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2019年冠状病毒病大流行期间胃肠内镜检查的适应证

Indications for Gastrointestinal Endoscopy during the COVID-19 Pandemic.

作者信息

Gunjan Deepak, Garg Pramod

机构信息

Department of Gastroenterology and Human Nutrition Unit, All India Institute of Medical Sciences, New Delhi, India.

出版信息

J Dig Endosc. 2020 Mar;11(1):33-38. doi: 10.1055/s-0040-1712269.


DOI:10.1055/s-0040-1712269
PMID:40477079
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC7364646/
Abstract

The global pandemic due to COVID-19 presents an unprecedented challenge to mankind including healthcare providers. Many COVID-19 infected patients may present with gastrointestinal symptoms. Endoscopic services may be required in complicated COVID-19 infected or suspected patients. In addition, resource allocation would demand judicious use of endoscopy services. There is a definite risk of transmission of COVID-19 during endoscopy to healthcare professionals. We recommend that only emergency and life-saving endoscopic procedures should be performed during COVID-19 pandemic, and semi-elective procedures should be performed after careful consideration. All routine endoscopy procedures should be deferred till normal hospital services resume. For emergency endoscopy procedures, prescreening of patients is critical to avoid nosocomial transmission. To prevent cross-infection among healthcare professionals, strict infection control measures should be practiced in endoscopy suite while providing essential endoscopic services to the patients.

摘要

由新型冠状病毒肺炎(COVID-19)引发的全球大流行给包括医疗服务提供者在内的人类带来了前所未有的挑战。许多感染新型冠状病毒肺炎的患者可能会出现胃肠道症状。对于病情复杂的新型冠状病毒肺炎感染患者或疑似患者,可能需要进行内镜检查。此外,资源分配需要合理使用内镜检查服务。在内镜检查过程中,新型冠状病毒肺炎存在明确的传播给医护人员的风险。我们建议,在新型冠状病毒肺炎大流行期间,仅应进行紧急和挽救生命的内镜手术,半择期手术应在仔细考虑后进行。所有常规内镜检查程序应推迟至医院服务恢复正常。对于紧急内镜检查程序,对患者进行预筛查对于避免医院内传播至关重要。为防止医护人员之间的交叉感染,在内镜检查室为患者提供必要的内镜服务时,应实施严格的感染控制措施。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b36a/7364646/3ab1da72425e/10-1055-s-0040-1712269_4_10_01.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b36a/7364646/3ab1da72425e/10-1055-s-0040-1712269_4_10_01.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b36a/7364646/3ab1da72425e/10-1055-s-0040-1712269_4_10_01.jpg

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Indications for Gastrointestinal Endoscopy during the COVID-19 Pandemic.

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本文引用的文献

[1]
Anal swab findings in an infant with COVID-19.

Pediatr Investig. 2020-3

[2]
Management of upper GI bleeding in patients with COVID-19 pneumonia.

Gastrointest Endosc. 2020-8

[3]
Airborne transmission of SARS-CoV-2: The world should face the reality.

Environ Int. 2020-4-10

[4]
Gastrointestinal Symptoms and Coronavirus Disease 2019: A Case-Control Study From the United States.

Gastroenterology. 2020-7

[5]
Death from Covid-19 of 23 Health Care Workers in China.

N Engl J Med. 2020-6-4

[6]
Characteristics of pediatric SARS-CoV-2 infection and potential evidence for persistent fecal viral shedding.

Nat Med. 2020-3-13

[7]
Gastrointestinal Manifestations of SARS-CoV-2 Infection and Virus Load in Fecal Samples From a Hong Kong Cohort: Systematic Review and Meta-analysis.

Gastroenterology. 2020-7

[8]
Pancreatic Injury Patterns in Patients With Coronavirus Disease 19 Pneumonia.

Gastroenterology. 2020-7

[9]
Timing of Endoscopy for Acute Upper Gastrointestinal Bleeding.

N Engl J Med. 2020-4-2

[10]
Practice of endoscopy during COVID-19 pandemic: position statements of the Asian Pacific Society for Digestive Endoscopy (APSDE-COVID statements).

Gut. 2020-4-2

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