Multicenter Study

. 2020 Jul;159(1):363-366.e3.

doi: 10.1053/j.gastro.2020.04.003. Epub 2020 Apr 10.

Endoscopy Units and the Coronavirus Disease 2019 Outbreak: A Multicenter Experience From Italy

Alessandro Repici¹, Fabio Pace², Roberto Gabbiadini³, Matteo Colombo³, Cesare Hassan⁴, Marco Dinelli⁵; ITALIAN GI-COVID19 Working Group

Collaborators, Affiliations

Collaborators

ITALIAN GI-COVID19 Working Group:
Roberta Maselli⁶, Marco Spadaccini⁷, Massimiliano Mutignani⁸, Armando Gabbrielli⁹, Clementina Signorelli¹⁰, Cristiano Spada¹¹, Piera Leoni¹², Carlo Fabbri¹³, Sergio Segato¹⁴, Nicola Gaffuri¹⁵, Benedetto Mangiavillano¹⁶, Franco Radaelli¹⁷, Raffaele Salerno¹⁸, Stefano Bargiggia¹⁹, Luca Maroni²⁰, Antonio Benedetti²⁰, Pietro Occhipinti²¹, Federico De Grazia²², Luca Ferraris²³, Gianpaolo Cengia²⁴, Salvatore Greco²⁵, Costanza Alvisi²⁶, Antonella Scarcelli²⁷, Luca De Luca²⁷, Fabrizio Cereatti²⁸, Pier Alberto Testoni²⁹, Roberto Mingotto³⁰, Giovanni Aragona³¹, Gianpiero Manes³², Paolo Beretta³³, Georgios Amvrosiadis³⁴, Vincenzo Cennamo³⁵, Fausto Lella³⁶, Guido Missale³⁷, Pavlos Lagoussis³⁸, Omero Triossi³⁹, Mauro Giovanardi⁴⁰, Giuseppe De Roberto⁴¹, Paolo Cantù⁴², Elisabetta Buscarini⁴³, Andrea Anderloni⁶, Silvia Carrara⁶, Alessandro Fugazza⁶, Piera Alessia Galtieri⁶, Gaia Pellegatta⁶, Giulio Antonelli⁴⁴, Thomas Rösch⁴⁵, Prateek Sharma⁴⁶

