ESGE and ESGENA Position Statement on gastrointestinal endoscopy and the COVID-19 pandemic

Ian M. Gralnek; Cesare Hassan; Ulrike Beilenhoff; Giulio Antonelli; Alanna Ebigbo; Maria Pellisè; Marianna Arvanitakis; Pradeep Bhandari; Raf Bisschops; Jeanin E. Van Hooft; Michal F. Kaminski; Konstantinos Triantafyllou; George Webster; Heiko Pohl; Irene Dunkley; Björn Fehrke; Mario Gazic; Tatjana Gjergek; Siiri Maasen; Wendy Waagenes; Marjon de Pater; Thierry Ponchon; Peter D. Siersema; Helmut Messmann; Mario Dinis-Ribeiro

doi:10.1055/a-1155-6229

Endoscopy, Inhaltsverzeichnis

Endoscopy 2020; 52(06): 483-490
DOI: 10.1055/a-1155-6229

Position statement

ESGE and ESGENA Position Statement on gastrointestinal endoscopy and the COVID-19 pandemic

Authors

Ian M. Gralnek‡^*

¹Institute of Gastroenterology and Hepatology, Emek Medical Center, Afula, Israel & Rappaport Faculty of Medicine Technion Israel Institute of Technology, Haifa, Israel
Cesare Hassan‡^*

²Nuovo Regina Margherita Hospital, Rome, Italy
Ulrike Beilenhoff

³Ulm, Germany
Giulio Antonelli

²Nuovo Regina Margherita Hospital, Rome, Italy
Alanna Ebigbo

⁴III. Medizinische Klinik Universitätsklinikum Augsburg, Augsburg, Germany
Maria Pellisè

⁵Department of Gastroenterology, Hospital Clinic de Barcelona. Institut d'Investigacions Biomediques August Pi i Sunyer (IDIBAPS). Centro de Investigación Biomédica en Red de Enfermedades Hepáticas y Digestivas (CIBERehd). Universitat de Barcelona, Barcelona, Spain
Marianna Arvanitakis

⁶Department of Gastroenterology, Erasme University Hospital, Université Libre de Bruxelles, Brussels, Belgium
Pradeep Bhandari

⁷Portsmouth Hospital NHS Trust, Gastroenterology, Portsmouth, United Kingdom
Raf Bisschops

⁸Department of Gastroenterology and Hepatology,Catholic University of Leuven (KUL), TARGID, University, Hospitals Leuven, Leuven, Belgium
Jeanin E. Van Hooft

⁹Department of Gastroenterology and Hepatology, Amsterdam University Medical Centers, University of Amsterdam, The Netherlands
Michal F. Kaminski

¹⁰Department of Cancer Prevention and Department of Oncological Gastroenterology,The Maria Sklodowska-Curie National Research Institute of Oncology, Warsaw, Poland
Konstantinos Triantafyllou

¹¹Hepatogastroenterology Unit, 2nd Department of Internal Medicine - Propaedeutic, Medical School, National and Kapodistrian University of Athens, Attikon University General Hospital, Athens, Greece
George Webster

¹²Department of Gastroenterology, University College London Hospitals, London, United Kingdom
Heiko Pohl

¹³Dartmouth Geisel School of Medicine, Hanover NH, VA Medical Center, Section of Gastroenterology, White River Junction, VT., USA
Irene Dunkley

¹⁴North West Anglia NHS Foundation Trust, Hinchingbrooke, United Kingdom
Björn Fehrke

¹⁵Inselspital, Bern, Switzerland
Mario Gazic

¹⁶General hospital, Bjelovar, Croatia
Tatjana Gjergek

¹⁷University Medical Centre, Ljubljana, Slovenia
Siiri Maasen

¹⁸Tallinn Healthcare College, Tallin,Estonia
Wendy Waagenes

¹⁹Hvidovre Hospital, Copenhagen, Denmark
Marjon de Pater

²⁰Amsterdam UMC location AMC, Amsterdam, The Netherlands
Thierry Ponchon

²¹Gastroenterology Division, Edouard Herriot Hospital Lyon, France
Peter D. Siersema

²²Department of Gastroenterology and Hepatology, Radboud University Medical Center, Nijmegen, The Netherlands
Helmut Messmann

⁴III. Medizinische Klinik Universitätsklinikum Augsburg, Augsburg, Germany
Mario Dinis-Ribeiro

²³Gastroenterology Department, Portuguese Oncology Institute of Porto, Portugal

Abstract

We are currently living in the throes of the COVID-19 pandemic that imposes a significant stress on health care providers and facilities. Europe is severely affected with an exponential increase in incident infections and deaths. The clinical manifestations of COVID-19 can be subtle, encompassing a broad spectrum from asymptomatic mild disease to severe respiratory illness. Health care professionals in endoscopy units are at increased risk of infection from COVID-19. Infection prevention and control has been shown to be dramatically effective in assuring the safety of both health care professionals and patients. The European Society of Gastrointestinal Endoscopy (www.esge.com) and the European Society of Gastroenterology and Endoscopy Nurses and Associates (www.esgena.org) are joining forces to provide guidance during this pandemic to help assure the highest level of endoscopy care and protection against COVID-19 for both patients and endoscopy unit personnel. This guidance is based upon the best available evidence regarding assessment of risk during the current status of the pandemic and a consensus on which procedures to perform and the priorities on resumption. We appreciate the gaps in knowledge and evidence, especially on the proper strategy(ies) for the resumption of normal endoscopy practice during the upcoming phases and end of the pandemic and therefore a list of potential research questions is presented. New evidence may result in an updated statement.

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Referenzen

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