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

Autor: Giulio Donato, Edoardo Forti, Massimiliano Mutignani, Maria Antonella Laterra, Daniele Arese, Franco Coppola, Piera Zaccari, Alberto Mariani, Paolo Giorgio Arcidiacono, Flavia Pigò, Rita Conigliaro, Deborah Costa, Alberto Tringali, Alessandro Lavagna, Rodolfo Rocca, Roberto Gabbiadini, Alessandro Fugazza, Alessandro Repici, Giammarco Fava, Francesco Marini, Piergiorgio Mosca, Flavia Urban, Fabio Monica, Stefano Francesco Crinò, Armando Gabbrielli, Matteo Blois, Cecilia Binda, Monica Sbrancia, Carlo Fabbri, Roberto Frego, Marco Dinelli, Venerina Imbesi, Pietro Gambitta, Marco Balzarini, Sergio Segato, Leonardo Minelli Grazioli, Cristiano Spada, Arnaldo Amato, Giovanna Venezia, Giovanni Aragona, Cesare Rosa, Costanza Alvisi, Massimo Devani, Gianpiero Manes, Iginio Dell’Amico, Carlo Gemme, Raffaella Reati, Francesco Auriemma, Benedetto Mangiavillano, Marcello Rodi, Helga Bertani, Dario Mazzucco, Elia Armellini, Paolo Cantù, Roberto Penagini, Pietro Occhipinti
Jazyk: angličtina
Rok vydání: 2021
Předmět:
Zdroj: Endoscopy International Open, Vol 09, Iss 04, Pp E629-E634 (2021)
Druh dokumentu: article
ISSN: 2364-3722
2196-9736
DOI: 10.1055/a-1380-3419
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: Directory of Open Access Journals
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