Theodorou-Kanakari Anna, Gkolfakis Paraskevas, Tziatzios Georgios, Lazaridis Lazaros Dimitrios, Triantafyllou Konstantinos
Hepatogastroenterology Unit, Second Department of Internal Medicine - Propaedeutic, Research Institute and Diabetes Center, Medical School, National and Kapodistrian University of Athens, "Attikon" University General Hospital, Athens, Greece (Anna Theodorou-Kanakari, Georgios Tziatzios, Lazaros Dimitrios Lazaridis, Konstantinos Triantafyllou).
Department of Gastroenterology, Hepatopancreatology, and Digestive Oncology, CUB Erasme Hospital, Université Libre de Bruxelles (ULB), Brussels, Belgium (Paraskevas Gkolfakis).
Ann Gastroenterol. 2022 Mar-Apr;35(2):103-112. doi: 10.20524/aog.2022.0686. Epub 2022 Feb 10.
COVID-19 pandemic has resulted in unprecedented disruptions to several aspects of gastroenterology healthcare services worldwide. In particular, patients with inflammatory bowel disease (IBD) represent a sensitive population that must retain access to healthcare services to avoid potential disease exacerbation under the continuous threat of viral infection. Emerging evidence also highlights the severe impact on these patients' mental well-being, leading to a constant cycle of stress/depression and disease activity relapse. In an effort to circumvent these healthcare challenges in a newly-shaped environment, physicians implemented telemedicine consultative care programs as a novel alternative follow-up method highly favored by the patients. The situation is still far from perfect, since a large proportion of patients are lost to follow up and/or lose adherence to their medication, especially when the exact timeframe or optimal strategy for the post-COVID era remains to be defined. Cancelation of elective endoscopic procedures has led to a significant decline of new IBD diagnoses. This review summarizes the data on the global impact of COVID-19 on IBD patients' healthcare and their psychosocial status.
新冠疫情给全球胃肠病学医疗服务的多个方面带来了前所未有的干扰。特别是,炎症性肠病(IBD)患者是一个敏感群体,在病毒感染的持续威胁下,他们必须能够获得医疗服务,以避免疾病可能的加重。新出现的证据还凸显了对这些患者心理健康的严重影响,导致压力/抑郁和疾病活动复发的恶性循环。为了在新形成的环境中规避这些医疗挑战,医生实施了远程医疗咨询护理项目,作为一种深受患者青睐的新型替代随访方法。情况仍远非完美,因为很大一部分患者失访和/或不再坚持用药,尤其是在新冠后时代的确切时间框架或最佳策略仍有待确定的情况下。择期内镜手术的取消导致IBD新诊断病例大幅下降。本综述总结了关于新冠疫情对IBD患者医疗保健及其心理社会状况的全球影响的数据。