Affiliations

¹ Humanitas Clinical and Research Center, Digestive Endoscopy Unit, Rozzano, Milan, Italy; Humanitas University, Department of Biomedical Sciences, Rozzano, Milan, Italy. Electronic address: alessandro.repici@hunimed.eu.
² Bolognini Hospital, Gastroenterology Unit, Seriate, Bergamo, Italy.
³ Humanitas Clinical and Research Center, Digestive Endoscopy Unit, Rozzano, Milan, Italy; Humanitas University, Department of Biomedical Sciences, Rozzano, Milan, Italy.
⁴ Nuovo Regina Margherita Hospital, Digestive Endoscopy, Rome, Italy.
⁵ San Gerardo Hospital Azienda Socio Sanitaria Territoriale Monza, Endoscopy Unit, Monza, Monza-Brianza, Italy.
⁶ Humanitas Clinical and Research Center, Digestive Endoscopy Unit, Rozzano (Milan). Italy.
⁷ Humanitas Clinical and Research Center, Digestive Endoscopy Unit, Rozzano (Milan). Italy; Humanitas University, Department of Biomedical Sciences, Rozzano (Milan). Italy.
⁸ Niguarda-Ca' Granda Hospital, Digestive and Operative Endoscopy Unit, Milan. Italy.
⁹ The Pancreas Institute, University Hospital of Verona, Gastroenterology and Digestive Endoscopy Unit, Verona. Italy.
¹⁰ ASST Bergamo Ovest, Gastroenterology and Digestive Endoscopy, Bergamo. Italy.
¹¹ Fondazione Poliambulanza, Digestive Endoscopy Unit, Brescia. Italy.
¹² AO Lodi, Gastroenterology & Digestive Endoscopy Unit, Lodi. Italy.
¹³ AUSL Bologna Bellaria-Maggiore Hospital, Gastroenterology and Digestive Endoscopy Unit, Bologna. Italy.
¹⁴ ASST Dei Sette Laghi, Gastroenterology and Gastrointestinal Endoscopic Unit, Varese. Italy.
¹⁵ Humanitas Gavazzeni, Gastrointestinal Endoscopy Unit, Bergamo. Italy.
¹⁶ Humanitas Mater Domini, Gastrointestinal Endoscopy Unit, Castellanza (Milan). Italy.
¹⁷ Valduce Hospital, Gastroenterology Unit, Como. Italy.
¹⁸ Fatebenefratelli Sacco, Gastroenterology and Digestive Endoscopy Unit, ASST Milan. Italy.
¹⁹ Clinica San Carlo, Gastroenterology and Digestive Endoscopy Unit, Paderno Dugnano (Milan). Italy.
²⁰ Università Politecnica delle Marche, Department of Gastroenterology and Hepatology, Ancona. Italy.
²¹ Department of Gastroenterology, "Maggiore Della Carità" Hospital, Novara. Italy.
²² Fondazione IRCCS Policlinico San Matteo, University of Pavia, First Department of Internal Medicine, Pavia. Italy.
²³ ASST Valleolona PO, Gastroenterology and Digestive Endoscopy, Gallarate (Varese). Italy.
²⁴ Ospedale di Manerbio, Endoscopy Unit, Brescia. Italy.
²⁵ Papa Giovanni XXIII Hospital, Gastroenterology and Digestive Endoscopy Units, Bergamo. Italy.
²⁶ ASST Pavia, Digestive Endoscopy Unit, Pavia. Italy.
²⁷ Azienda Ospedaliera Ospedali Riuniti Marche Nord, Gastroenterology and Digestive Endoscopy Units, Pesaro (Pesaro-Urbino). Italy.
²⁸ Cremona Hospital, Digestive Endoscopy and Gastroenterology Unit, Cremona. Italy.
²⁹ Vita Salute San Raffaele University, IRCCS San Raffaele Scientific Institute, Division of Gastroenterology and Gastrointestinal Endoscopy, Milan. Italy.
³⁰ ASST Melegnano-Martesana, Gastroenterology and Digestive Endoscopy, Melegnano (Milan). Italy.
³¹ "Guglielmo da Saliceto" Hospital, Department of Internal Medicine, Gastroenterology and Hepatology Unit Piacenza. Italy.
³² ASST Rhodense, Department of Gastroenterology and Digestive Endoscopy, Garbagnate Milanese (Milan). Italy.
³³ Città Studi, Gastroenterology and Digestive Endoscopy Unit, Milan. Italy.
³⁴ Policlinico San Marco, Department of Gastroenterology, Zingonia (Bergamo). Italy.
³⁵ Bellaria-Maggiore Hospital, Division of Gastroenterology, Bologna. Italy.
³⁶ Policlinico San Pietro, Gastroenterology and Digestive Endoscopy Unit, Bergamo. Italy.
³⁷ ASST Spedali Civili, Brescia University, Digestive Endoscopy Unit, Brescia. Italy.
³⁸ IRCCS Policlinico San Donato, Digestive Endoscopy, San Donato Milanese (Milan). Italy.
³⁹ AUSL Romagna, Gastroenterology Unit, Ravenna. Italy.
⁴⁰ Ospedale di Rimini, Gastroenterology and Digestive Endoscopy, Rimini. Italy.
⁴¹ Institute of Oncology IRCCS, Division of Endoscopy, European Milan. Italy.
⁴² Fondazione IRCCS Ca' Granda Ospedale Maggiore Policlinico, Gastroenterology and Endoscopy Unit, Milan. Italy.
⁴³ Maggiore Hospital, Gastroenterology and Digestive Endoscopy Unit, Crema (Cremona). Italy.
⁴⁴ Nuovo Regina Margherita Hospital, Digestive Endoscopy, Rome. Italy.
⁴⁵ University Hospital Hamburg-Eppendorf, Department of Interdisciplinary Endoscopy, Hamburg, Germany.
⁴⁶ University of Kansas Medical Center, Division of Gastroenterology & Hepatology, Department of Internal Medicine, Kansas, Missouri, USA.

