A multicenter survey on endoscopic retrograde cholangiopancreatography during the COVID-19 pandemic in northern and central Italy
| Autor: | Arnaldo Amato, Cristiano Spada, Gianpiero Manes, Marco Dinelli, Monica Sbrancia, Giovanna Venezia, Alberto Tringali, Helga Bertani, Carlo Gemme, Maria Antonella Laterra, Pietro Occhipinti, Giovanni Aragona, Giulio Donato, Pietro Gambitta, Massimiliano Mutignani, Edoardo Forti, Paolo Cantù, Alessandro Fugazza, Roberto Gabbiadini, Roberto Frego, Francesco Auriemma, Armando Gabbrielli, Sergio Segato, Stefano Francesco Crinò, Marcello Rodi, Massimo Devani, Giammarco Fava, Franco Coppola, Roberto Penagini, Piergiorgio Mosca, Deborah Costa, Elia Armellini, Iginio Dell’Amico, Daniele Arese, Matteo Blois, Rita Conigliaro, Marco Balzarini, Cecilia Binda, Piera Zaccari, Costanza Alvisi, Carlo Fabbri, Dario Mazzucco, Alberto Mariani, Francesco Marini, Paolo Giorgio Arcidiacono, R. Reati, Flavia Urban, Rodolfo Rocca, Venerina Imbesi, Flavia Pigò, Cesare Rosa, Fabio Monica, Alessandro Lavagna, Benedetto Mangiavillano, Leonardo Minelli Grazioli, Alessandro Repici |
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| Rok vydání: | 2020 |
| Předmět: |
medicine.medical_specialty
Original article Endoscopic retrograde cholangiopancreatography medicine.diagnostic_test Coronavirus disease 2019 (COVID-19) business.industry General surgery Severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) MEDLINE RC799-869 Diseases of the digestive system. Gastroenterology Triage Endoscopy 03 medical and health sciences 0302 clinical medicine 030220 oncology & carcinogenesis Multicenter survey Pandemic medicine 030211 gastroenterology & hepatology Pharmacology (medical) business |
| Zdroj: | Endoscopy International Open Endoscopy International Open, Vol 09, Iss 04, Pp E629-E634 (2021) |
| ISSN: | 2364-3722 |
| Popis: | 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. |
| Databáze: | OpenAIRE |
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