Recommendations for the Operation of Endoscopy Centers in the setting of the COVID-19 pandemic - World Endoscopy Organization guidance document

Nalini M Guda, Fabian Emura, Duvvur Nageshwar Reddy, Jean-Fracois Rey, Dong-Wan Seo, Tibor Gyokeres, Hisao Tajiri, Douglas Faigel, Nalini M Guda, Fabian Emura, Duvvur Nageshwar Reddy, Jean-Fracois Rey, Dong-Wan Seo, Tibor Gyokeres, Hisao Tajiri, Douglas Faigel

Abstract

Severe Acute Respiratory Syndrome Corona Virus 2 (SARS-CoV-2) is the etiologic agent causing the disease Corona Virus Disease 19 (COVID-19), resulting in a worldwide pandemic. Non-emergent endoscopy services have been disrupted as incidence and hospitalizations were rising. It is anticipated that the peak incidence may be leveling off in many parts of the world, but there is a concern for resurgence of the virus activity. Thus, it is important for endoscopy units to have plans in place during peak times of the epidemic and when resuming endoscopic services as the pandemic wanes. The global endoscopy community is faced with the challenge of providing care during this time. The WEO-COVID guidance task force has provided this resource document based on the current evidence and consensus opinion. These World Endoscopy Organization (WEO) recommendations are meant to guide endoscopists worldwide, should be interpreted in light of specific clinical conditions and resource availability and may not apply in all situations. This guidance document does not supersede the need to check for all local regulations and legislations.

Keywords: COVID-19; PPE and pandemic; SARS-CoV 2; best practices; clinical practice guideline; corona virus; endoscopy.

Conflict of interest statement

NMG: Consultant Boston Scientific. FE: Received research support from Fujifilm. All other authors: None.

© 2020 Japan Gastroenterological Endoscopy Society.

