Review

. 2021 Feb;53(2):183-189.

doi: 10.1016/j.dld.2020.10.024. Epub 2020 Oct 22.

Management of paediatric IBD after the peak of COVID-19 pandemic in Italy: A position paper on behalf of the SIGENP IBD working group

Serena Arrigo¹, Patrizia Alvisi², Claudia Banzato³, Matteo Bramuzzo⁴, Fortunata Civitelli⁵, Antonio Corsello⁶, Giulia D'Arcangelo⁷, Anna Dilillo⁸, Valeria Dipasquale⁹, Enrico Felici¹⁰, Maurizio Fuoti¹¹, Simona Gatti¹², Zeno Giusti¹³, Daniela Knafelz¹⁴, Paolo Lionetti¹⁵, Federica Mario¹⁶, Antonio Marseglia¹⁷, Stefano Martelossi¹⁶, Chiara Moretti¹⁸, Lorenzo Norsa¹⁹, Federica Nuti²⁰, Roberto Panceri²¹, Stefania Rampado¹⁶, Sara Renzo¹⁵, Claudio Romano⁹, Erminia Romeo²², Caterina Strisciuglio²³, Massimo Martinelli²⁴

Affiliations

¹ Pediatric Gastroenterology and Endoscopy Unit, Institute 'Giannina Gaslini', Genoa, Italy.
² Pediatric Gastroenterology Unit, Maggiore Hospital, Bologna, Italy.
³ Department of Surgical Sciences, Dentistry, Gynecology and Pediatrics, Pediatric Division, University of Verona, Verona, Italy.
⁴ Institute for Maternal and Child Health, IRCCS Burlo Garofalo, Trieste, Italy.
⁵ Department of Gender diseases, Child and Adolescent health, Pediatric unit, Sant'Eugenio Hospital, Rome, Italy.
⁶ Fondazione Policlinico Universitario A. Gemelli IRCCS, OU Internal Medicine and Gastroenterology, Rome, Italy.
⁷ Women's and Children's Health Department, Pediatric Gastroenterology and Hepatology Unit, Sapienza University of Rome, Rome, Italy.
⁸ Pediatric and Neonatology Unit, Sapienza University of Rome, Santa Maria Goretti Hospital, Latina, Italy.
⁹ Paediatric Gastroenterology and Cystic Fibrosis Unit, Department of Human Pathology in Adult and Developmental Age "Gaetano Barresi", University of Messina, Italy.
¹⁰ Pediatric and Pediatric Emergency Unit, "Umberto Bosio" Center for Digestive Diseases, The Children Hospital, AO SS Antonio e Biagio e C. Arrigo, Alessandria, Italy.
¹¹ Pediatric Gastroenterology and GI Endoscopy, University Department of Pediatrics, Children's Hospital, Spedali Civili, Brescia, Italy.
¹² Department of Pediatrics, Università Politecnica delle Marche, Ancona, Italy.
¹³ Department of Translational Medical Science, Section of Pediatrics, University of Naples "Federico II", , Via S. Pansini, 5, 80131 Naples, Italy.
¹⁴ Hepatology and Gastroenterology Unit, Bambino Gesù Hospital, Rome, Italy.
¹⁵ University of Florence-Meyer Hospital, Florence, Italy.
¹⁶ Pediatric Unit, Ca' Foncello's Hospital, Treviso, Italy.
¹⁷ Fondazione IRCCS Casa Sollievo della Sofferenza, Division of Pediatrics, San Giovanni Rotondo, Italy.
¹⁸ Paediatrics Division, ASST Grande Ospedale Metropolitano Niguarda, Milan, Italy.
¹⁹ Paediatric Hepatology Gastroenterology and Transplantation, Papa Giovanni XXIII Hospital, Bergamo, Italy.
²⁰ Fondazione IRCCS Ca' Granda, Ospedale Maggiore Policlinico, Pediatric Intermediate Care Unit, Milan, Italy.
²¹ Department of Pediatrics, University of Milano-Bicocca, Foundation MBBM/San Gerardo Hospital, Monza, Italy.
²² Digestive Surgery and Endoscopy Unit, Bambino Gesù Children's Hospital, IRCCS, Rome, Italy.
²³ Department of Woman, Child and General and Specialistic Surgery, University of Campania "Luigi Vanvitelli", Naples, Italy.
²⁴ Department of Translational Medical Science, Section of Pediatrics, University of Naples "Federico II", , Via S. Pansini, 5, 80131 Naples, Italy. Electronic address: massimo.martinelli@unina.it.

PMID: 33132063
PMCID: PMC7580561
DOI: 10.1016/j.dld.2020.10.024

Review

Management of paediatric IBD after the peak of COVID-19 pandemic in Italy: A position paper on behalf of the SIGENP IBD working group

Serena Arrigo et al. Dig Liver Dis. 2021 Feb.

. 2021 Feb;53(2):183-189.

doi: 10.1016/j.dld.2020.10.024. Epub 2020 Oct 22.

