Produção Nacional
Revisado por pares
Gastrointestinal endoscopy during the COVID-19 pandemic: an updated review of guidelines and statements from international and national societies
2020; Elsevier BV; Volume: 92; Issue: 2 Linguagem: Inglês
10.1016/j.gie.2020.03.3854
ISSN1097-6779
AutoresÉlio C. Castro Filho, Rodolfo Castro, Flávia Fernandes, Gustavo Pereira, Hugo Perazzo,
Tópico(s)COVID-19 Clinical Research Studies
ResumoWe read with great interest the publications by Repici et al1Repici A. Maselli R. Colombo M. et al.Coronavirus (COVID-19) outbreak: what the department of endoscopy should know.Gastrointest Endosc. 2020; 92: 192-197Abstract Full Text Full Text PDF PubMed Scopus (387) Google Scholar and Soetikno et al2Soetikno R. Teoh A.Y. Kaltenbach T. et al.Considerations in performing endoscopy during the COVID-19 pandemic.Gastrointest Endosc. 2020; 92: 176-183Abstract Full Text Full Text PDF PubMed Scopus (161) Google Scholar in Gastrointestinal Endoscopy on recommendations for endoscopic examinations during the coronavirus 2019 disease (COVID-19) pandemic. Health care workers (HCWs) are at increased risk for COVID-19 because upper GI endoscopy is a high-risk aerosol-generating procedure,2Soetikno R. Teoh A.Y. Kaltenbach T. et al.Considerations in performing endoscopy during the COVID-19 pandemic.Gastrointest Endosc. 2020; 92: 176-183Abstract Full Text Full Text PDF PubMed Scopus (161) Google Scholar and oral–fecal transmission may be a potential route for COVID-19.3Gu J, Han B, Wang J. COVID-19: gastrointestinal manifestations and potential fecal-oral transmission. Gastroenterology. Epub 2020 Mar 3.Google Scholar Recommendations have been changing rapidly and need to be updated, mainly because we are facing a scenario of sustained community transmission of COVID-19 worldwide.4European Centre for Disease Prevention and ControlNovel coronavirus disease 2019 (COVID-19) pandemic: increased transmission in the EU/EEA and the UK–sixth update. European Centre for Disease Prevention and Control, 2020Google Scholar To conduct an overview of the recommendations for endoscopic procedures during the COVID-19 pandemic, we assessed the electronic sites of international and national societies of gastroenterology and GI endoscopy to review the current recommendations up to March 27, 2020. Overall, 93 international and national societies were identified, and 21 of them have elaborated specific recommendations for endoscopy during the COVID-19 pandemic. A total of 95% recommended temporarily postponing elective/nonurgent procedures; 86% recommended stratifying patients for risk of COVID-19 before the examination (questionnaire regarding symptoms and/or taking patient's body temperature); 38% recommended reducing the number of people who accompany patients; 33% recommended requiring self-surveillance of signs and symptoms by HCWs; and 19% recommended contacting patients 14 days after the examination to check symptoms (Supplementary Fig. 1 and Supplementary Table 1, Supplementary Table 2, Supplementary Table 3, available online at www.giejournal.org). All societies recommended the use of personal protective equipment (PPE) during the examination (gloves, mask, goggles or face shield, gown, and hairnet; double gloves and use of N95 or FFP2/3 masks were recommended in highly suspected or confirmed cases), and 43% recommended that the endoscopy team must be trained in wearing and removing PPE (Table 1). There was not any mention of using preexposure or postexposure prophylaxis for HCW. All international societies recommended following a standardized reprocessing procedure for flexible endoscopes.Table 1Recommendations for endoscopy during the COVID-19 pandemic from International/National Societies of gastroenterology/gastro-intestinal endoscopy, updated March 26, 2020Society; region or countryDatePostpone nonurgent examinationsUrgent proceduresPrescreening of patientsPatients should use