TY - JOUR
T1 - Endoscopy in inflammatory bowel diseases during the COVID-19 pandemic and post-pandemic period
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
N1 - Publisher Copyright:
© 2020 Elsevier Ltd
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.
UR - https://www.scopus.com/pages/publications/85083528031
U2 - 10.1016/S2468-1253(20)30119-9
DO - 10.1016/S2468-1253(20)30119-9
M3 - Review article
C2 - 32305075
AN - SCOPUS:85083528031
SN - 2468-1253
VL - 5
SP - 598
EP - 606
JO - The Lancet Gastroenterology and Hepatology
JF - The Lancet Gastroenterology and Hepatology
IS - 6
ER -