Endoscopy 2021; 53(S 01): S257
DOI: 10.1055/s-0041-1724973
Abstracts | ESGE Days
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Endoscopy Service – Back On Track Between Covid-19 Surges: A Global Evaluation

O Elshaarawy
1   National Liver Institute, Menoufia University, Gastroenterology and Hepatology, Shebine Elkom, Egypt
2   Heidelberg University, Salem Medical Center, Heidelberg, Germany
,
N Le Ngoc Hoa
3   Semmelweis University, Gastroenterology Division, Internal Medicine and Haematology Department, Budapest, Hungary
,
K Pawlak
4   Hospital of the Ministry of Interior and Administration, Department of Internal Medicine, Cardiology, Gastroenterology and Endocrinology, Szczecin, Poland
,
N Shanker Behl
5   Fortis Hospitals, Institute of Gastrointestinal and Liver Diseases, Ludhiana, India
,
P Alavinejad
6   Ahvaz Jundishapur University of Medical Sciences, Alimentary Tract Research Centre, Ahvaz, Iran, Islamic Republic of
,
M Bronswijk
7   University Hospitals Leuven, Department of Gastroenterology and Hepatology, Leuven, Belgium
8   Imelda General Hospital, Bonheiden, Belgium
,
A Voiosu
9   Colentina Clinical Hospital, Gastroenterology Division, Bucharest, Romania
,
M Hollenbach
10   University of Leipzig Medical Centre, Medical Department II — Gastroenterology, Hepatology, Infectious Diseases, Pulmonology, Leipzig, Germany
,
T Cúrdia Gonçalves
11   Hospital da Senhora da Oliveira, Department of Gastroenterology, Guimar.es, Portugal
12   School of Medicine, University of Minho, Life and Health Sciences Research Institute (ICVS), Braga, Portugal
,
G Antonelli
13   Nuovo Regina Margherita Hospital, Endoscopy Unit, Rome, Italy
,
A Piscoya
14   Universidad SanIgnacio de Loyola (USIL) Hospital Guillermo Kaelin de la Fuente, EsSalud - Unidad de Revisiones Sistemáticas y Meta-análisis (URSIGET), Lima, Peru
,
Q Trung Tran
15   Hue University of Medicine and Pharmacy, Hue University, 15. Department of Internal Medicine, Hue, Vietnam
16   University Medicine Greifswald, Department of Medicine A, Greifswald, Germany
,
R Prijic
17   University Hospital Centre Zagreb, Endoscopy Unit, Division of Gastroenterology and Hepatology, Internal Medicine Department, Zagreb, Croatia
,
Z Wong
18   Faculty of Medicine, The National University of Malaysia, Gastroenterology and Hepatology Unit, Department of Medicine, Kuala Lumpur, Malaysia
,
S Hyub
19   Seoul National University College of Medicine, Department of Internal Medicine and Liver Research Institute, Seoul National University Hospital, Seoul, Korea, Republic of
,
H Dao Viet
20   Hanoi Medical University Hospital, Endoscopic Centre, Hanoi, Vietnam
21   Institute of Gastroenterology and Hepatology, Hanoi, Vietnam
,
S Salman
22   The Hashemite University Faculty of Medicine, Zarqa, Jordan
,
K Trong Nguyen
23   Kaiser Permanente of Orange County, Department of Gastroenterology, California, United States
,
M Cai
24   Zhongshan Hospital Fudan University, Endoscopy Centre and Endoscopy Research Institute, Shanghai, China
,
M Alboraie
25   Al-Azhar University, Department of Internal Medicine, Cairo, Egypt
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    Aims An outbreak of coronavirus disease 19 (COVID-19) has altered the dynamic of endoscopic practices. Many guidelines, questionnaires have been published addressing service resumption during the pandemic. Curious about the situation in different endoscopic units across the globe, the study was designed to evaluate different aspects of practice resumption worldwide and their adherence to guidelines.

    Methods An online questionnaire was created and distributed by national/regional representatives and societies. Redcap platform was used as the interface; afterwards, Microsoft Excel 2016 and Prism 5 were utilized for data analysis.

    Results From a total of 307 responses from 47 countries/regions was collected, 290 valid answers were analyzed. Almost half (47 %) were in post-peak period by August, 2020. Many units were not designated to be COVID-oriented facility. About 15.5 % of centers remained unrecovered, mainly in North and South America; those were recovered, training was still withheld significantly. Nevertheless, opened centers kept safety measurements strictly. Patient load was decreased by 37 %, but waiting list was increased 0-25 %. Among many surveillance methods, body temperature, PCR and chest CT were the most common. 74.8 % increased post-procedural disinfection time and 68.2 % increase in per-case inspection were noted. PPE usage was implemented highly and shortage of these posed as one of the resumption barriers. Post-procedural patient surveillance was not reinforced.

    Conclusions The study represented real-time global endoscopic service’s adaptation to COVID-19 pandemic. Previously published barriers upon practice resumption remained. Despite Delphi consensus’ emphasis on post-procedural surveillance, application was not widely reinforced, raising concerns in disease control.

    Citation Elshaarawy O, Le Ngoc Hoa N, Pawlak K et al. eP484 ENDOSCOPY SERVICE – BACK ON TRACK BETWEEN COVID-19 SURGES: A GLOBAL EVALUATION. Endoscopy 2021; 53: S257.


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    Publication History

    Article published online:
    19 March 2021

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