masksTraining for PPE useType of recommended PPEContact patients 14 days after examinationSelf-surveillance by HCWInternational Societies European Society of Gastrointestinal Endoscopy (ESGE); EuropeMarch 18, 2020YesNot reportedYes; questionnaireYes for allYes; how to wear and to removeDouble gloves, mask (FFP2/3), goggles or face shield, gown, hairnetYesNot reported Sociedad Interamericana de Endoscopia Digestiva (SIED); Canada/Central and Latin AmericaMarch 18, 2020YesNot reportedYes; questionnaireNot reportedNot reportedDouble gloves, mask (surgical), goggles or face shield, gown, hairnetNot reportedYes World Endoscopy Organization (WEO); GlobalMarch 24, 2020YesUpper GI bleeding, foreign body/obstruction; acute cholangitisYes; questionnaireNot reportedYes; how to wear and to removeGloves, mask (N95;FFP2/3), goggles or face shield, gown, hairnetNot reportedNot reportedNational Societies – United States American College of Gastroenterology (ACG); USAMarch 15, 2020YesUpper GI bleeding, foreign body/obstruction; acute cholangitis, care of cancer, prosthetic removalsYes; questionnaireNot reportedYes; how to wear and to removeGloves, mask (type not reported), goggles or face shield, gownYesNot reported American Gastroenterological Association (AGA); USA∗Recommendations based on publication by Ungaro et al, CGH https://doi.org/10.1016/j.gie.2020.03.3758 and joint GI society message from ACG, AASLD, ACG, ASGE.March 18, 2020Not reportedNot reportedNot reportedNot reportedNot reportedGloves, mask (N95), goggles or face shield, gownNot reportedNot reported American Society for Gastrointestinal Endoscopy (ASGE); USA†Recommendations based on publication by Soetikno et al, GIE doi https://doi.org/10.1016/j.gie.2020.03.3758.March 27, 2020YesUpper GI bleeding, foreign body/obstruction; acute cholangitis, care of cancerYes; questionnaire, body temperatureYes if symptomsYes; how to wear and to removeGloves, mask (N95/FFP2), goggles or face shield, gownYesNot reportedNational Societies – Canada / Central and South America Asociación Mexicana de Endoscopia Gastrointestinal; MéxicoNot reportedYesUpper GI bleeding, foreign body/obstruction; acute cholangitis, care of cancer, drainage of pancreatic collection, nutritional tubeYes; questionnaireYes for allYes; how to wear and to removeGloves, mask (type not reported), goggles or face shield, gown, hairnet; double gloves, special masks (N95, FFP2/3), goggles and face shield in highly suspected or confirmed casesNot reportedNot reported Canadian Association of Gastroenterology; CanadáMarch 16, 2020YesUpper GI bleeding, foreign body/obstruction; acute cholangitisYes; questionnaireNot reportedNot reportedGloves, mask (surgical), goggles or face shield, gown; double gloves and special mask (N95 or FFP2/3) in highly suspected or confirmed casesNot reportedNot reported Federación Argentina de Asociaciones de Endoscopía Digestiva; ArgentinaMarch 16, 2020YesNot reportedYes; questionnaireYes if symptomsNot reportedGloves, mask (surgical, N95 in highly suspected or confirmed cases), goggles or face shield, gown, hairnetNot reportedNot reported Sociedad Chilena de Gastroenterología; ChileNot reportedYesNot reportedYes; questionnaire, body temperatureNot reportedYes; how to wear and to removeGloves, mask (surgical), goggles or face shield, gown; double gloves and special mask (N95 or FFP2/3) in highly suspected or confirmed casesNot reportedYes Sociedad Dominicana de Gastroenterologia; República DominicanaMarch 16, 2020YesNot reportedYes; questionnaire, body temperatureNot reportedNot reportedNot reportedNot reportedYes Sociedad Uruguaya de Endoscopía Digestiva; UruguayMarch 13, 2020YesNot reportedYes; questionnaire, body temperatureNot reportedNot reportedGloves, mask (surgical), goggles or face shield, gown; special mask (N95 or FFP3) in confirmed casesNot reportedNot reported Sociedade Brasileira de Endoscopia Digestiva; BrazilMarch 21, 2020YesUpper GI