based internet survey was conducted from June to November 2021 among pediatric endoscopy institutions in the Asia-Pacific region, with each institution providing a single response. Overall, 25 questions focused on the impact of the number of procedures conducted, the usage of personal protective equipment (PPE), and endoscopy training programs during the pandemic.
Results
A total of 162 institutions across 13 countries in the Asia-Pacific region participated in the study, and 133 (82.1%) institutions underwent procedure changes since the emergence of COVID-19. The number of esophagogastroduodenoscopy and ileocolonoscopy procedures decreased in 118/133 (88.7%) and 112/133 (84.2%) institutions, respectively. Endoscopy for patient with positive COVID-19 in an emergency or urgent cases still carried out in 102/162 (62.9%) institutions. Screening of COVID-19 for all patients before endoscopy was done across 110/162 (67.9%) institutions. PPE recommendations varied among institutions. Pediatric gastrointestinal endoscopy training programs were discontinued in 127/162 (78.4%) institutions.
Conclusion
This study reports the impact of the COVID-19 pandemic on pediatric gastrointestinal endoscopy in the Asia-Pacific region. There has been a significant reduction in the number of endoscopic procedures and relevant training programs.
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