Siah Kewin T H, Rahman M Masudur, Ong Andrew M L, Soh Alex Y S, Lee Yeong Yeh, Xiao Yinglian, Sachdeva Sanjeev, Jung Kee Wook, Wang Yen-Po, Oshima Tadayuki, Patcharatrakul Tanisa, Tseng Ping-Huei, Goyal Omesh, Pang Junxiong, Lai Christopher K C, Park Jung Ho, Mahadeva Sanjiv, Cho Yu Kyung, Wu Justin C Y, Ghoshal Uday C, Miwa Hiroto
Department of Medicine, Yong Loo Lin School of Medicine, The National University of Singapore, Singapore.
Division of Gastroenterology and Hepatology, Department of Medicine, National University Hospital, Singapore.
J Neurogastroenterol Motil. 2020 Jul 30;26(3):299-310. doi: 10.5056/jnm20107.
During the Coronavirus Disease 2019 (COVID-19) pandemic, practices of gastrointestinal procedures within the digestive tract require special precautions due to the risk of contraction of severe acute respiratoy syndrome coronavirus-2 (SARS-CoV-2) infection. Many procedures in the gastrointestinal motility laboratory may be considered moderate to high-risk for viral transmission. Healthcare staff working in gastrointestinal motility laboratories are frequently exposed to splashes, air droplets, mucus, or saliva during the procedures. Moreover, some are aerosol-generating and thus have a high risk of viral transmission. There are multiple guidelines on the practices of gastrointestinal endoscopy during this pandemic. However, such guidelines are still lacking and urgently needed for the practice of gastrointestinal motility laboratories. Hence, the Asian Neurogastroenterology and Motility Association had organized a group of gastrointestinal motility experts and infectious disease specialists to produce a position statement paper based-on current available evidence and consensus opinion with aims to provide a clear guidance on the practices of gastrointestinal motility laboratories during the COVID-19 pandemic. This guideline covers a wide range of topics on gastrointestinal motility activities from scheduling a motility test, the precautions at different steps of the procedure to disinfection for the safety and well-being of the patients and the healthcare workers. These practices may vary in different countries depending on the stages of the pandemic, local or institutional policy, and the availability of healthcare resources. This guideline is useful when the transmission rate of SARS-CoV-2 is high. It may change rapidly depending on the situation of the epidemic and when new evidence becomes available.
在2019年冠状病毒病（COVID-19）大流行期间，由于存在感染严重急性呼吸综合征冠状病毒2（SARS-CoV-2）的风险，消化道内胃肠手术的操作需要特别预防措施。胃肠动力实验室的许多操作可能被认为具有中度至高度的病毒传播风险。在胃肠动力实验室工作的医护人员在操作过程中经常接触到飞溅物、飞沫、黏液或唾液。此外，有些操作会产生气溶胶，因此病毒传播风险很高。关于此次大流行期间胃肠内镜检查操作有多项指南。然而，对于胃肠动力实验室的操作，此类指南仍然缺乏且迫切需要。因此，亚洲神经胃肠病学和动力协会组织了一批胃肠动力专家和传染病专家，根据当前可得证据和共识意见撰写了一份立场声明文件，旨在为COVID-19大流行期间胃肠动力实验室的操作提供明确指导。本指南涵盖了胃肠动力活动的广泛主题，从安排动力测试、操作不同步骤的预防措施到消毒，以保障患者和医护人员的安全与健康。这些操作在不同国家可能因大流行阶段、当地或机构政策以及医疗资源的可及性而有所不同。当SARS-CoV-2传播率较高时，本指南很有用。它可能会根据疫情形势和新证据的出现而迅速变化。