bleeding, foreign body/obstruction; acute cholangitis, care of cancer, endoscopic ligation band; endoscopic dilatationYes; questionnaireYes for allYes; how to wear and to removeDouble gloves, double mask (surgical plus N95), goggles or face shield, gown, hairnetYesNot reportedNational Societies – Europe British Society of Gastroenterology (BSG); United KingdomMarch 28, 2020YesUpper GI bleeding, foreign body/obstruction; acute cholangitis, care of cancer, urgent inpatient nutrition support (PEG/NJ tube), endoscopic vacuum therapy for perforations/leaks; infected pancreatic collectionsNot reportedNot reportedYes; how to wear and to removeGloves, mask (FFP3), goggles or face shield, gown, hairnetNot reportedNot reported French Society of Digestive Endoscopy (SFED); FranceMarch 11, 2020YesNot reportedYes; questionnaireYes for allNot reportedGloves, mask (surgical; FFP2 in symptomatic patients), goggles or face shield, gown.Not reportedYes Portuguese Society of Digestive Endoscopy (SPED); PortugalMarch 15, 2020YesNot reportedYes; QuestionnaireNot reportedNot reportedGloves, mask (surgical), goggles or face shield, gown. Double gloves and special mask (FFP2) in confirmed casesNot reportedYes Romanian Society of Gastrointestinal Endoscopy (SRED)March 15, 2020YesNot reportedYes; not reportedNot reportedNot reportedNot reportedNot reportedNot reported Spanish Association of Digestive Endoscopy (SEED); SpainMarch 15, 2020YesUpper GI bleeding, foreign body/obstruction; acute cholangitis, care of cancer,Not reportedNot reportedNot reportedGloves, mask (surgical), goggles or face shield, gown; double gloves and special mask (FFP3) in confirmed casesNot reportedNot reportedNational Societies – Asia-Pacific Indian Society of Gastroenterology; IndiaMarch 18, 2020YesUpper GI bleeding, foreign body/obstruction; acute cholangitis, care of cancer, urgent inpatient nutrition support (PEG/NJ tube), drainage of infected pancreatic collectionsYes; questionnaire, body temperatureYes if symptomsYes; how to wear and to removeGloves, mask (type not reported), goggles or face shield (both in highly suspected patients), gownNot reportedYes Gastroenterological Society of Australia (GESA); AustráliaMarch 20, 2020YesNot reportedYes; questionnaireNot reportedYes; how to wear and to removeGloves, mask (surgical, N95 or FFP2/3 in highly suspected or confirmed cases), goggles or face shield, gownNot reportedNot reported Philippine Society of Gastroenterology; PhilippinesMarch 13, 2020YesUpper GI bleeding, foreign body/obstruction; acute cholangitis, care of cancer, urgent inpatient nutrition support (PEG/NJ tube)Yes; questionnaire, body temperatureNot reportedNot reportedGloves, mask (surgical), goggles or face shield (both in highly suspected cases), gown, hairnet; special masks (N95), goggles and face shield in highly suspected or confirmed casesNot reportedYesWeb links for all societies and recommendations are available in the supplementary material online at www.giejournal.org.PPE, Personal protective equipment; HCW, healthcare worker(s); NJ, nasojejunal.∗ Recommendations based on publication by Ungaro et al, CGH https://doi.org/10.1016/j.gie.2020.03.3758 and joint GI society message from ACG, AASLD, ACG, ASGE.† Recommendations based on publication by Soetikno et al, GIE doi https://doi.org/10.1016/j.gie.2020.03.3758. Open table in a new tab Web links for all societies and recommendations are available in the supplementary material online at www.giejournal.org. PPE, Personal protective equipment; HCW, healthcare worker(s); NJ, nasojejunal. In summary, we validated the recommendations for endoscopy during the COVID-19 pandemic described by our colleagues based on an extensive and updated review of statements of international and national societies of gastroenterology and GI endoscopy worldwide. The situation is rapidly evolving, and this guidance may be updated regularly. All authors disclosed no financial