Authors

Affiliations

¹ Pediatric Gastroenterology and Endoscopy Unit, Institute 'Giannina Gaslini', Genoa, Italy.
² Pediatric Gastroenterology Unit, Maggiore Hospital, Bologna, Italy.
³ Department of Surgical Sciences, Dentistry, Gynecology and Pediatrics, Pediatric Division, University of Verona, Verona, Italy.
⁴ Institute for Maternal and Child Health, IRCCS Burlo Garofalo, Trieste, Italy.
⁵ Department of Gender diseases, Child and Adolescent health, Pediatric unit, Sant'Eugenio Hospital, Rome, Italy.
⁶ Fondazione Policlinico Universitario A. Gemelli IRCCS, OU Internal Medicine and Gastroenterology, Rome, Italy.
⁷ Women's and Children's Health Department, Pediatric Gastroenterology and Hepatology Unit, Sapienza University of Rome, Rome, Italy.
⁸ Pediatric and Neonatology Unit, Sapienza University of Rome, Santa Maria Goretti Hospital, Latina, Italy.
⁹ Paediatric Gastroenterology and Cystic Fibrosis Unit, Department of Human Pathology in Adult and Developmental Age "Gaetano Barresi", University of Messina, Italy.
¹⁰ Pediatric and Pediatric Emergency Unit, "Umberto Bosio" Center for Digestive Diseases, The Children Hospital, AO SS Antonio e Biagio e C. Arrigo, Alessandria, Italy.
¹¹ Pediatric Gastroenterology and GI Endoscopy, University Department of Pediatrics, Children's Hospital, Spedali Civili, Brescia, Italy.
¹² Department of Pediatrics, Università Politecnica delle Marche, Ancona, Italy.
¹³ Department of Translational Medical Science, Section of Pediatrics, University of Naples "Federico II", , Via S. Pansini, 5, 80131 Naples, Italy.
¹⁴ Hepatology and Gastroenterology Unit, Bambino Gesù Hospital, Rome, Italy.
¹⁵ University of Florence-Meyer Hospital, Florence, Italy.
¹⁶ Pediatric Unit, Ca' Foncello's Hospital, Treviso, Italy.
¹⁷ Fondazione IRCCS Casa Sollievo della Sofferenza, Division of Pediatrics, San Giovanni Rotondo, Italy.
¹⁸ Paediatrics Division, ASST Grande Ospedale Metropolitano Niguarda, Milan, Italy.
¹⁹ Paediatric Hepatology Gastroenterology and Transplantation, Papa Giovanni XXIII Hospital, Bergamo, Italy.
²⁰ Fondazione IRCCS Ca' Granda, Ospedale Maggiore Policlinico, Pediatric Intermediate Care Unit, Milan, Italy.
²¹ Department of Pediatrics, University of Milano-Bicocca, Foundation MBBM/San Gerardo Hospital, Monza, Italy.
²² Digestive Surgery and Endoscopy Unit, Bambino Gesù Children's Hospital, IRCCS, Rome, Italy.
²³ Department of Woman, Child and General and Specialistic Surgery, University of Campania "Luigi Vanvitelli", Naples, Italy.
²⁴ Department of Translational Medical Science, Section of Pediatrics, University of Naples "Federico II", , Via S. Pansini, 5, 80131 Naples, Italy. Electronic address: massimo.martinelli@unina.it.

PMID: 33132063
PMCID: PMC7580561
DOI: 10.1016/j.dld.2020.10.024

Abstract

Coronavirus Disease 2019 (COVID-19) caused by severe acute respiratory syndrome coronavirus 2, spreading in Italy during the first months of 2020, abruptly changed the way of practicing medicine in this country. As a consequence of the lockdown, the diagnostic and therapeutic management of paediatric chronic conditions, such as inflammatory bowel disease (IBD) has been affected. During the peak of COVID-19 pandemic, elective visits, endoscopies and infusions have been postponed, with potential clinical and psychological impact on disease course and a high likelihood of increasing waiting lists. While slowly moving back towards normality, clinicians need to recognize the best ways to care for patients with IBD, carefully avoiding risk factors for new potential epidemic outbreaks. In this uncertain scenario until the development and spread of COVID-19 vaccine, it is necessary to continue to operate with caution. Hereby we provide useful indications for a safer and gradual restarting of routine clinical activities after COVID-19 peak in Italy.

Keywords: COVID-19; Inflammatory bowel disease; Paediatrics; SARS-CoV2.

PubMed Disclaimer

Conflict of interest statement

Declaration of Competing Interest The authors have no conflict of interest to declare.

