Guidance for resuming GI endoscopy and practice operations after the COVID-19 pandemic

Hennessy, Bruce; Vicari, Joseph J.; Bernstein, Brett; Chapman, Frank J.; Khaykis, Inessa; Littenberg, Glenn; Robbins, David H.

doi:10.1016/j.gie.2020.05.006

Cited by 61 publications

(71 citation statements)

References 1 publication

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“…The most widely advocated method of pre-endoscopy testing for COVID-19 is by reverse transcriptase-polymerase chain reaction (RT-PCR) 24,[57][58][59] . An economic analysis has shown that performing nucleic acid amplification tests (NAAT) for SARS-CoV-2 on all patients is an effective strategy, though this is subject to the availability of local resources 60 .…”

Section: Polymerase Chain Reaction Testingmentioning

confidence: 99%

Safety in Endoscopy for Patients and Healthcare Workers During the COVID-19 Pandemic

Lui

2021

Techniques and Innovations in Gastrointestinal Endoscopy

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This is a PDF file of an article that has undergone enhancements after acceptance, such as the addition of a cover page and metadata, and formatting for readability, but it is not yet the definitive version of record. This version will undergo additional copyediting, typesetting and review before it is published in its final form, but we are providing this version to give early visibility of the article. Please note that, during the production process, errors may be discovered which could affect the content, and all legal disclaimers that apply to the journal pertain.

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Section: Polymerase Chain Reaction Testingmentioning

confidence: 99%

Safety in Endoscopy for Patients and Healthcare Workers During the COVID-19 Pandemic

Lui

2021

Techniques and Innovations in Gastrointestinal Endoscopy

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“…To help endoscopy units safely resume operations, the American Society for Gastrointestinal Endoscopy has issued recommendations on minimizing infection risks among patients and providers. 37 These recommendations include detailed guidance on preprocedural screening, cleaning, physical distancing, and other periprocedural considerations.…”

Section: Safely Resuming Endoscopymentioning

confidence: 99%

“…Routine preprocedural testing is not currently recommended, although endoscopy units are encouraged to individualize their approach based on geographical prevalence of COVID-19, as well as the size and type of facility. 37 In a retrospective US study of 396 patients tested before endoscopy, the overall positive rate was 0.25%. 38 The infection rate was significantly lower than in the general population, suggesting preprocedural screening questionnaires may be effective in identifying SARS-CoV-2-positive patients.…”

Section: Safely Resuming Endoscopymentioning

confidence: 99%

COVID-19 in patients with IBD and pancreaticobiliary disorders

Ouali

Philpott

Vargo

et al. 2020

CCJM

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“…This led most national societies to produce guidance on how to improve safety in endoscopy during the pandemic. [1][2][3][4] One of the key recommendations common to all these guidelines was a drastic reduction in procedure volume, restricting it to urgent and life-saving procedures. This was deemed necessary to minimise the spread of infection and divert healthcare resources from endoscopy to the front line.…”

Section: Introductionmentioning

confidence: 99%

Recovery of endoscopy services in the era of COVID-19: recommendations from an international Delphi consensus

Bhandari

Subramaniam

Bourke

et al. 2020

Gut

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The COVID-19 pandemic has had a profound impact on provision of endoscopy services globally as staff and real estate were repurposed. As we begin to recover from the pandemic, a cohesive international approach is needed, and guidance on how to resume endoscopy services safely to avoid unintended harm from diagnostic delays. The aim of these guidelines is to provide consensus recommendations that clinicians can use to facilitate the swift and safe resumption of endoscopy services. An evidence-based literature review was carried out on the various strategies used globally to manage endoscopy during the COVID-19 pandemic and control infection. A modified Delphi process involving international endoscopy experts was used to agree on the consensus statements. A threshold of 80% agreement was used to establish consensus for each statement. 27 of 30 statements achieved consensus after two rounds of voting by 34 experts. The statements were categorised as pre-endoscopy, during endoscopy and postendoscopy addressing relevant areas of practice, such as screening, personal protective equipment, appropriate environments for endoscopy and infection control precautions, particularly in areas of high disease prevalence. Recommendations for testing of patients and for healthcare workers, appropriate locations of donning and doffing areas and social distancing measures before endoscopy are unique and not dealt with by any other guidelines. This international consensus using a modified Delphi method to produce a series of best practice recommendations to aid the safe resumption of endoscopy services globally in the era of COVID-19.

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Guidance for resuming GI endoscopy and practice operations after the COVID-19 pandemic

Cited by 61 publications

References 1 publication

Safety in Endoscopy for Patients and Healthcare Workers During the COVID-19 Pandemic

Safety in Endoscopy for Patients and Healthcare Workers During the COVID-19 Pandemic

COVID-19 in patients with IBD and pancreaticobiliary disorders

Recovery of endoscopy services in the era of COVID-19: recommendations from an international Delphi consensus

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