relationships. This work was supported by funding from INI-FIOCRUZ (Programa de Incentivo à Jovens Pesquisadores for HP grant number INI-003-FIO-19-2-5) and from University Estacio de Sa (UNESA) [Programa Pesquisa e Produtividade for GP. This study was financed in part by the Coordenação de Aperfeiçoamento de Pessoal de Nível Superior – Brasil (CAPES) (Finance Code 001 for ECCF). The funders had no role in study design, data collection and analysis, decision to publish, or preparation of the manuscript. Supplementary Table 1Summary of recommendations for endoscopy during the COVID-19 pandemic from international/national societies of gastroenterology/gastrointestinal endoscopy, updated on March 26, 2020RecommendationReportAllInternational and USACanada,Latin AmericaEuropeAsia-PacificN = 21N = 6N = 7N = 5N = 3Postpone nonurgent examinationsYes20 (95)5 (83)7 (100)5 (100)3 (100)Not reported1 (5)1 (17)0 ( 0)0 ( 0)0 (0)Prescreening of patientsYes18 (86)5 (83)7 (100)3 (60)3 (100)Not reported3 (14)1 (17)0 (0)2 (40)0 (0)Patients should use masksYes for all4 (19)1 (17)2 (29)1 (20)0 (0)Yes if symptoms3 (14)1 (17)1 (14)0 (0)1 (33)Not reported14 (67)4 (67)4 (57)4 (80)2 (67)Reduce people who accompany patientsYes8 (38)1 (17)5 (71)1 (20)1 (33)Not reported13 (62)5 (83)2 (29)4 (80)2 (67)Train PPE use by HCWYes10 (48)4 (67)3 (43)1 (20)2 (67)Not reported11 (52)2 (33)4 (57)4 (80)1 (33)Measure body temperature of HCW before starting workYes6 (29)3 (50)2 (29)0 (0)1 (33)Not reported15 (71)3 (50)5 (71)5 (100)2 (67)HCW should use standard medical masks when in contact with patients before examinationsYes for all5 (24)2 (33)1 (14)0 (0)2 (67)Not reported16 (76)4 (67)6 (86)5 (100)1 (33)Use of PPE during examinationYes21 (100)6 (100)7 (100)5 (100)3 (100)Check patient's temperature before, during, or after endoscopic procedureYes4 (19)2 (33)1 (14)0 (0)1 (33)Not reported17 (81)4 (67)6 (86)5 (100)2 (67)Contact patient 14 days after GIE procedure for signs/symptoms surveillanceYes4 (19)3 (50)1 (14)0 ( 0)0 ( 0)Not reported17 (81)3 (50)6 (86)5 (100)3 (100)Self-surveillance by of HCW for symptomsYes7 (33)1 (17)2 (29)2 (40)2 (67)Not reported14 (67)5 (83)5 (71)3 (60)1 (33)Follow standard reprocessing of endoscopesNo12 (57)4 (67)4 (57)2 (40)2 (67)Yes1 (5)0 (0)0 (0)0 (0)1 (33)Not reported8 (38)2 (33)3 (43)3 (60)0 (0)Data expressed as n (%).GIE, GI endoscopy; HCW, healthcare worker; PPE, personal protective equipment. Open table in a new tab Supplementary Table 2Web links of recommendations for endoscopy during the COVID-19 pandemic from international/national societies of gastroenterology/gastrointestinal endoscopy, updated March 26, 2020Name of society; region or countryDateURLInternational Societies European Society of Gastrointestinal Endoscopy (ESGE); EuropeMarch 18, 2020https://www.esge.com/assets/downloads/pdfs/general/ESGE_ESGENA_Position_Statement_gastrointestinal_endoscopy_COVID_19_pandemic.pdf Sociedad Interamericana de Endoscopia Digestiva (SIED); Canada/Central and Latin AmericaMarch 18, 2020http://siedonline.org/wp-content/uploads/2020/03/COVID19-info-ACTUALIZADA-ingles.pdf World Endoscopy Organization (WEO); GlobalMarch 24, 2020http://www.worldendo.org/2020/03/24/weo-advice-on-digestive-endoscopy-and-the-covid-19-pandemic/National Societies – United States American College of Gastroenterology (ACG); USAMarch 15, 2020https://gi.org/2020/03/15/joint-gi-society-message-on-covid-19/ American Gastroenterological Association (AGA); USAMarch 18, 2020https://www.gastro.org/press-release/new-covid-19-info-for-gastroenterologists-and-patients American Society for Gastrointestinal Endoscopy (ASGE); USAMarch 27, 2020https://www.asge.org/home/advanced-education-training/covid-19-asge-updates-for-members/National Societies – Canada / Central and South America Asociación Mexicana de Endoscopia Gastrointestinal; MéxicoNot reportedhttp://www.amegendoscopia.org.mx/index.php/endoscopia-covid19 Canadian Association