Cited by

Pediatric Gastroenterology and Hepatology in Italy before and after the COVID-19: Lessons learned and management changes by SIGENP.
Dipasquale V, Deganello Saccomani M, Di Giorgio A, Oliva S, Salvatore S, Strisciuglio C, Tambucci R, Lionetti P, Romano C. Dipasquale V, et al. Ital J Pediatr. 2023 Jan 26;49(1):15. doi: 10.1186/s13052-023-01418-7. Ital J Pediatr. 2023. PMID: 36698148 Free PMC article. Review.
Recent advances in clinical practice: management of inflammatory bowel disease during the COVID-19 pandemic.
Lin S, Lau LH, Chanchlani N, Kennedy NA, Ng SC. Lin S, et al. Gut. 2022 Jul;71(7):1426-1439. doi: 10.1136/gutjnl-2021-326784. Epub 2022 Apr 27. Gut. 2022. PMID: 35477864 Free PMC article. Review.
Gastrointestinal involvement in paediatric COVID-19 - from pathogenesis to clinical management: A comprehensive review.
Calitri C, Fumi I, Ignaccolo MG, Banino E, Benetti S, Lupica MM, Fantone F, Pace M, Garofalo F. Calitri C, et al. World J Gastroenterol. 2021 Jun 21;27(23):3303-3316. doi: 10.3748/wjg.v27.i23.3303. World J Gastroenterol. 2021. PMID: 34163113 Free PMC article. Review.
Crohn's and Colitis Canada's 2021 Impact of COVID-19 and Inflammatory Bowel Disease in Canada: Health Care Delivery During the Pandemic and the Future Model of Inflammatory Bowel Disease Care.
Jones JL, Benchimol EI, Bernstein CN, Huang JG, Marshall JK, Mukhtar MS, Murthy SK, Nguyen GC, Kaplan GG, Kuenzig ME, Tandon P, Targownik LE, Windsor JW, Bitton A. Jones JL, et al. J Can Assoc Gastroenterol. 2021 Oct 26;4(Suppl 2):S61-S67. doi: 10.1093/jcag/gwab034. eCollection 2021 Dec. J Can Assoc Gastroenterol. 2021. PMID: 34755041 Free PMC article.
Implications of SARS-COV-2 infection in the diagnosis and management of the pediatric gastrointestinal disease.
Dipasquale V, Passanisi S, Cucinotta U, Cascio A, Romano C. Dipasquale V, et al. Ital J Pediatr. 2021 Mar 24;47(1):71. doi: 10.1186/s13052-021-01020-9. Ital J Pediatr. 2021. PMID: 33761992 Free PMC article. Review.

See all "Cited by" articles

References

1. Rosenbaum L. Facing Covid-19 in Italy - ethics, logistics, and therapeutics on the epidemic's front line. N Engl J Med. 2020;382:1873–1875. - PubMed
1. Occhipinti V., Pastorelli L. Challenges in the care of IBD patients during the CoViD-19 pandemic: report from a “red zone” area in northern Italy. Inflamm Bowel Dis. 2020;26:793–796. - PMC - PubMed
1. Danese S., Cecconi M., Spinelli A. Management of IBD during the COVID-19 outbreak: resetting clinical priorities. Nat Rev Gastroenterol Hepatol. 2020;17:253–255. - PMC - PubMed
1. Fiorino G., Allocca M., Furfaro F. Inflammatory bowel disease care in the COVID-19 pandemic era: the humanitas, Milan, experience. J Crohns Colitis. 2020;14:1330–1333. - PMC - PubMed
1. Scaldaferri F., Pugliese D., Privitera G. Impact of COVID-19 pandemic on the daily management of biotechnological therapy in inflammatory bowel disease patients: reorganisational response in a high-volume Italian inflammatory bowel disease centre. United European Gastroenterol J. 2020;8:775–781. - PMC - PubMed

Publication types

Actions

MeSH terms

Actions
Actions
Actions
Actions
Actions
Actions
Actions
Actions
Actions
Actions
Actions
Actions
Actions
Actions
Actions
Actions
Actions

LinkOut - more resources

Full Text Sources
Other Literature Sources
- scite Smart Citations
Medical
- MedlinePlus Consumer Health Information
- MedlinePlus Health Information
Research Materials
- NCI CPTC Antibody Characterization Program
Miscellaneous
- NCI CPTAC Assay Portal

Save citation to file

Email citation

Add to Collections

Add to My Bibliography

Your saved search

Create a file for external citation management software

Your RSS Feed

Management of paediatric IBD after the peak of COVID-19 pandemic in Italy: A position paper on behalf of the SIGENP IBD working group

Affiliations

Management of paediatric IBD after the peak of COVID-19 pandemic in Italy: A position paper on behalf of the SIGENP IBD working group

Authors

Affiliations

Abstract

Conflict of interest statement

Similar articles

Cited by

References

Publication types

MeSH terms

LinkOut - more resources

Full Text Sources

Other Literature Sources

Medical

Research Materials

Miscellaneous

Abstract

Conflict of interest statement

Similar articles

Cited by

References

Publication types

MeSH terms

Related information

LinkOut - more resources

Full Text Sources

Other Literature Sources

Medical

Research Materials

Miscellaneous