Hernández Héctor Adrián Díaz, Castillejos José Elihú Cuevas, Zazueta Godolfino Miranda, Munive Adriana Fabiola Romano, Andraca Francisco Valdovinos
National Institute of Medical Sciences and Nutrition Salvador Zubirán, Belisario Domínguez Sección XVI, Tlalpan, Ciudad de México, Mexico.
Prz Gastroenterol. 2023;18(2):198-203. doi: 10.5114/pg.2022.118136. Epub 2022 Jul 15.
The COVID-19 pandemic caused many changes in gastrointestinal endoscopy units.
To describe the changes that occurred in a gastrointestinal endoscopy unit of a hybrid hospital during the COVID-19 pandemic.
We performed a retrospective study of endoscopies performed in the first year of the COVID-19 pandemic. We collected and described the data of interest to the study, which is presented with numbers and percentages or measures of central tendency and dispersion as appropriate. Fisher's exact test or the χ test were used as appropriate.
A total of 507 procedures were performed. There was a 92.5% reduction in the performance of endoscopic procedures. In all, 77 (15%) procedures were performed on patients with COVID-19. The most frequent procedures were esophagogastroduodenoscopy (EGD), colonoscopy, and endoscopic retrograde cholangiopancreatography (ERCP). The main indications were gastrointestinal bleeding, placement of enteral accesses, and alterations in the biliary and pancreatic ducts. Of these, 37 (48%) were therapeutic. Patients with COVID-19 were more susceptible to the development of complications.
During the first year of the COVID-19 pandemic, the number of endoscopic procedures performed decreased significantly. The procedures most often required were EGD, colonoscopy, and ERCP, mainly indicated by gastrointestinal bleeding, placement of enteral accesses, and alterations of the bile and pancreatic ducts.
新型冠状病毒肺炎（COVID-19）大流行给胃肠内镜科室带来了诸多变化。
描述一家混合型医院的胃肠内镜科室在COVID-19大流行期间所发生的变化。
我们对COVID-19大流行第一年进行的内镜检查进行了回顾性研究。我们收集并描述了该研究感兴趣的数据，视情况以数字、百分比或集中趋势及离散度指标呈现。酌情使用Fisher精确检验或χ检验。
共进行了507例手术。内镜手术的执行量减少了92.5%。总共有77例（15%）手术是为COVID-19患者进行的。最常见的手术是食管胃十二指肠镜检查（EGD）、结肠镜检查和内镜逆行胰胆管造影（ERCP）。主要适应证为胃肠道出血、肠内通路置入以及胆管和胰管病变。其中37例（48%）为治疗性手术。COVID-19患者更容易发生并发症。
在COVID-19大流行的第一年，内镜手术的数量显著减少。最常需要的手术是EGD、结肠镜检查和ERCP，主要适应证为胃肠道出血、肠内通路置入以及胆管和胰管病变。