of Gastroenterology; CanadáMarch 16, 2020https://www.cag-acg.org/images/publications/CAG-Statement-COVID-&-Endoscopy.pdf Federación Argentina de Asociaciones de Endoscopía Digestiva; ArgentinaMarch 16, 2020http://www.faaed.org.ar/ Sociedad Chilena de Gastroenterología; ChileNot reportedhttp://sociedadgastro.cl/gastroweb/index.php/noticias/423-guia-de-recomendacion-ached-schge-para-el-funcionamiento-de-la-unidad-de-endoscopia-durante-el-brote-de-coronavirus-covid-19 Sociedad Dominicana de Gastroenterologia; República DominicanaMarch 16, 2020http://sodogastro.com/esp/proteccion-en-unidades-de-endoscopia-digestiva-frente-al-covid-19/ Sociedad Uruguaya de Endoscopía Digestiva; UruguayMarch 13, 2020http://www.sued.com.uy/noticias/sued-coronavirus/es Sociedade Brasileira de Endoscopia Digestiva; BrazilMarch 21, 2020https://www.sobed.org.br/sobed-comunica/noticias/single/nid/atualizacao-003-das-recomendacoes-sobed-para-endoscopia-segura-durante-a-pandemia-por-coronavirus/National Societies – Europe British Society of Gastroenterology (BSG); United KingdomMarch 22, 2020https://www.bsg.org.uk/covid-19-advice/ French Society of Digestive Endoscopy (SFED); FranceMarch 11, 2020https://www.sfed.org/professionnels/covid19-et-endoscopie Portuguese Society of Digestive Endoscopy (SPED); PortugalMarch 15, 2020https://www.sped.pt/index.php/component/content/article/28-novidades/destaques/1246-recomendacoes-sped-covid-19?Itemid=101 Romanian Society of Gastrointestinal Endoscopy (SRED)March 15, 2020http://www.sred.ro/en/to-the-attention-of-all-the-members-of-the-romanian-society-of-digestive-endoscopy/a106 Spanish Association of Digestive Endoscopy (SEED) ; SpainMarch 15, 2020https://wseed.es/images/site/guia_clinica/2020/RecomendacionesSEED_ProteccionUnidadesEndoscopia_Coronavirus.pdfNational Societies – Asia-Pacific Indian Society of Gastroenterology; IndiaMarch 18, 2020http://www.isg.org.in/downloads/COVID.pdf Gastroenterological Society of Australia (GESA); AustráliaMarch 20, 2020https://www.gesa.org.au/resources/covid-19 Philippine Society of Gastroenterology; PhilippinesMarch 13, 2020http://www.psde.org.ph/wp-content/uploads/2020/03/PSDE-CoVID-19-Clinical-and-Procedural-Guidance.pdf Open table in a new tab Supplementary Table 3Societies accessed to review the recommendations for endoscopy during the COVID-19 pandemic from international/national societies of gastroenterology/gastrointestinal endoscopySocietyURLAccessed onInternational Asian Pacific Association of Gastroenterology (APAGE)http://www.apage.org/index.htmlMarch 27, 2020 European Society of Gastrointestinal Endoscopy (ESGE)https://www.esge.com/March 27, 2020 Sociedad Interamericana de Endoscopia Digestiva (SIED)https://siedonline.org/March 27, 2020 World Endoscopy Organization (WEO)http://www.worldendo.org/March 27, 2020USA American Gastroenterological Association (AGA)https://www.gastro.org/March 27, 2020 American College of Gastroenterology (ACG)https://gi.org/March 27, 2020 American Society for Gastrointestinal Endoscopy (ASGE)https://www.asge.org/March 27, 2020 Sociedad Puertoriqueña de Endoscopia TerapéuticaNot availableEurope, Middle East, and Africa Endoscopic Group of the Austrian Society of Gastroenterology (ÖGGH)http://www.oeggh.at/March 25, 2020 Belgian Society of Gastrointestinal Endoscopy (BSGIE)http://www.bsgie.be/March 25, 2020 British Society of Gastroenterology (BSG)https://www.bsg.org.uk/March 27, 2020 Association of Gastroenterologists of Bosnia and Herzegovina (AGBH)Not available Bulgarian Association of Surgeons and Gastroenterologists (BASGO)Not available Endoscopic Section of Croatian Society of Gastroenterology (HGD)http://www.hgd.hr/March 25, 2020Cyprus Society of Gastroenterology (CSG) Czech Gastroenterological Society (CSG)http://www.endoskopiste.cz/March 25, 2020 Danish Society for Gastroenterology and Hepatology (DSGH)https://www.dsgh.dk/March 25, 2020 Egyptian Society for the Study of Endoscopy