Frieling Thomas
Medizinische Klinik II, Innere Medizin mit Gastroenterologie, Hepatologie, Infektiologie, Neurogastroenterologie, Gastrointestinaler Onkologie, Hämatoonkologie und Palliativmedizin, HELIOS Klinikum Krefeld, Lutherplatz 40, 47805 Krefeld, Deutschland.
Gastroenterologe. 2020;15(6):498-505. doi: 10.1007/s11377-020-00480-5. Epub 2020 Oct 27.
The recommendations of the German Society of Gastroenterology, Digestive and Metabolic Diseases (DGVS) on coronavirus disease 2019 (COVID-19) in gastroenterological patients are accessible on the homepage of the Society under information at https://www.dgvs.de/covid-19/. Recommendations for protection against severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) have been published by the European Society of Gastrointestinal Endoscopy (ESGE) and the European Society of Gastroenterology and Endoscopy Nurses and Associates (ESGENA). Separate endoscopy rooms for high-risk patients and negative pressure rooms should be included in the planning of future endoscopy unit projects. It is unclear whether a continuing prioritization of gastroenterological services after the first wave of COVID-19 is necessary in the future. The report of the Scientific Institute of the AOK health insurance company (WldO) and surveys of the Working Group of Clinical Gastroenterologists (ALGK) and the Professional Association of Private Gastroenterologists in Germany (bng) demonstrated that the coronavirus lockdown led to a significant reduction of gastrointestinal diseases and gastroenterological services including screening colonoscopy. It is likely that the reduction of the overcapacity of the German healthcare system will also be continued by reduction of inpatient services after the corona pandemic has been overcome. It is essential to keep the medical profession attractive for young colleagues. The high rates of burnout and suicide and the difficult compatibility with the requirements of a life balance are alarm signals that have to be solved.
德国胃肠病学、消化与代谢疾病学会(DGVS)关于胃肠病患者2019冠状病毒病(COVID-19)的建议可在该学会官网的信息板块获取,网址为https://www.dgvs.de/covid-19/。欧洲胃肠内镜学会(ESGE)以及欧洲胃肠病学与内镜护理及相关人员学会(ESGENA)已发布了针对严重急性呼吸综合征冠状病毒2(SARS-CoV-2)的防护建议。在未来内镜科室项目规划中应设置高危患者专用内镜检查室和负压病房。目前尚不清楚在COVID-19第一波疫情过后,未来是否有必要继续优先安排胃肠病学服务。AOK健康保险公司科学研究所(WldO)的报告以及德国临床胃肠病学家工作组(ALGK)和德国私立胃肠病学家专业协会(bng)的调查表明,冠状病毒封锁导致胃肠疾病及包括结肠镜筛查在内的胃肠病学服务显著减少。在克服新冠疫情后,通过减少住院服务,德国医疗系统产能过剩的情况可能也会持续得到缓解。保持医学专业对年轻同事的吸引力至关重要。职业倦怠和自杀率居高不下,以及难以兼顾生活平衡的要求,这些都是必须解决令人警醒的信号。