PMID: 32283102
PMCID: PMC7151374
DOI: 10.1053/j.gastro.2020.04.003

Multicenter Study

Endoscopy Units and the Coronavirus Disease 2019 Outbreak: A Multicenter Experience From Italy

Alessandro Repici et al. Gastroenterology. 2020 Jul.

. 2020 Jul;159(1):363-366.e3.

doi: 10.1053/j.gastro.2020.04.003. Epub 2020 Apr 10.

Authors

Alessandro Repici¹, Fabio Pace², Roberto Gabbiadini³, Matteo Colombo³, Cesare Hassan⁴, Marco Dinelli⁵; ITALIAN GI-COVID19 Working Group

Collaborators

ITALIAN GI-COVID19 Working Group:
Roberta Maselli⁶, Marco Spadaccini⁷, Massimiliano Mutignani⁸, Armando Gabbrielli⁹, Clementina Signorelli¹⁰, Cristiano Spada¹¹, Piera Leoni¹², Carlo Fabbri¹³, Sergio Segato¹⁴, Nicola Gaffuri¹⁵, Benedetto Mangiavillano¹⁶, Franco Radaelli¹⁷, Raffaele Salerno¹⁸, Stefano Bargiggia¹⁹, Luca Maroni²⁰, Antonio Benedetti²⁰, Pietro Occhipinti²¹, Federico De Grazia²², Luca Ferraris²³, Gianpaolo Cengia²⁴, Salvatore Greco²⁵, Costanza Alvisi²⁶, Antonella Scarcelli²⁷, Luca De Luca²⁷, Fabrizio Cereatti²⁸, Pier Alberto Testoni²⁹, Roberto Mingotto³⁰, Giovanni Aragona³¹, Gianpiero Manes³², Paolo Beretta³³, Georgios Amvrosiadis³⁴, Vincenzo Cennamo³⁵, Fausto Lella³⁶, Guido Missale³⁷, Pavlos Lagoussis³⁸, Omero Triossi³⁹, Mauro Giovanardi⁴⁰, Giuseppe De Roberto⁴¹, Paolo Cantù⁴², Elisabetta Buscarini⁴³, Andrea Anderloni⁶, Silvia Carrara⁶, Alessandro Fugazza⁶, Piera Alessia Galtieri⁶, Gaia Pellegatta⁶, Giulio Antonelli⁴⁴, Thomas Rösch⁴⁵, Prateek Sharma⁴⁶

