Considerations in performing endoscopy during the COVID-19 pandemic

Roy Soetikno¹, Anthony Y B Teoh², Tonya Kaltenbach³, James Y W Lau², Ravishankar Asokkumar⁴, Patricia Cabral-Prodigalidad⁵, Amandeep Shergill³

Affiliations

¹ Division of Gastroenterology and Hepatology, San Francisco Veterans Affairs Medical Center, San Francisco, California, USA. Electronic address: soetikno@earthlink.net.
² Department of Surgery, Chinese University of Hong Kong, Shatin, Hong Kong.
³ Division of Gastroenterology and Hepatology, San Francisco Veterans Affairs Medical Center, San Francisco, California, USA; Department of Medicine, University of California San Francisco, San Francisco, California, USA.
⁴ Department of Gastroenterology and Hepatology, Singapore General Hospital, Singapore; HM Sanchinarro University Hospital, Madrid, Spain.
⁵ Institute of Digestive and Liver Diseases, St Luke's Medical Center-Global City, Taguig, Philippines.

PMID: 32229131
PMCID: PMC7195289
DOI: 10.1016/j.gie.2020.03.3758

Considerations in performing endoscopy during the COVID-19 pandemic

Roy Soetikno et al. Gastrointest Endosc. 2020 Jul.

. 2020 Jul;92(1):176-183.

doi: 10.1016/j.gie.2020.03.3758. Epub 2020 Mar 27.

Authors

Roy Soetikno¹, Anthony Y B Teoh², Tonya Kaltenbach³, James Y W Lau², Ravishankar Asokkumar⁴, Patricia Cabral-Prodigalidad⁵, Amandeep Shergill³

Affiliations

¹ Division of Gastroenterology and Hepatology, San Francisco Veterans Affairs Medical Center, San Francisco, California, USA. Electronic address: soetikno@earthlink.net.
² Department of Surgery, Chinese University of Hong Kong, Shatin, Hong Kong.
³ Division of Gastroenterology and Hepatology, San Francisco Veterans Affairs Medical Center, San Francisco, California, USA; Department of Medicine, University of California San Francisco, San Francisco, California, USA.
⁴ Department of Gastroenterology and Hepatology, Singapore General Hospital, Singapore; HM Sanchinarro University Hospital, Madrid, Spain.
⁵ Institute of Digestive and Liver Diseases, St Luke's Medical Center-Global City, Taguig, Philippines.

PMID: 32229131
PMCID: PMC7195289
DOI: 10.1016/j.gie.2020.03.3758

No abstract available

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Figures

**Figure 1**
Workflow for managing suspected (person under investigation) or COVID-19 patients in an endoscopy unit. Note that this workflow is still evolving. The availability of testing kits would likely change it. *COVID-19*, Coronavirus disease 2019; *PPE*, personal protective equipment.

**Figure 2**
Typical personal protective equipment used in our unit in Hong Kong. Designated shoes should only be worn in the endoscopy unit. (Image courtesy of Dr Anthony Teoh, Hong Kong, China.)

See this image and copyright information in PMC

Comment in

Preventing the spread of COVID-19 in digestive endoscopy during the resuming period: meticulous execution of screening procedures.
Han J, Wang Y, Zhu L, Cui Y, Li L, Zeng Z, Zhang S. Han J, et al. Gastrointest Endosc. 2020 Aug;92(2):445-447. doi: 10.1016/j.gie.2020.03.3855. Epub 2020 Apr 5. Gastrointest Endosc. 2020. PMID: 32268134 Free PMC article. No abstract available.
Gastrointestinal endoscopy during the COVID-19 pandemic: an updated review of guidelines and statements from international and national societies.
Castro Filho EC, Castro R, Fernandes FF, Pereira G, Perazzo H. Castro Filho EC, et al. Gastrointest Endosc. 2020 Aug;92(2):440-445.e6. doi: 10.1016/j.gie.2020.03.3854. Epub 2020 Apr 5. Gastrointest Endosc. 2020. PMID: 32268135 Free PMC article. No abstract available.
ERCP during the pandemic of COVID-19 in Wuhan, China.
An P, Huang X, Wan X, Xiao Y, Zhang J, Kang J, Liu J, Hu D, Wang Y, Ren H, Chen D, Wang X, Zhou Z, Yu H. An P, et al. Gastrointest Endosc. 2020 Aug;92(2):448-454. doi: 10.1016/j.gie.2020.04.022. Epub 2020 Apr 16. Gastrointest Endosc. 2020. PMID: 32305345 Free PMC article. No abstract available.
Impact of the COVID-19 pandemic on endoscopy practice: results of a cross-sectional survey from the New York metropolitan area.
Mahadev S, Aroniadis OS, Barraza L, Agarunov E, Goodman AJ, Benias PC, Buscaglia JM, Gross SA, Kasmin FE, Cohen JJ, Carr-Locke DL, Greenwald DA, Mendelsohn RB, Sethi A, Gonda TA; NYSGE research committee. Mahadev S, et al. Gastrointest Endosc. 2020 Sep;92(3):788-789. doi: 10.1016/j.gie.2020.04.047. Epub 2020 Apr 25. Gastrointest Endosc. 2020. PMID: 32339595 Free PMC article. No abstract available.
Factors associated with the risk of patients and healthcare workers to develop COVID-19 during digestive endoscopy in a high-incidence area.
Rossi G, Zaccari P, Apadula L, Fanti L, Notaristefano C, Azzolini F, Viale E, Esposito D, Testoni PA, Petrone MC, Mariani A, Capurso G, Arcidiacono PG. Rossi G, et al. Gastrointest Endosc. 2021 Jan;93(1):274-275. doi: 10.1016/j.gie.2020.07.019. Gastrointest Endosc. 2021. PMID: 33353625 Free PMC article. No abstract available.

References

1. Rio C. del, Malani P.N. COVID-19—new insights on a rapidly changing epidemic. JAMA. Epub. 2020 Mar 28 - PubMed
1. Xiao F., Tang M., Zheng X. Evidence for gastrointestinal infection of SARS-CoV-2. Gastroenterology. Epub. 2020 Mar 3 - PMC - PubMed
1. Bai Y., Yao L., Wei T. Presumed asymptomatic carrier transmission of COVID-19. JAMA. Epub. 2020 Feb 21 - PMC - PubMed
1. van Doremalen N., Bushmaker T., Morris D.H. Aerosol and surface stability of SARS-CoV-2 as compared with SARS-CoV-1. N Engl J Med. 2020 . N Engl J Med. Epub 2020 Mar 17. - PMC - PubMed
1. Li R., Pei S., Chen B. Substantial undocumented infection facilitates the rapid dissemination of novel coronavirus (SARS-CoV2) Science. Epub. 2020 Mar 16 - PMC - PubMed

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Considerations in performing endoscopy during the COVID-19 pandemic

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Considerations in performing endoscopy during the COVID-19 pandemic

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