and Hepatogastroenterology (ESHG)Not available Estonian Society of Gastrointestinal Endoscopy (EGEÜ)http://www.egeu.ee/enMarch 25, 2020 Finnish Society of Gastroenterologyhttps://www.gastroenterologiayhdistys.fi/March 25, 2020 French Society of Digestive Endoscopy (SFED)https://www.sfed.org/March 25, 2020 Endoscopic Section of the German Society of Gastroenterology (DGVS)https://www.dgvs.de/March 25, 2020 Endoscopy Section of the Hellenic Society of Gastroenterology (HSG)https://www.hsg.gr/March 25, 2020 Endoscopy Section of the Hungarian Society of Gastroenterology (HSGE)http://www.endoszkopos-szekcio.hu/March 25, 2020 Endoscopic Section of the Iraqi Society of Gastroenterology & Hepatology (ISGH)http://www.iraq-git.com/isgh/March 25, 2020 Irish Society of Gastroenterology (ISG)https://www.isge.ie/March 25, 2020 Israel Gastroenterological Association (IGA)https://www.gastro-israel.org.il/March 25, 2020 Italian Society of Digestive Endoscopy (SIED)http://www.sied.it/March 25, 2020 Jordanian Society of Gastroenterology & Hepatology (JSGH)Not available Latvian Association of Gastrointestinal Endoscopy (LAGE)Not available Lebanese Society of Gastroenterology (LSGE)http://www.lsge.org/March 25, 2020 Libyan Society of Gastrointestinal Endoscopy (LSGE)Not available Lithuanian Society of Gastrointestinal Endoscopy (LSGE)Not available Luxembourg Society of Gastroenterology & Digestive Endoscopy (SLGE)Not available Macedonian Society of Gastroenterohepatology (MSG)Not available Gastroenterohepatology Association of Montenegro (GAM)http://ugcg.me/en/March 25, 2020 Moroccan Society of Digestive Endoscopy (SMED)http://www.smed-maroc.org/#March 25, 2020 Netherlands Society of Gastroenterology (NVGE)https://www.nvge.nl/March 25, 2020 Norwegian Gastroenterology Society (NGA)Not available Palestinian Society of GastroenterologyNot available Endoscopy Group of the Polish Society of Gastroenterology (PTG-E)http://www.ptg-e.org.pl/enMarch 25, 2020 Portuguese Society of Digestive Endoscopy (SPED)https://www.sped.pt/March 25, 2020 Romanian Society of Gastrointestinal Endoscopy (SRED)http://www.sred.ro/March 25, 2020 Russian Society for Digestive Endoscopy (REndO)Not available Serbian Society of Gastrointestinal Endoscopy (SSGE)http://www.geus.rs/March 25, 2020 Endoscopy Section of the Slovak Gastroenterological Societyhttps://www.sgssls.sk/March 25, 2020 Slovenian Society of Gastrointestinal Endoscopy (SAGH)Not available Spanish Association of Digestive Endoscopy (SEED)https://www.wseed.org/March 25, 2020 Sudanese Society of Gastroenterology (SSG)Not available Swedish Society of Gastroenterologyhttps://svenskgastroenterologi.se/March 25, 2020 Swiss Society of Gastroenterology (SSG)https://sggssg.ch/March 25, 2020 Endoscopy Branch of the Syrian Society of Gastroenterology (SSGE)Not available Tunisian Society of Gastroenterology & Digestive Endoscopy (TSG)Not available Turkish Society of Gastroenterology (TGD)http://www.tgd.org.tr/March 25, 2020 Ukrainian Association of Endoscopy (UAE)Not available Emirates Gastroenterology and Hepatology SocietyNot available Yemeni Study Association for Liver, Biliary & GIT Diseases (YSALBG)Not availableAsia-Pacific Gastroenterological Society of Australia (GESA)https://www.gesa.org.au/resources/covid-19March 25, 2020 Bangladesh Gastroenterology Societyhttp://www.bgs-bd.org/index.htmlMarch 25, 2020 Chinese Society of Gastroenterologyhttp://www.csge.org.cn/en#/indexMarch 25, 2020 The Hong Kong Society of Gastroenterologyhttp://www.hksge.org/home.htmMarch 25, 2020 Indian Society of Gastroenterologyhttp://www.isg.org.in/March 25, 2020 The Indonesian Society of GastroenterologyNot available The Japanese Society of Gastroenterologyhttp://www.jsge.or.jp/english/indexMarch 25, 2020 The Korean Society of Gastroentestinal Endoscopyhttps://www.gie.or.kr/eng/March 25, 2020 Macao Society of Gastroenterology & Hepatologyhttp://www.msgeh.com/main.htmlMarch 25, 2020 Malaysian