Gastrointestinal Endoscopy and Coronavirus Disease-2019 Pandemic

Darmadi Darmadi; Cennikon Pakpahan; Riska Habriel Ruslie

doi:10.3889/oamjms.2022.8414

Authors

Darmadi Darmadi Department of Internal Medicine, Faculty of Medicine, Universitas Sumatera Utara, Medan, Indonesia
Cennikon Pakpahan Department of Biomedical Sciences, Faculty of Medicine, Universitas Airlangga, Surabaya, Indonesia
Riska Habriel Ruslie Department of Child Health, Faculty of Medicine, Universitas Prima Indonesia, Medan, Indonesia

DOI:

https://doi.org/10.3889/oamjms.2022.8414

Keywords:

Coronavirus, Endoscopy, Gastrointestinal, Pandemic

Abstract

Coronavirus disease-2019 (COVID-19) is a disease caused by severe acute respiratory syndrome-Coronavirus-2 (SARS-CoV-2). It has become a pandemic since March 11, 2020. It carries a significant burden and hampers gastrointestinal endoscopy practice. Since SARS-CoV-2 receptors are found in the gastrointestinal tract, COVID-19 also manifests as gastrointestinal symptoms. The viable virus is also detected in stool, carrying a high risk of transmission. Therefore, gastrointestinal endoscopy practice needs to be changed to prevent spreading from patients and medical personnel. All patients should be screened for the possibility of infection. Triage is done to determine the urgency of cases. Elective cases are postponed while semi-urgent and urgent cases are treated accordingly. A level 2 personal protective equipment (PPE) should be used for negative/suspected COVID-19 and a level 3 PPE is used for the confirmed case. Endoscopy unit should have negative-pressure room or proper ventilation, separated unit between negative/suspected and confirmed cases, exclusive equipment for COVID-19 case, and proper disinfection of equipment and room. Medical personnel must be screened regularly and positive information regarding gastrointestinal endoscopy practice should be spread to patients.

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References

Chiu PW, Ng SC, Inoue H, Reddy DN, Hu EL, Cho JY, et al. Practice of endoscopy during COVID-19 pandemic: Position statements of the Asian pacific society for digestive endoscopy (APSDE-COVID statements). Gut. 2020;69(6):991-6. https://doi.org/10.1136/gutjnl-2020-321185 PMid:32241897 DOI: https://doi.org/10.1136/gutjnl-2020-321185

Umakanthan S. Origin, transmission, diagnosis and management of coronavirus disease 2019 (COVID-19). Postgrad Med J. 2020;96(1142):753-8. https://doi.org/10.1136/postgradmedj-2020-138234 PMid:32563999

Akande OW, Akande TM. COVID-19 pandemic: A global health burden. Niger Postgrad Med J. 2020;27(3):147-55. https://doi.org/10.4103/npmj.npmj_157_20 PMid:32687112 DOI: https://doi.org/10.4103/npmj.npmj_157_20

Galanopoulos M, Gkeros F, Doukatas A, Karianakis G, Pontas C, Tsoukalas N, et al. COVID-19 pandemic: pathophysiology and manifestations from the gastrointestinal tract. World J Gastroenterol. 2020;26(31):4579-88. https://doi.org/10.3748%2Fwjg.v26.i31.4579 PMid:32884218 DOI: https://doi.org/10.3748/wjg.v26.i31.4579

Hunt RH, East JE, Lanas A, Malfertheiner P, Satsangi J, Scarpignato C, et al. COVID-19 and gastrointestinal disease: Implications for the gastroenterologist. Dig Dis. 2021;39(2):119-39. https://doi.org/10.1159/000512152 PMid:33040064 DOI: https://doi.org/10.1159/000512152

Alboraie M, Piscoya A, Tran QT, Mandelsohn RB, Butt AS, Lenz L, et al. The global impact of COVID-19 on gastrointestinal endoscopy units: An international survey of endoscopists. Arab J Gastroenterol. 2020;21(3):156-61. https://doi.org/10.1016/j.ajg.2020.08.008 PMid:32912748 DOI: https://doi.org/10.1016/j.ajg.2020.08.008

Ruslie RH, Darmadi D, Siregar GA. Pediatric immunization practice during coronavirus disease-2019 pandemic. Open Access Maced J Med Sci. 2020;8:258-60. https://doi.org/10.3889/oamjms.2020.5125 DOI: https://doi.org/10.3889/oamjms.2020.5125

Ruslie RH, Darmadi D, Siregar GA. Susceptibility of coronavirus disease-19 in pediatric population. Open Access Maced J Med Sci. 2020;8:363-5. https://doi.org/10.3889/oamjms.2020.5240 DOI: https://doi.org/10.3889/oamjms.2020.5240

World Health Organization. Coronavirus Disease (COVID-19) Outbreak Situation. Geneva: World Health Organization; 2021. Available from: https://covid19.who.int [Last accessed on 2021 Dec 05].

