Endoscopy in inflammatory bowel diseases during the COVID-19 pandemic and post-pandemic period

Marietta Iacucci; Rosanna Cannatelli; Nunzia Labarile; Ren Mao; Remo Panaccione; Silvio Danese; Gursimran S Kochhar; Subrata Ghosh; Bo Shen

doi:10.1016/S2468-1253(20)30119-9

Endoscopy in inflammatory bowel diseases during the COVID-19 pandemic and post-pandemic period

Marietta Iacucci, Rosanna Cannatelli, Nunzia Labarile, Ren Mao, Remo Panaccione, Silvio Danese, Gursimran S Kochhar, Subrata Ghosh, Bo Shen

Immunology and Immunotherapy

Research output: Contribution to journal › Review article › peer-review

33 Citations (Scopus)

Abstract

The coronavirus disease 2019 (COVID-19) pandemic is changing the management of many chronic diseases, including that of patients with inflammatory bowel diseases (IBD). In particular, the performance of routine endoscopy is temporarily suspended, and only emergency endoscopy is allowed in many countries where severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) has spread. We highlight different scenarios in which endoscopy should still be performed urgently in patients with IBD, as well as recommendations regarding the use of personal protective equipment. We suggest a pathway for performing safe endoscopy and discuss the potential risks of postponing endoscopy in IBD. Finally, we propose a post-pandemic plan for access to endoscopy.

Original language	English
Pages (from-to)	598-606
Number of pages	9
Journal	The Lancet Gastroenterology & Hepatology
Volume	5
Issue number	6
Early online date	16 Apr 2020
DOIs	https://doi.org/10.1016/S2468-1253(20)30119-9
Publication status	Published - Jun 2020

Keywords

Betacoronavirus
Coronavirus Infections/epidemiology
Endoscopy, Digestive System
Humans
Inflammatory Bowel Diseases/diagnosis
Pandemics
Pneumonia, Viral/epidemiology
Practice Guidelines as Topic

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Cite this

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title = "Endoscopy in inflammatory bowel diseases during the COVID-19 pandemic and post-pandemic period",

abstract = "The coronavirus disease 2019 (COVID-19) pandemic is changing the management of many chronic diseases, including that of patients with inflammatory bowel diseases (IBD). In particular, the performance of routine endoscopy is temporarily suspended, and only emergency endoscopy is allowed in many countries where severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) has spread. We highlight different scenarios in which endoscopy should still be performed urgently in patients with IBD, as well as recommendations regarding the use of personal protective equipment. We suggest a pathway for performing safe endoscopy and discuss the potential risks of postponing endoscopy in IBD. Finally, we propose a post-pandemic plan for access to endoscopy.",

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author = "Marietta Iacucci and Rosanna Cannatelli and Nunzia Labarile and Ren Mao and Remo Panaccione and Silvio Danese and Kochhar, {Gursimran S} and Subrata Ghosh and Bo Shen",

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AU - Iacucci, Marietta

AU - Cannatelli, Rosanna

AU - Labarile, Nunzia

AU - Mao, Ren

AU - Panaccione, Remo

AU - Danese, Silvio

AU - Kochhar, Gursimran S

AU - Ghosh, Subrata

AU - Shen, Bo

PY - 2020/6

Y1 - 2020/6

N2 - The coronavirus disease 2019 (COVID-19) pandemic is changing the management of many chronic diseases, including that of patients with inflammatory bowel diseases (IBD). In particular, the performance of routine endoscopy is temporarily suspended, and only emergency endoscopy is allowed in many countries where severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) has spread. We highlight different scenarios in which endoscopy should still be performed urgently in patients with IBD, as well as recommendations regarding the use of personal protective equipment. We suggest a pathway for performing safe endoscopy and discuss the potential risks of postponing endoscopy in IBD. Finally, we propose a post-pandemic plan for access to endoscopy.

AB - The coronavirus disease 2019 (COVID-19) pandemic is changing the management of many chronic diseases, including that of patients with inflammatory bowel diseases (IBD). In particular, the performance of routine endoscopy is temporarily suspended, and only emergency endoscopy is allowed in many countries where severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) has spread. We highlight different scenarios in which endoscopy should still be performed urgently in patients with IBD, as well as recommendations regarding the use of personal protective equipment. We suggest a pathway for performing safe endoscopy and discuss the potential risks of postponing endoscopy in IBD. Finally, we propose a post-pandemic plan for access to endoscopy.

KW - Betacoronavirus

KW - Coronavirus Infections/epidemiology

KW - Endoscopy, Digestive System

KW - Humans

KW - Inflammatory Bowel Diseases/diagnosis

KW - Pandemics

KW - Pneumonia, Viral/epidemiology

KW - Practice Guidelines as Topic

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SN - 2468-1253

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JO - The Lancet Gastroenterology & Hepatology

JF - The Lancet Gastroenterology & Hepatology

IS - 6

ER -

Endoscopy in inflammatory bowel diseases during the COVID-19 pandemic and post-pandemic period

Abstract

Keywords

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