Society of Gastroenterology & Hepatologyhttp://www1.msgh.org.my/March 25, 2020 Nepalese Society of GastroenterologistsNot available New Zealand Society of Gastroenterologyhttps://nzsg.org.nz/March 25, 2020 Pakistan Society of Gastroenterology and GI EndoscopyNot available Philippine Society of Gastroenterologyhttps://www.psgastro.org/March 25, 2020 Gastroenterological Society of Singaporehttps://www.gastro.org.sg/March 25, 2020 The Chinese Taiwan Gastroenterological Societyhttp://www.gest.org.tw/March 25, 2020 The Gastroenterological Association of Thailandhttp://www.gastrothai.net/th/March 25, 2020Canada, Central America, and South America Federación Argentina de Asociaciones de Endoscopía Digestivahttp://www.faaed.org.ar/March 26, 2020 Sociedad Boliviana de Gastroenterología y Endoscopia DigestivaNot available Sociedade Brasileira de Endoscopia Digestivahttps://www.sobed.org.br/March 26, 2020 Canadian Association of Gastroenterologyhttps://www.cag-acg.org/March 26, 2020 Sociedad Chilena de Gastroenterologíahttp://sociedadgastro.cl/March 26, 2020 Asociación Colombiana de Endoscopía Digestivahttp://aced.org.co/March 26, 2020 Gastroenterología y Endoscopía Digestiva de Costa Ricahttp://gastroenterologoscr.com/March 26, 2020 Sociedad Cubana de GastroenterologíaNot available Sociedad Ecuatoriana de Endoscopia DigestivaNot available Asociación de Gastroenterología y Endoscopía de El Salvador (AGEDES)http://agedes.org/March 26, 2020 Asociación Guatemalteca de Gastroenterologia, Hepatología y Endoscopia Gastrointestinalwww.gastroenterologosdeguatemala.orgMarch 26, 2020 Asociación Mexicana de Endoscopia Gastrointestinalhttp://www.amegendoscopia.org.mx/March 26, 2020 Asociación Panameña de Gastroenterología y Endoscopía Digestivahttps://gastropanama.org/March 26, 2020 Sociedad Paraguaya de Gastroenterología y Endoscopia Digestivahttp://www.spge.org.py/March 26, 2020 Sociedad de Gastroenterología del Perúhttps://www.socgastro.org.pe/March 26, 2020 Sociedad Dominicana de Gastroenterologiahttp://sodogastro.com/esp/March 26, 2020 Sociedad Uruguaya de Endoscopía Digestivahttp://www.sued.com.uy/inicio/esMarch 26, 2020 Sociedad Venezolana de Gastroenterologíahttps://sovegastro.org/March 26, 2020 Open table in a new tab Data expressed as n (%). GIE, GI endoscopy; HCW, healthcare worker; PPE, personal protective equipment. Coronavirus (COVID-19) outbreak: what the department of endoscopy should knowGastrointestinal EndoscopyVol. 92Issue 1PreviewItaly recorded its first case of confirmed acute respiratory illness because of coronavirus on February 18, 2020, soon after the initial reports in China. Since that time, Italy and nations throughout the world have adopted very stringent and severe measures to protect populations from spread of infection. Despite these measures, the number of infected people is growing exponentially, with a significant number of patients developing acute respiratory insufficiency. Endoscopy departments face significant risk for diffusion of respiratory diseases that can be spread via an airborne route, including aspiration of oral and fecal material via endoscopes. Full-Text PDF Considerations in performing endoscopy during the COVID-19 pandemicGastrointestinal EndoscopyVol. 92Issue 1PreviewBased on experiences and the literature, our objective is to provide practical suggestions for performing endoscopy in the setting of the novel coronavirus-19 (COVID-19) pandemic. Severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2), referred to as COVID-19, has become a global pandemic. Human-to-human transmission occurs through respiratory secretions, aerosols, feces, and contaminated environmental surfaces.1,2 Transmission can occur in both symptomatic and asymptomatic individuals.3 Viable virus particles can be detected in aerosols up to 3 hours after aerosolization and up to 3 days on surfaces. Full-Text PDF
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