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新冠疫情与炎症性肠病患者的管理:大流行后阶段的实用十条建议

Covid-19 and the management of patients with inflammatory bowel disease: a practical decalogue for the post-pandemic phase.

作者信息

Papa Alfredo, Papa Valerio, Lopetuso Loris Riccardo, Gasbarrini Antonio, Tursi Antonio

机构信息

Department of Medical and Surgical Sciences, Division of Internal Medicine and Gastroenterology, Policlinico Universitario "A. Gemelli" IRCCS Foundation, Rome, Italy Catholic University, Rome, Italy.

Catholic University, Rome, Italy.

出版信息

Therap Adv Gastroenterol. 2020 Oct 24;13:1756284820968747. doi: 10.1177/1756284820968747. eCollection 2020.

Abstract

The coronavirus disease 2019 (COVID-19) pandemic caused by severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) has raised several concerns for patients with chronic immune-mediated diseases, including inflammatory bowel disease (IBD). As the outbreak appears to be in the descending phase, at least in some part of the world, as in most European countries, guidance is urgently needed to provide optimal care for our IBD patients in order to gradually and safely reduce the gap in care that has been accumulated in the months of lockdown and to face all the backlogs. Therefore, we have provided a decalogue of practical recommendations for gastroenterologists to manage patients with IBD in the post-peak phase of the COVID-19 pandemic. They include all the aspects of IBD care, not only pharmacological ones but also endoscopy, surgery, psychological treatment, telemedicine, diagnostics and educational tasks provided by doctors and patient associations.

摘要

由严重急性呼吸综合征冠状病毒2(SARS-CoV-2)引起的2019冠状病毒病(COVID-19)大流行引发了慢性免疫介导疾病患者的诸多担忧,包括炎症性肠病(IBD)患者。由于疫情似乎正处于下降阶段,至少在世界上的某些地区,如大多数欧洲国家,迫切需要相关指南,以便为我们的IBD患者提供最佳护理,从而逐步、安全地缩小在封锁数月期间积累的护理差距,并应对所有积压问题。因此,我们为胃肠病学家提供了十条实用建议,以在COVID-19大流行的高峰期过后管理IBD患者。这些建议涵盖了IBD护理的各个方面,不仅包括药物治疗,还包括内镜检查、手术、心理治疗、远程医疗、诊断以及医生和患者协会开展的教育任务。

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