The Impact of COVID-19 Pandemic on IBD Endoscopic Procedures in a High-volume IBD Center

Overview

Journal Endosc Int Open

Specialty Gastroenterology

Date 2020 Jul 4

PMID 32617402

Citations 5

Authors

Loris Riccardo Lopetuso

Franco Scaldaferri

Gianluca Ianiro

Stefano Bibbo

Carlo Romano Settanni

Alfredo Papa

Alessandro Armuzzi

Antonio Gasbarrini

Giovanni Cammarota

Affiliations

Soon will be listed here.

Abstract

The COVID-19 pandemic is having a major clinical and also organizational impact on national health care systems, particularly in high-volume hospitals that are utilized for several essential clinical needs. We aimed to analyze the short-term impact of the SARS-CoV-2 pandemic on management of endoscopic procedures in patients with inflammatory bowel disease (IBD). This was an observational prospective study exploring major clinical and organizational changes in endoscopic management at the IBD Center - CEMAD of the Fondazione Policlinico Gemelli IRCCS, Rome, Italy since the beginning of SARS-CoV-2 pandemic. Our IBD Unit, with up to 1,500 IBD patients receiving biotechnological or experimental therapy, represents a high-volume Italian and European IBD center. Since the beginning of the outbreak, our hospital has been extremely impacted by care related to COVID-19 cases, with a consequent need to dramatically reorganize management of endoscopic procedures for IBD. Outbreak restrictions have significantly impacted the volume of endoscopic activities for IBD. Specific strategies have been designed to guarantee a high level of safety for both patients with IBD and healthcare personnel dedicated to their treatment.

Citing Articles

IBD Patients' Perception of Severe Acute Respiratory Syndrome Coronavirus 2 Pandemic and Satisfaction with Provided Healthcare: A Cross-Sectional Study.

Hrabar D, Cacic P, Biscanin A, Tomasic V, Kralj D, Ogresta D Turk J Gastroenterol. 2022; 33(3):190-195.

PMID: 35115285 PMC: 9128584. DOI: 10.5152/tjg.2022.21050.

How Does COVID-19 Pandemic Impact on Incidence of Infection and Exacerbation of Its Gastrointestinal Symptoms?.

Azimirad M, Noori M, Raeisi H, Yadegar A, Shahrokh S, Aghdaei H Front Med (Lausanne). 2021; 8:775063.

PMID: 34966759 PMC: 8710593. DOI: 10.3389/fmed.2021.775063.

How to Face the Advent of SARS-CoV-2 Vaccination in IBD Patients: Another Task for Gastroenterologists.

Papa A, Scaldaferri F, Vetrone L, Neri M, Gasbarrini A, Lopetuso L Vaccines (Basel). 2021; 9(3).

PMID: 33808983 PMC: 7999188. DOI: 10.3390/vaccines9030248.

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

Papa A, Papa V, Lopetuso L, Gasbarrini A, Tursi A Therap Adv Gastroenterol. 2020; 13:1756284820968747.

PMID: 33149764 PMC: 7586260. DOI: 10.1177/1756284820968747.

Inflammatory Bowel Disease Patients With Coronavirus Disease 2019: The Picture Is Taking Shape.

Papa A, Lopetuso L, Tursi A Clin Gastroenterol Hepatol. 2020; 19(1):205-206.

PMID: 32822835 PMC: 7434311. DOI: 10.1016/j.cgh.2020.08.033.

References

Zhu N, Zhang D, Wang W, Li X, Yang B, Song J . A Novel Coronavirus from Patients with Pneumonia in China, 2019. N Engl J Med. 2020; 382(8):727-733. PMC: 7092803. DOI: 10.1056/NEJMoa2001017. View

Fiorino G, Lytras T, Younge L, Fidalgo C, Coenen S, Chaparro M . Quality of Care Standards in Inflammatory Bowel Diseases: a European Crohn's and Colitis Organisation [ECCO] Position Paper. J Crohns Colitis. 2020; 14(8):1037-1048. DOI: 10.1093/ecco-jcc/jjaa023. View

