A multicenter survey on endoscopic retrograde cholangiopancreatography during the COVID-19 pandemic in northern and central Italy.

Autor:	Donato G; Gastroenterology Unit, Department of Oncological and Specialty Medicine, Azienda Ospedaliero-Universitaria Maggiore della Carità, Novara, Italy., Forti E; Digestive and Operative Endoscopy Unit, ASST Grande Ospedale Metropolitano Niguarda, Milan, Italy., Mutignani M; Digestive and Operative Endoscopy Unit, ASST Grande Ospedale Metropolitano Niguarda, Milan, Italy., Laterra MA; Gastroenterology Unit, Ospedale San Giovanni Bosco, Torino, Italy., Arese D; Gastroenterology Unit, Ospedale San Giovanni Bosco, Torino, Italy., Coppola F; Gastroenterology Unit, Ospedale San Giovanni Bosco, Torino, Italy., Zaccari P; Pancreatobiliary Endoscopy and EUS Division, Pancreas Translational and Clinical Research Center, San Raffaele Scientific Institute, Vita Salute San Raffaele University, Milan, Italy., Mariani A; Pancreatobiliary Endoscopy and EUS Division, Pancreas Translational and Clinical Research Center, San Raffaele Scientific Institute, Vita Salute San Raffaele University, Milan, Italy., Arcidiacono PG; Pancreatobiliary Endoscopy and EUS Division, Pancreas Translational and Clinical Research Center, San Raffaele Scientific Institute, Vita Salute San Raffaele University, Milan, Italy., Pigò F; Gastroenterology and Digestive Endoscopy - Azienda Ospedaliero-Universitaria Modena, Ospedale di Baggiovara, Italy., Conigliaro R; Gastroenterology and Digestive Endoscopy - Azienda Ospedaliero-Universitaria Modena, Ospedale di Baggiovara, Italy.; Digestive Endoscopy Unit, Azienda Ospedaliero-Universitaria Modena, Policlinico di Modena, Italy., Costa D; Gastroenterology Unit, ULSS 2 Marca Trevigiana, Ospedale Conegliano-Vittorio Veneto, Italy., Tringali A; Gastroenterology Unit, ULSS 2 Marca Trevigiana, Ospedale Conegliano-Vittorio Veneto, Italy., Lavagna A; Gastroenterology Unit, AO Ordine Mauriziano, Torino, Italy., Rocca R; Gastroenterology Unit, AO Ordine Mauriziano, Torino, Italy., Gabbiadini R; Digestive Endoscopy Unit, Humanitas Clinical and Research Center - IRCCS, Rozzano, Milan, Italy., Fugazza A; Digestive Endoscopy Unit, Humanitas Clinical and Research Center - IRCCS, Rozzano, Milan, Italy., Repici A; Digestive Endoscopy Unit, Humanitas Clinical and Research Center - IRCCS, Rozzano, Milan, Italy., Fava G; SOD Malattie Apparato Digerente, Endoscopia Digestiva, Malattie Infiammatorie Croniche Intestinali, Ospedali Riuniti, Ancona, Italy., Marini F; SOD Malattie Apparato Digerente, Endoscopia Digestiva, Malattie Infiammatorie Croniche Intestinali, Ospedali Riuniti, Ancona, Italy., Mosca P; SOD Malattie Apparato Digerente, Endoscopia Digestiva, Malattie Infiammatorie Croniche Intestinali, Ospedali Riuniti, Ancona, Italy., Urban F; Gastroenterology Unit, ASU GI Ospedale di Cattinara Trieste, Italy., Monica F; Gastroenterology Unit, ASU GI Ospedale di Cattinara Trieste, Italy., Crinò SF; Gastroenterology and Digestive Endoscopy Unit, The Pancreas Institute, Verona, Italy., Gabbrielli A; Gastroenterology and Digestive Endoscopy Unit, The Pancreas Institute, Verona, Italy., Blois M; Operative Endoscopy Unit, Azienda Usl Toscana Nord-Ovest, Livorno, Italy., Binda C; Gastroenterology and Digestive Endoscopy Unit, Forlì-Cesena Hospitals, AUSL Romagna, Italy., Sbrancia M; Gastroenterology and Digestive Endoscopy Unit, Forlì-Cesena Hospitals, AUSL Romagna, Italy., Fabbri C; Gastroenterology and Digestive Endoscopy Unit, Forlì-Cesena Hospitals, AUSL Romagna, Italy., Frego R; Operative Endoscopy Unit, ASST Monza, Italy., Dinelli M; Operative Endoscopy Unit, ASST Monza, Italy., Imbesi V; Gastroenterology and Digestive Endoscopy Unit, ASST Ovest Milanese, Legnano, Milan, Italy., Gambitta P; Gastroenterology and Digestive Endoscopy Unit, ASST Ovest Milanese, Legnano, Milan, Italy., Balzarini M; Gastroenterology Unit, ASST Sette-Laghi, Varese, Italy., Segato S; Gastroenterology Unit, ASST Sette-Laghi, Varese, Italy., Grazioli LM; Digestive Endoscopy Unit, Fondazione Poliambulanza Istituto Ospedaliero, Brescia, Italy., Spada C; Digestive Endoscopy Unit, Fondazione Poliambulanza Istituto Ospedaliero, Brescia, Italy., Amato A; Gastroenterology Unit, Ospedale Valduce, Como, Italy., Venezia G; Gastroenterology