The COVID-19 pandemic seemingly is peaking now in New York City and has triggered significant changes to the standard management of gastrointestinal diseases. Priorities such as minimizing viral transmission, preserving personal protective equipment, and freeing hospital beds have driven unconventional approaches to managing gastroenterology (GI) patients. Conversion of endoscopy units to COVID units and redeployment of GI fellows and faculty has profoundly changed the profile of most GI services. Meanwhile, consult and procedural volumes have been reduced drastically. In this review, we share our collective experiences regarding how we have changed our practice of medicine in response to the COVID surge. Although we review our management of specific consults and conditions, the overarching theme focuses primarily on noninvasive measures and maximizing medical therapies. Endoscopic procedures have been reserved for those timely interventions that are most likely to be therapeutic. The role of multidisciplinary discussion, although always important, now has become critical. The support of our faculty and trainees remains essential. Local leadership can encourage well-being by frequent team check-ins and by fostering trainee development through remote learning. Advancing a clear vision and a transparent process for how to organize and triage care in the recovery phase will allow for a smooth transition to our new normal.

纽约市的 COVID-19 大流行似乎已达到顶峰，并引发了胃肠道疾病标准管理的重大变化。尽量减少病毒传播、保留个人防护设备和腾出病床等优先事项推动了管理胃肠病 (GI) 患者的非常规方法。内窥镜检查单位向新冠病毒单位的转换以及胃肠道研究员和教员的重新部署深刻改变了大多数胃肠道服务的概况。与此同时，咨询和程序量已大幅减少。在这篇综述中，我们分享了我们如何改变医疗实践以应对新冠疫情激增的集体经验。尽管我们回顾了对特定咨询和病情的管理，但总体主题主要集中在非侵入性措施和最大化医疗治疗上。内窥镜手术被保留用于那些最有可能起到治疗作用的及时干预。多学科讨论的作用虽然始终很重要，但现在变得至关重要。我们的教师和学员的支持仍然至关重要。当地领导层可以通过频繁的团队签到和通过远程学习促进学员发展来鼓励员工福祉。在恢复阶段如何组织和分类护理方面推进清晰的愿景和透明的流程将使我们能够顺利过渡到新常态。