Rahier J, Papay P, Salleron J, Sebastian S, Ellul P, Teich N . Influenza A (H1N1)v infection in patients with inflammatory bowel disease: a case series. Aliment Pharmacol Ther. 2011; 33(4):499-500. DOI: 10.1111/j.1365-2036.2010.04558.x. View

Fiorino G, Allocca M, Furfaro F, Gilardi D, Zilli A, Radice S . Inflammatory Bowel Disease Care in the COVID-19 Pandemic Era: The Humanitas, Milan, Experience. J Crohns Colitis. 2020; 14(9):1330-1333. PMC: 7184487. DOI: 10.1093/ecco-jcc/jjaa058. View

Gu J, Han B, Wang J . COVID-19: Gastrointestinal Manifestations and Potential Fecal-Oral Transmission. Gastroenterology. 2020; 158(6):1518-1519. PMC: 7130192. DOI: 10.1053/j.gastro.2020.02.054. View

Dulai P, Singh S, Ohno-Machado L, Sandborn W . Population Health Management for Inflammatory Bowel Disease. Gastroenterology. 2017; 154(1):37-45. DOI: 10.1053/j.gastro.2017.09.052. View

Xiao F, Tang M, Zheng X, Liu Y, Li X, Shan H . Evidence for Gastrointestinal Infection of SARS-CoV-2. Gastroenterology. 2020; 158(6):1831-1833.e3. PMC: 7130181. DOI: 10.1053/j.gastro.2020.02.055. View

Wang C, Horby P, Hayden F, Gao G . A novel coronavirus outbreak of global health concern. Lancet. 2020; 395(10223):470-473. PMC: 7135038. DOI: 10.1016/S0140-6736(20)30185-9. View

Mao R, Liang J, Shen J, Ghosh S, Zhu L, Yang H . Implications of COVID-19 for patients with pre-existing digestive diseases. Lancet Gastroenterol Hepatol. 2020; 5(5):425-427. PMC: 7103943. DOI: 10.1016/S2468-1253(20)30076-5. View

10.

Wolfel R, Corman V, Guggemos W, Seilmaier M, Zange S, Muller M . Virological assessment of hospitalized patients with COVID-2019. Nature. 2020; 581(7809):465-469. DOI: 10.1038/s41586-020-2196-x. View

11.

Bamias G, Corridoni D, Pizarro T, Cominelli F . New insights into the dichotomous role of innate cytokines in gut homeostasis and inflammation. Cytokine. 2012; 59(3):451-9. PMC: 3652608. DOI: 10.1016/j.cyto.2012.06.014. View

12.

Verity R, Okell L, Dorigatti I, Winskill P, Whittaker C, Imai N . Estimates of the severity of coronavirus disease 2019: a model-based analysis. Lancet Infect Dis. 2020; 20(6):669-677. PMC: 7158570. DOI: 10.1016/S1473-3099(20)30243-7. View

13.

Tang J, Li Y, Eames I, Chan P, Ridgway G . Factors involved in the aerosol transmission of infection and control of ventilation in healthcare premises. J Hosp Infect. 2006; 64(2):100-14. PMC: 7114857. DOI: 10.1016/j.jhin.2006.05.022. View

14.

Weiss S, Leibowitz J . Coronavirus pathogenesis. Adv Virus Res. 2011; 81:85-164. PMC: 7149603. DOI: 10.1016/B978-0-12-385885-6.00009-2. View

15.

Repici A, Maselli R, Colombo M, Gabbiadini R, Spadaccini M, Anderloni A . Coronavirus (COVID-19) outbreak: what the department of endoscopy should know. Gastrointest Endosc. 2020; 92(1):192-197. PMC: 7102667. DOI: 10.1016/j.gie.2020.03.019. View

16.

Wong T, Lee C, Tam W, Lau J, Yu T, Lui S . Cluster of SARS among medical students exposed to single patient, Hong Kong. Emerg Infect Dis. 2004; 10(2):269-76. PMC: 3322939. DOI: 10.3201/eid1002.030452. View