Perspective gastrointestinal endoscopy infection control strategy against COVID‐19: Workflow and space management for the operation of endoscopic centers

Onoyama, Takumi; Isomoto, Hajime

doi:10.1111/den.13804

Cited by 2 publications

(3 citation statements)

References 8 publications

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“…Highly sensitive, reliable, and rapid point‐of‐care tests for COVID‐19 are still lacking 10 . Nevertheless, according to a recent systematic review and meta‐analysis regarding the clinical outcomes of COVID‐19‐positive patients undergoing gastrointestinal endoscopy, the risk of SARS‐CoV‐2 transmission within gastrointestinal endoscopic units is considerably lower if proper PPE is utilized.…”

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confidence: 99%

“…Highly sensitive, reliable, and rapid point-of-care tests for COVID-19 are still lacking. 10 Nevertheless, according to a recent systematic review and meta-analysis regarding the clinical outcomes of COVID-19-positive patients undergoing gastrointestinal endoscopy, the risk of SARS-CoV-2 transmission within gastrointestinal endoscopic units is considerably lower if proper PPE is utilized. Additionally, low fatality and complication rates, and a high procedural success rate for diverse gastrointestinal endoscopic procedures, have been demonstrated in COVID-19-positive Western cohorts.…”

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confidence: 99%

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Impact of the coronavirus disease pandemic on peroral endoscopic myotomy and high‐resolution manometry activity in Japan

Kurumi

Fuji

Isomoto

2022

Digestive Endoscopy

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The coronavirus disease (COVID-19) pandemic has posed a major challenge to medical services worldwide. The causative agent-severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2)-is a virus mainly transmitted via droplets and contact; however, data are emerging that support airborne transmission during aerosol-generating procedures, including endoscopy. Since almost 50% of COVID-19 patients exhibit detectable viral RNA in fecal samples, 1,2 there are still considerable concerns regarding viral transmission within endoscopic units, forcing endoscopists to implement strict precautions, such as a high threshold for endoscopy. 3 Indeed, the pandemic has had a significant global impact on endoscopic services, which is linked to the substantial reduction in capacity. 4 Using the UK National Endoscopy Database, Rutter et al. 5 analyzed the impact of the COVID-19 pandemic on endoscopic services, reporting that activity during the COVID-affected period had reduced to 12% of the pre-COVID level, and only 5% during the lowest period. Conversely, a recent detailed nominal analysis of the pandemic's impact on nonurgent endoscopic treatments-including peroral endoscopic myotomy (POEM)-may be informative and facilitate preparation for the upcoming resurge.Ominami et al. 6 analyzed the impact of COVID-19 on high-resolution manometry (HRM) and POEM for esophageal motility disorders (EMDs), including achalasia. The study was conducted across 14 Japanese high-volume centers with expertise in POEM, using a questionnaire survey. Since POEM should be specialized, intensified, and personalized due to the orphan entities of EMDs, the procedure is not widely distributed-even with Japanese precedence-and can only be performed at a limited number of facilities; cross-regional referrals have therefore been considerably frequent. They therefore confirmed for the first time that compared with 2019-just before the COVID-19 pandemic-HRM and POEM decreased by 17.2% (1587 to

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Section: Figurementioning

confidence: 99%

mentioning

confidence: 99%

Impact of the coronavirus disease pandemic on peroral endoscopic myotomy and high‐resolution manometry activity in Japan

Kurumi

Fuji

Isomoto

2022

Digestive Endoscopy

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“… 9 – 11 During the COVID-19 pandemic, Peking Union Medical College Hospital (PUMCH) continued to offer routine medical services to patients with chronic diseases. 12 , 13 We accumulated previous experience in dealing with COVID-19 and managing chronic diseases, such as nAMD and PCV.…”

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confidence: 99%

The influence of delayed treatment due to COVID-19 on patients with neovascular age-related macular degeneration and polypoidal choroidal vasculopathy

Zhao

Meng

Luo

et al. 2021

Therapeutic Advances in Chronic Disease

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Purpose: To explore the impact of coronavirus disease 2019 (COVID-19) on the prognosis of patients with neovascular age-related macular degeneration (nAMD) and polypoidal choroidal vasculopathy (PCV), and share the experience in managing them during pandemics. Method: This is a retrospective study of nAMD and PCV patients treated at Peking Union Medical College Hospital from 31 December 2019 to 1 August 2020. Baseline demographic and clinical characteristics, best corrected visual acuity (BCVA), optical coherence tomography (OCT) features, duration of delayed treatment and number of anti-vascular endothelial growth factor (VEGF) injections were analyzed. Results: A total of 130 nAMD patients (155 eyes) and 76 PCV patients (89 eyes) were identified. Compared to the conditions before COVID-19, the BCVA of delayed cases decreased significantly, and the proportion of patients presenting with sub-macular scar was significantly greater in the delayed treatment group ( p < 0.05). The BCVA of non-delayed cases remained stable, with the percentage of patients with disease activity sub-retinal fluid and hemorrhage at the fovea decreasing significantly ( p < 0.05). The stable cases who did not require anti-VEGF treatment had significantly worse baseline and final BCVA, these patients were likely to be chronic and ‘burnt out’ cases with significantly worse anatomical structures ( p < 0.05). Conclusions: The delayed cases due to the pandemic suffered compromised visual function and a higher rate of sub-macular scar formation, while the visual function of non-delayed cases remained stable with favorable anatomical outcomes, suggesting the importance of regular follow-up for nAMD and PCV patients. Besides, effective measures of hospitals during pandemics are crucial to provide timely treatment for chronic disease.

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Perspective gastrointestinal endoscopy infection control strategy against COVID‐19: Workflow and space management for the operation of endoscopic centers

Cited by 2 publications

References 8 publications

Impact of the coronavirus disease pandemic on peroral endoscopic myotomy and high‐resolution manometry activity in Japan

Impact of the coronavirus disease pandemic on peroral endoscopic myotomy and high‐resolution manometry activity in Japan

The influence of delayed treatment due to COVID-19 on patients with neovascular age-related macular degeneration and polypoidal choroidal vasculopathy

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