References

    1. Cornoavirus Resource Center . [Cited 14 Jun 2020.] Available from URL: .
    1. Case fatality data from Johns Hopkins University. [Cited 12 May 2020.] Available from URL: .
    1. Chan JF, Yuan S, Kok KH et al. A familial cluster of pneumonia associated with the 2019 novel coronavirus indicating person‐to‐person transmission: A study of a family cluster. Lancet 2020; 395: 514–23.
    1. Lewnard JA, Lo NC. Scientific and ethical basis for social‐distancing interventions against COVID‐19. Lancet Infect Dis 2020; 20: 631–3.
    1. Feng Y, Marchal T, Sperry T, Yi H. Influence of wind and relative humidity on the social distancing effectiveness to prevent COVID‐19 airborne transmission: A numerical study. J Aerosol Sci. 2020; 147: 105585.
    1. Zhu N, Zhang D, Wang W et al. A Novel coronavirus from patients with pneumonia in China, 2019. N Engl J Med 2020; 382: 727–33.
    1. Wang C, Horby PW, Hayden FG, Gao GF. A novel coronavirus outbreak of global health concern. Lancet 2020; 395: 470–3.
    1. Johnston ER, Habib‐Bein N, Dueker JM et al. Risk of bacterial exposure to the endoscopist's face during endoscopy. Gastrointest Endosc. 2019; 89: 818–24.
    1. Wong TW, Lee CK, Tam W et al. Cluster of SARS among medical students exposed to single patient, Hong Kong. Emerg Infect Dis. 2004; 10: 269–76.
    1. Repici A, Aragona G, Cengia G et al. Low risk of covid‐19 transmission in GI endoscopy. Gut 2020;gutjnl‐2020‐321341. [Published online ahead of print]. DOI: 10.1136/gutjnl-2020-321341.
    1. Kenyon C. Flattening‐the‐curve associated with reduced COVID‐19 case fatality rates‐ an ecological analysis of 65 countries. J Infect 2020; 81: e98–9.
    1. Gupta S, Shahidi N, Gilroy N, Rex DK, Burgess NG, Bourke MJ. A proposal for the return to routine endoscopy during the COVID‐19 pandemic. Gastrointest Endosc 2020;S0016‐5107(20)34249‐8. [Published online ahead of print]. 10.1016/j.gie.2020.04.050.
    1. Pita‐Fernandez S, Gonzalez‐Saez L, Lopez‐Calvino B et al. Effect of diagnostic delay on survival in patients with colorectal cancer: A retrospective cohort study. BMC Cancer 2016; 16: 664.
    1. North Italian Endoscopic Club for the S, Treatment of Esophageal V . Prediction of the first variceal hemorrhage in patients with cirrhosis of the liver and esophageal varices. A prospective multicenter study. N Engl J Med 1988; 319: 983–9.
    1. Pandemic Influenza Preparedness and Response: A WHO Guidance Document. Gastrointest Endosc. 2020; S0016‐5107(20)34247‐4. [Published online ahead of print]. DOI: 10.1016/j.gie.2020.04.048. Available from URL:.
    1. Boskoski I, Gallo C, Wallace MB, Costamagna G. COVID‐19 pandemic and personal protective equipment shortage: Protective efficacy comparing masks and scientific methods for respirator reuse. Gastrointest Endosc 2020.10.1016/j.gie.2020.04.048.
    1. WEO Guidelines . [Cited 23 May 2020.] Available from URL: .
    1. Ding S, Liang TJ. Is SARS‐CoV‐2 also an enteric pathogen with potential fecal‐oral transmission: A COVID‐19 virological and clinical review. Gastroenterology 2020; S0016‐5085(20)30571‐0. 10.1053/j.gastro.2020.04.052. [Published online ahead of print].
    1. Gralnek IM, Hassan C, Beilenhoff U et al. ESGE and ESGENA position statement on gastrointestinal endoscopy and the COVID‐19 pandemic. Endoscopy 2020; 52: 483–90.
    1. Repici A, Maselli R, Colombo M et al. Coronavirus (COVID‐19) outbreak: What the department of endoscopy should know. Gastrointest Endosc 2020; 92: 192–7.
    1. Lui RN, Wong SH, Sanchez‐Luna SA et al. Overview of guidance for endoscopy during the coronavirus disease 2019 pandemic. J Gastroenterol Hepatol 2020; 35: 749–59.
    1. Han J, Wang Y, Zhu L et al. Preventing the spread of COVID‐19 in digestive endoscopy during the resuming period: Meticulous execution of screening procedures. Gastrointest Endosc 2020: S0016‐5107(20)34133‐X. 10.1016/j.gie.2020.03.3855. [Published ahead of print].
    1. Chiu PWY, Ng SC, Inoue H et al. Practice of endoscopy during COVID‐19 pandemic: Position statements of the Asian Pacific Society for Digestive Endoscopy (APSDE‐COVID statements). Gut 2020; 69: 991–6.
    1. American College of Gastroenterology Guidance on safely reopening of your endoscopy centers. . [Cited 12 May 2020.] Available from URL: .
    1. ASGE guidance on reopening of endoscopy units, 2020. [Cited 19 May 2020.] Available from URL: .
    1. Guidelines D‐A. Joint AGA/DHPA Guidance: Recommendations for Resumption of Elective Endoscopy During the COVID‐19 Pandemic, 2020. DHPA‐AGA guidelines. [Cited 27 Apr 2020.] Available from URL: .
    1. An P, Huang X, Wan X et al. ERCP during the pandemic of COVID‐19 in Wuhan. China. Gastrointest Endosc 2020; S0016‐5107(20)34174‐2. 10.1016/j.gie.2020.04.022. [Published online ahead of print].
    1. CDC guidelines for Donning and Doffing of PPE, 2020. [Cited 12 May 2020.] Available from URL: .
    1. CDC airexchange for COVID, 2020. [Cited 23 May 2020.] Available from URL: .
    1. Soetikno R, Teoh AY, Kaltenbach T et al. Considerations in performing endoscopy during the COVID‐19 pandemic. Gastrointest Endosc 2020; 92: 176–83.
    1. Ortega R, Gonzalez M, Nozari A, Canelli R. Personal protective equipment and Covid‐19. N Engl J Med 2020; 382(26): e105. 10.1056/NEJMvcm2014809. [Epub 2020 May 19].
    1. Marchese M, Capannolo A, Lombardi L, Di Carlo M, Marinangeli F, Fusco P. Use of a modified ventilation mask to avoid aerosolizing spread of droplets for short endoscopic procedures during coronavirus COVID‐19 outbreak. Gastrointest Endosc 2020;S0016‐5107(20)34131‐6. 10.1016/j.gie.2020.03.3853. [Published online ahead of print].
    1. Sagami R, Nishikiori H, Sato T, Murakami K. Endoscopic shield: Barrier enclosure during the endoscopy to prevent aerosol droplets during the COVID‐19 pandemic [published online ahead of print, 2020 May 11]. VideoGIE 2020;10.1016/j.vgie.2020.05.002. 10.1016/j.vgie.2020.05.002.
    1. Luis S, Margarita JH, Javier P, Daniela S. New protection barrier for endoscopic procedures in the era of pandemic COVID‐19 [published online ahead of print, 2020 May 13]. VideoGIE 2020;10.1016/j.vgie.2020.05.006. 10.1016/j.vgie.2020.05.006.
    1. CDC Recommendations on Decontamination and Reuse of Filtering Facepiece Respirators. [Cited 19 May 2020.] .
    1. Radonovich LJ Jr, Simberkoff MS, Bessesen MT et al. N95 respirators vs medical masks for preventing influenza among health care personnel: A randomized clinical trial. JAMA 2019; 322: 824–33.
    1. Loeb M, Dafoe N, Mahony J et al. Surgical mask vs N95 respirator for preventing influenza among health care workers: A randomized trial. JAMA 2009; 302: 1865–71.
    1. NIOSH approved N 95 masks, 2020. NIOSH approved N 95. [Cited 14 Jun 2020.] Available from URL: .
    1. Sinonquel P, Roelandt P, Demedts I et al. COVID‐19 and gastrointestinal endoscopy: What should be taken into account? [published online ahead of print, 2020 Apr 26]. Dig Endosc 2020;10.1111/den.13706. 10.1111/den.13706.
    1. PPE Burn Calculator, 2020. [Cited 14 Jun 2020.] Available from URL: .

Source: PubMed

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