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Endoscopy in inflammatory bowel diseases during the COVID-19 pandemic and post-pandemic period.
The Lancet Gastroenterology & Hepatology ( IF 35.7 ) Pub Date : 2020-04-16 , DOI: 10.1016/s2468-1253(20)30119-9
Marietta Iacucci 1 , Rosanna Cannatelli 2 , Nunzia Labarile 3 , Ren Mao 4 , Remo Panaccione 5 , Silvio Danese 6 , Gursimran S Kochhar 7 , Subrata Ghosh 1 , Bo Shen 8
Affiliation  

The coronavirus disease 2019 (COVID-19) pandemic is changing the management of many chronic diseases, including that of patients with inflammatory bowel diseases (IBD). In particular, the performance of routine endoscopy is temporarily suspended, and only emergency endoscopy is allowed in many countries where severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) has spread. We highlight different scenarios in which endoscopy should still be performed urgently in patients with IBD, as well as recommendations regarding the use of personal protective equipment. We suggest a pathway for performing safe endoscopy and discuss the potential risks of postponing endoscopy in IBD. Finally, we propose a post-pandemic plan for access to endoscopy.

中文翻译:

大流行和大流行后时期在炎症性肠病中的内窥镜检查。

2019年冠状病毒病(COVID-19)大流行正在改变许多慢性疾病的管理方式,包括炎症性肠病(IBD)患者的管理方式。尤其是,在许多严重急性呼吸系统综合症冠状病毒2(SARS-CoV-2)扩散的国家/地区中,常规内窥镜检查暂时处于暂停状态,仅允许紧急内窥镜检查。我们重点介绍了在IBD患者中仍应紧急进行内镜检查的不同情况,以及有关使用个人防护设备的建议。我们建议进行安全内窥镜检查的途径,并讨论推迟IBD内窥镜检查的潜在风险。最后,我们提出了大流行后的内镜检查计划。
更新日期:2020-04-16
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