Japan Gastroenterological Endoscopy Society, Tokyo, Japan.
Dig Endosc. 2020 Jul;32(5):648-650. doi: 10.1111/den.13703. Epub 2020 May 28.
All gastrointestinal endoscopic procedures have a high risk of aerosol contamination of the coronavirus disease 2019 (COVID-19) to endoscopists, nurses, and healthcare assistants. Given the current pandemic situation of COVID-19, the Japan Gastroenterological Endoscopy Society issued the recommendation for gastrointestinal (GI) endoscopy based on the status of COVID-19 as of April 9, 2020, in Japan: (i) indications for GI endoscopy in the pandemic of COVID-19; (ii) practical protective equipment for medical personnel depending on the risk for COVID-19; (iii) preprocedural management, such as pharyngeal local anesthesia using lidocaine spray which has a potential to generate the aerosols; (iv) ideal settings of the endoscopy room including the numbers of the staff and the patients; (v) postprocedural management, such as undressing and follow-up of the patients, as well as the involved staff, were documented to fit the practical scenarios in GI endoscopy, with the available data in Japan and the world. We believe that certain measures will prevent further spread of COVID-19.
所有胃肠道内镜检查程序都存在将冠状病毒病 2019（COVID-19）气溶胶污染给内镜医生、护士和医疗保健助理的高风险。鉴于 COVID-19 的当前大流行情况，日本胃肠病学内镜学会于 2020 年 4 月 9 日根据日本 COVID-19 的现状发布了胃肠道（GI）内镜检查的建议：（i）COVID-19 大流行期间的 GI 内镜检查指征；（ii）根据 COVID-19 的风险为医务人员提供实用的防护设备；（iii）术前管理，例如使用利多卡因喷雾剂进行咽局部麻醉，这可能会产生气溶胶；（iv）内镜室的理想设置，包括工作人员和患者的数量；（v）术后管理，例如患者和相关工作人员的脱衣和随访，以及在日本和世界范围内记录的与 GI 内镜相关的实际情况。我们相信某些措施将防止 COVID-19 的进一步传播。