Unit, Azienda Ospedaliera S.Croce e Carle, Cuneo, Italy., Aragona G; Gastroenterology and Hepatology Unit, Ospedale Civile, AUSL Piacenza, Italy., Rosa C; Digestive Endoscopy Unit, ASST Pavia, Ospedali Voghera-Vigevano, Pavia, Italy., Alvisi C; Digestive Endoscopy Unit, ASST Pavia, Ospedali Voghera-Vigevano, Pavia, Italy., Devani M; ASST Rhodense, Presidio di Rho, Milan, Italy., Manes G; ASST Rhodense, Presidio di Rho, Milan, Italy., Dell'Amico I; Endoscopy Unit, Azienda Usl Toscana Nord-Ovest, Massa Carrara, Italy., Gemme C; Gastroenterology Unit, Azienda Ospedaliera SS. Antonio e Biagio e Cesare Arrigo, Alessandria, Italy., Reati R; ASST Rhodense, Presidio di Garbagnate Milanese, Milan, Italy., Auriemma F; Gastrointestinal Endoscopy Unit, Humanitas - Mater Domini, Castellanza, Varese, Italy., Mangiavillano B; Gastrointestinal Endoscopy Unit, Humanitas - Mater Domini, Castellanza, Varese, Italy., Rodi M; Gastroenterology and Digestive Endoscopy Unit, Ospedale S. Andrea, ASL VC, Vercelli, Italy., Bertani H; Digestive Endoscopy Unit, Azienda Ospedaliero-Universitaria Modena, Policlinico di Modena, Italy., Mazzucco D; Gastroenterology Unit, ASL TO3, Rivoli, Torino, Italy., Armellini E; Gastroenterology and Digestive Endoscopy Unit, ASST Bergamo Est, Bergamo, Italy., Cantù P; Gastroenterology and Endoscopy Unit, Fondazione IRCCS Ca' Granda Ospedale Maggiore Policlinico, Università degli Studi di Milano, Milan, Italy., Penagini R; Gastroenterology and Endoscopy Unit, Fondazione IRCCS Ca' Granda Ospedale Maggiore Policlinico, Università degli Studi di Milano, Milan, Italy., Occhipinti P; Gastroenterology Unit, Department of Oncological and Specialty Medicine, Azienda Ospedaliero-Universitaria Maggiore della Carità, Novara, Italy.
Jazyk:	angličtina
Zdroj:	Endoscopy international open [Endosc Int Open] 2021 Apr; Vol. 9 (4), pp. E629-E634. Date of Electronic Publication: 2021 Apr 15.
DOI:	10.1055/a-1380-3419
Abstrakt:	Background and study aims  COVID-19 has dramatically impacted endoscopy practice because upper endoscopy procedures can be aerosol-generating. Most elective procedures have been rescheduled. Endoscopic retrograde cholangiopancreatography (ERCP) is frequently performed in emergency or urgent settings in which rescheduling is not possible. We evaluated the impact of the COVID-19 pandemic on ERCP in Italy during the SARS-CoV-2 lockdown, in areas with high incidence of COVID-19. Patients and methods  We performed a retrospective survey of centers performing ERCP in high COVID-19 prevalence areas in Italy to collect information regarding clinical data from patients undergoing ERCP, staff, case-volume and organization of endoscopy units from March 8, 2020 to April 30, 2020. Results  We collected data from 31 centers and 804 patients. All centers adopted a triage and/or screening protocol for SARS-CoV-2 and performed follow-up of patients 2 weeks after the procedure. ERCP case-volume was reduced by 44.1 % compared to the respective 2019 timeframe. Of the 804 patients undergoing ERCP, 22 (2.7 %) were positive for COVID-19. Adverse events occurred at a similar rate to previously published data. Of the patients, endoscopists, and nurses, 1.6 %, 11.7 %, and 4.9 %, respectively, tested positive for SARS-CoV-2 at follow up. Only 38.7 % of centers had access to a negative-pressure room for ERCP. Conclusion  The case-volume reduction for ERCP during lockdown was lower than for other gastrointestinal endoscopy procedures. No definitive conclusions can be drawn about the percentage of SARS-CoV-2-positive patients and healthcare workers observed after ERCP. Appropriate triage and screening of patients and adherence to society recommendations are paramount. Competing Interests: Competing interests The authors declare that they have no conflict of interest. (The Author(s). This is an open access article published by Thieme under the terms of the Creative Commons Attribution-NonDerivative-NonCommercial License, permitting copying and reproduction so long as the original work is given appropriate credit. Contents may not be used for commercial purposes, or adapted, remixed, transformed or built upon. (https://creativecommons.org/licenses/by-nc-nd/4.0/).)
Databáze:	MEDLINE
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