Sinoquel P, Aerts M, Badaoui A, Bisschops R, Blero D, Demedts I, et al. BSGIE survey on COVID-19 and gastrointestinal endoscopy in Belgium: Results and recommendations. Acta Gastroenterol Belg. 2020;83(2):344-54. PMid:32603061

Perisetti A, Goyal H, Sharma N. Gastrointestinal endoscopy in the era of COVID-19. Front Med (Lausanne). 2020;7:587602. https://doi.org/10.3389%2Ffmed.2020.587602 PMid:33330546 DOI: https://doi.org/10.3389/fmed.2020.587602

Gralnek IM, Hassan C, Beilenhoff U, Antonelli G, Ebigbo A, Arvanitakis M, et al. ESGE and ESGENA position statement on gastrointestinal endoscopy and the COVID-19 pandemic. Endoscopy. 2020;52(6):483-90. https://doi.org/10.1055/a-1155-6229 PMid:32303090 DOI: https://doi.org/10.1055/a-1155-6229

Lazaridis C, Vlachogiannis NI, Bakogiannis C, Spyridopoulos I, Stamatelopoulos K, Kanakakis I, et al. Involvement of cardiovascular system as the critical point in coronavirus disease 2019 (COVID-19) prognosis and recovery. Hellenic J Cardiol. 2020;61(6):381-95. https://doi.org/10.1016/j.hjc.2020.05.004 PMid:32534109 DOI: https://doi.org/10.1016/j.hjc.2020.05.004

Ge H, Wang X, Yuan X, Xiao G, Wang C, Deng T, et al. The epidemiology and clinical information about COVID-19. Eur J Clin Microbiol Infect Dis. 2020;39(6):1011-9. https://doi.org/10.1007%2Fs10096-020-03874-z PMid:32291542 DOI: https://doi.org/10.1007/s10096-020-03874-z

Satsangi J, Silverberg MS, Vermeire S, Colombel J. The Montreal classification of inflammatory bowel disease: Controversies, consensus, and implications. Gut. 2006;55(6):749-53. https://doi.org/10.1136%2Fgut.2005.082909 PMid:16698746 DOI: https://doi.org/10.1136/gut.2005.082909

Geng Y, Wei Z, Qian H, Huang J, Lodato R, Castriotta RJ. Pathophysiological characteristics and therapeutic approaches for pulmonary injury and cardiovascular complications of coronavirus disease 2019. Cardiovasc Pathol. 2020;47:107228. https://doi.org/10.1016/j.carpath.2020.107228 PMid:32375085 DOI: https://doi.org/10.1016/j.carpath.2020.107228

The Indonesian Society for Digestive Endoscopy. Clinical and Procedural Guidelines for the Gastrointestinal Endoscopy Unit during the COVID-19 Pandemic. Available from: https://pbpegi.com/language/en/clinical-and-procedural-guidelines-for-the-gastrointestinal-endoscopy-unit-during-the-covid-19-pandemic [Last accessed on 2021 Dec 05].

Jin X, Lian J, Hu J, Gao J, Zheng L, Zhang X, et al. Epidemiological, clinical and virological characteristics of 74 cases of coronavirus-infected disease 2019 (COVID-19) with gastrointestinal symptoms. Gut. 2020;69(6):1002-9. https://doi.org/10.1136/gutjnl-2020-320926 PMid:32213556 DOI: https://doi.org/10.1136/gutjnl-2020-320926

Hegazy MA, Lithy RM, Abdel-Hamid HM, Wahba M, Ashoush OA, Hegazy MT, et al. COVID-19 disease outcomes: Does gastrointestinal burden play a role? Clin Exp Gastroenterol. 2021;14:199-207. https://doi.org/10.2147%2FCEG.S297428 PMid:34079323 DOI: https://doi.org/10.2147/CEG.S297428

Pribadi RR, Utari AP, Muzellina VN, Nursyirwan AS, Maulahela H, Renaldi K, et al. Clinical practice of gastrointestinal endoscopy in COVID-19 patients: An experience from Indonesia. Clin Endosc. 2021;2021:88. https://doi.org/10.5946/ce.2021.088 PMid:34280966 DOI: https://doi.org/10.5946/ce.2021.088

Ang TL. Gastrointestinal endoscopy during COVID-19 pandemic. J Gastroenterol Hepatol. 2020;35(5):701-2. https://doi.org/10.1111/jgh.15048 PMid:32216110 DOI: https://doi.org/10.1111/jgh.15048

Maulahela H, Syam AF, Renaldi K, Bestari MB, Soetikno R, Abdullah M, et al. A clinical and procedural guideline for gastrointestinal endoscopy units during COVID-19 pandemic era. Acta Med Indones. 2020;52(4):431-5. PMid:33377889

British Society of Gastroenterology. Endoscopy Activity and COVID-19: BSG and JAG Guideline. Available from: https://www.bsg.org.uk/covid-19-advice/endoscopy-activity-and-covid-19-bsg-and-jag-guidance [Last accessed on 2021 Dec 05].

Filho EC, Castro R, Fernandes FF, Pereira G, Perazzo H. Gastrointestinal endoscopy during the COVID-19 pandemic: An updated review of guidelines and statements from international and national societies. Gastrointest Endosc. 2020;92(2):440-5. e6. https://doi.org/10.1016/j.gie.2020.03.3854 PMid:32268135 DOI: https://doi.org/10.1016/j.gie.2020.03.3854