Affiliations

¹ Humanitas Clinical and Research Center, Digestive Endoscopy Unit, Rozzano, Milan, Italy; Humanitas University, Department of Biomedical Sciences, Rozzano, Milan, Italy. Electronic address: alessandro.repici@hunimed.eu.
² Bolognini Hospital, Gastroenterology Unit, Seriate, Bergamo, Italy.
³ Humanitas Clinical and Research Center, Digestive Endoscopy Unit, Rozzano, Milan, Italy; Humanitas University, Department of Biomedical Sciences, Rozzano, Milan, Italy.
⁴ Nuovo Regina Margherita Hospital, Digestive Endoscopy, Rome, Italy.
⁵ San Gerardo Hospital Azienda Socio Sanitaria Territoriale Monza, Endoscopy Unit, Monza, Monza-Brianza, Italy.
⁶ Humanitas Clinical and Research Center, Digestive Endoscopy Unit, Rozzano (Milan). Italy.
⁷ Humanitas Clinical and Research Center, Digestive Endoscopy Unit, Rozzano (Milan). Italy; Humanitas University, Department of Biomedical Sciences, Rozzano (Milan). Italy.
⁸ Niguarda-Ca' Granda Hospital, Digestive and Operative Endoscopy Unit, Milan. Italy.
⁹ The Pancreas Institute, University Hospital of Verona, Gastroenterology and Digestive Endoscopy Unit, Verona. Italy.
¹⁰ ASST Bergamo Ovest, Gastroenterology and Digestive Endoscopy, Bergamo. Italy.
¹¹ Fondazione Poliambulanza, Digestive Endoscopy Unit, Brescia. Italy.
¹² AO Lodi, Gastroenterology & Digestive Endoscopy Unit, Lodi. Italy.
¹³ AUSL Bologna Bellaria-Maggiore Hospital, Gastroenterology and Digestive Endoscopy Unit, Bologna. Italy.
¹⁴ ASST Dei Sette Laghi, Gastroenterology and Gastrointestinal Endoscopic Unit, Varese. Italy.
¹⁵ Humanitas Gavazzeni, Gastrointestinal Endoscopy Unit, Bergamo. Italy.
¹⁶ Humanitas Mater Domini, Gastrointestinal Endoscopy Unit, Castellanza (Milan). Italy.
¹⁷ Valduce Hospital, Gastroenterology Unit, Como. Italy.
¹⁸ Fatebenefratelli Sacco, Gastroenterology and Digestive Endoscopy Unit, ASST Milan. Italy.
¹⁹ Clinica San Carlo, Gastroenterology and Digestive Endoscopy Unit, Paderno Dugnano (Milan). Italy.
²⁰ Università Politecnica delle Marche, Department of Gastroenterology and Hepatology, Ancona. Italy.
²¹ Department of Gastroenterology, "Maggiore Della Carità" Hospital, Novara. Italy.
²² Fondazione IRCCS Policlinico San Matteo, University of Pavia, First Department of Internal Medicine, Pavia. Italy.
²³ ASST Valleolona PO, Gastroenterology and Digestive Endoscopy, Gallarate (Varese). Italy.
²⁴ Ospedale di Manerbio, Endoscopy Unit, Brescia. Italy.
²⁵ Papa Giovanni XXIII Hospital, Gastroenterology and Digestive Endoscopy Units, Bergamo. Italy.
²⁶ ASST Pavia, Digestive Endoscopy Unit, Pavia. Italy.
²⁷ Azienda Ospedaliera Ospedali Riuniti Marche Nord, Gastroenterology and Digestive Endoscopy Units, Pesaro (Pesaro-Urbino). Italy.
²⁸ Cremona Hospital, Digestive Endoscopy and Gastroenterology Unit, Cremona. Italy.
²⁹ Vita Salute San Raffaele University, IRCCS San Raffaele Scientific Institute, Division of Gastroenterology and Gastrointestinal Endoscopy, Milan. Italy.
³⁰ ASST Melegnano-Martesana, Gastroenterology and Digestive Endoscopy, Melegnano (Milan). Italy.
³¹ "Guglielmo da Saliceto" Hospital, Department of Internal Medicine, Gastroenterology and Hepatology Unit Piacenza. Italy.
³² ASST Rhodense, Department of Gastroenterology and Digestive Endoscopy, Garbagnate Milanese (Milan). Italy.
³³ Città Studi, Gastroenterology and Digestive Endoscopy Unit, Milan. Italy.
³⁴ Policlinico San Marco, Department of Gastroenterology, Zingonia (Bergamo). Italy.
³⁵ Bellaria-Maggiore Hospital, Division of Gastroenterology, Bologna. Italy.
³⁶ Policlinico San Pietro, Gastroenterology and Digestive Endoscopy Unit, Bergamo. Italy.
³⁷ ASST Spedali Civili, Brescia University, Digestive Endoscopy Unit, Brescia. Italy.
³⁸ IRCCS Policlinico San Donato, Digestive Endoscopy, San Donato Milanese (Milan). Italy.
³⁹ AUSL Romagna, Gastroenterology Unit, Ravenna. Italy.
⁴⁰ Ospedale di Rimini, Gastroenterology and Digestive Endoscopy, Rimini. Italy.
⁴¹ Institute of Oncology IRCCS, Division of Endoscopy, European Milan. Italy.
⁴² Fondazione IRCCS Ca' Granda Ospedale Maggiore Policlinico, Gastroenterology and Endoscopy Unit, Milan. Italy.
⁴³ Maggiore Hospital, Gastroenterology and Digestive Endoscopy Unit, Crema (Cremona). Italy.
⁴⁴ Nuovo Regina Margherita Hospital, Digestive Endoscopy, Rome. Italy.
⁴⁵ University Hospital Hamburg-Eppendorf, Department of Interdisciplinary Endoscopy, Hamburg, Germany.
⁴⁶ University of Kansas Medical Center, Division of Gastroenterology & Hepatology, Department of Internal Medicine, Kansas, Missouri, USA.

