General Surgery Clinic (Sağlık Bakanlığı Mehmet Akif İnan Eğitim Araştırma Hastanesi, Genel Cerrahi Kliniği), Şanlıurfa Mehmet Akif İnan Training and Research Hospital, Şanlıurfa, Turkey.
Anesthesiology and Reanimation Clinic (Sağlık Bakanlığı Mehmet Akif İnan Eğitim Araştırma Hastanesi, Genel Cerrahi Kliniği), Şanlıurfa Mehmet Akif İnan Training and Research Hospital, Şanlıurfa, Turkey.
Int J Clin Pract. 2021 Dec;75(12):e14979. doi: 10.1111/ijcp.14979. Epub 2021 Oct 21.
Endoscopic retrograde cholangio pancreatography (ERCP) is a technique in which endoscope and radiological imaging are used in combination in the diagnosis and treatment of diseases related to the pancreaticobiliary system. Our aim in this study is to discuss all aspects of approach strategies to ERCP patients whose operation is mandatory during the pandemic period, to draw the future perspective and to summarize the measures that the surgical team should take in terms of their own health and public health.
During the pandemic period between 14 March and 31 December 2020, we accepted 270 patients to our ERCP unit. We made our analysis regarding the management of these cases under COVID-19 pandemic conditions. We presented our patients' form of application, application complaints, COVID- 19 contact stories, pre-procedure preparations, and our prevention methods to prevent COVID-19 transmission of the patient and healthcare team during the procedure, and post-procedure patient follow-up methods, and the management of our COVID-19-positive patients before the procedure.
ERCP was applied to 270 patients. The COVID-19 test of 13 patients was positive before the procedure and they were taken to our COVID-19 isolated service. There was no problem in the anesthesia of patients who had positive COVID-19 PCR test and subsequently underwent ERCP. There was no difference in the discharge time after the ERCP procedure.
COVID-19 pandemic has significantly affected the management and safety of ERCP units. ERCP procedures should be performed by determining the urgency of patients so that their treatment needs are not delayed. Postponing cases without planning can develop an increased workload in centers offering ERCP, and this situation can lead to further delays or negative consequences.
内镜逆行胰胆管造影术（ERCP）是一种将内窥镜和放射影像学结合起来用于诊断和治疗胰胆系统相关疾病的技术。我们在这项研究中的目的是讨论在大流行期间必须进行手术的 ERCP 患者的各种入路策略，展望未来，并总结手术团队在自身健康和公共卫生方面应采取的措施。
在 2020 年 3 月 14 日至 12 月 31 日的大流行期间，我们的 ERCP 病房收治了 270 名患者。我们对这些病例在 COVID-19 大流行期间的管理情况进行了分析。我们介绍了患者的就诊形式、就诊诉求、COVID-19 接触史、术前准备以及我们在手术过程中预防 COVID-19 传播给患者和医护人员的措施，以及术后患者随访方法，以及术前对 COVID-19 阳性患者的管理。
ERCP 应用于 270 名患者。13 名患者在术前 COVID-19 检测呈阳性，被送往我们的 COVID-19 隔离服务。在接受 ERCP 检查后，PCR 检测呈阳性的患者在麻醉方面没有问题。ERCP 术后的出院时间没有差异。
COVID-19 大流行对 ERCP 病房的管理和安全产生了重大影响。应根据患者的紧急程度确定是否进行 ERCP 检查，以确保他们的治疗需求不被延误。没有计划地推迟病例会导致提供 ERCP 的中心工作量增加，这种情况会导致进一步的延误或产生负面后果。