PMID: 32283102
PMCID: PMC7151374
DOI: 10.1053/j.gastro.2020.04.003

No abstract available

Keywords: COVID-19; Coronavirus; Endoscopy; Pandemic; Survery.

PubMed Disclaimer

Figures

**Figure 1**
Reduction of endoscopic activities.

**Supplementary Figure 1**
(A) The Italian provinces included in our survey: black arrows indicate the first ones quarantined, and red arrows show the ones quarantined later. (B) Cities where the endoscopic units that answered the survey are present; black arrows show those belonging to areas immediately quarantined and red arrows indicate those quarantined later.

See this image and copyright information in PMC

Comment in

Striving to Protect Patients and Health Care Professionals in Endoscopy Units During Pandemics: From SARS to COVID-19.
Lui RN, Tang RSY, Chiu PWY. Lui RN, et al. Gastroenterology. 2021 Mar;160(4):1431-1432. doi: 10.1053/j.gastro.2020.05.002. Epub 2020 May 6. Gastroenterology. 2021. PMID: 32387494 Free PMC article. No abstract available.
How To Maximize Trainee Education During the Coronavirus Disease-2019 Pandemic: Perspectives From Around the World.
Keswani RN, Sethi A, Repici A, Messmann H, Chiu PW. Keswani RN, et al. Gastroenterology. 2020 Jul;159(1):26-29. doi: 10.1053/j.gastro.2020.05.012. Epub 2020 May 7. Gastroenterology. 2020. PMID: 32387540 Free PMC article. No abstract available.
Coronavirus Disease-19 Has Come Home to Roost in Gastroenterology.
Koh C, Liang TJ. Koh C, et al. Gastroenterology. 2020 Jul;159(1):36-38. doi: 10.1053/j.gastro.2020.06.013. Epub 2020 Jun 12. Gastroenterology. 2020. PMID: 32540350 Free PMC article. No abstract available.
Critical importance of early introduction of prevention measures for SARS-CoV-2 infection in endoscopy units.
Ginès À, Fernández-Esparrach G, Pellisé M, Sendino O, Balaguer F, Llach J, González-Suárez B, Saló S. Ginès À, et al. Gastrointest Endosc. 2020 Oct;92(4):936-937. doi: 10.1016/j.gie.2020.06.023. Epub 2020 Jun 15. Gastrointest Endosc. 2020. PMID: 32553570 Free PMC article. No abstract available.
How endoscopy centers prepare to reopen after the acute COVID-19 pandemic interruption of activity.
Castagna V, Armellini E, Pace F; Fast Track Endoscopy Study Group. Castagna V, et al. Dig Liver Dis. 2021 Jan;53(1):11-12. doi: 10.1016/j.dld.2020.07.015. Epub 2020 Jul 21. Dig Liver Dis. 2021. PMID: 32747303 Free PMC article. No abstract available.

References

1. Lancet. 2020;395:922.
1. Dipartimento della Protezione Civile. http://www.protezionecivile.gov.it/media-comunicazione/comunicati-stampa
1. European Society of Gastrointestinal Endoscopy. https://www.esge.com/esge-and-esgena-position-statement-on-gastrointesti...
1. Repici A. Gastrointest Endosc. 2020 S0016-5107(20)30245-5.
1. ASGE Quality Assurance in Endoscopy Committee Gastrointest Endosc. 2018;87:1167–1179. - PubMed

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Endoscopy Units and the Coronavirus Disease 2019 Outbreak: A Multicenter Experience From Italy

Collaborators

Affiliations

Endoscopy Units and the Coronavirus Disease 2019 Outbreak: A Multicenter Experience From Italy

Authors

Collaborators

Affiliations

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Comment in

References

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LinkOut - more resources

Full Text Sources

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