ABSTRACT Background In Italy, the spread of the COVID-19 pandemic has stressed the entire healthcare system and required a huge re-organization of many Divisions, including those of Gastroenterology. Aims to assess the impact of COVID-19 pandemic on Gastroenterology Divisions across Italy. Methods All members of the Italian Society of Gastroenterology (SIGE) were invited to answer a web-based survey. Results Data of 121 hospitals from all 20 Italian regions were analyzed. Overall, 10.7% Gastroenterology Divisions have been converted to Covid Units. Outpatients consultations, endoscopic and ultrasound procedures were limited to urgencies and oncology indications in 85.1%, 96.2% and 72.2% of Units, respectively, and 46.7% of them suspended the screening for colorectal cancer. Moreover, 72.2% of the staff received a training for use of personal protective equipment, although 45.5% did not have sufficient devices for adequate replacement. Overall, 132 healthcare workers in 41 Gastroenterology Divisions were found to be infected. Conclusion This is the first study to evaluate, at a country level, the impact of COVID-19 outbreak on Gastroenterology Divisions. Substantial changes of practice and reduction of procedures have been recorded in the entire country. The long-term impact of such modifications is difficult to estimate but potentially very risky for many digestive diseases.

中文翻译：

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“COVID-19 大流行对意大利胃肠病科的影响：一项全国性调查”

摘要背景在意大利，COVID-19 大流行的蔓延给整个医疗保健系统带来了压力，需要对包括胃肠病学在内的许多部门进行大规模重组。旨在评估 COVID-19 大流行对意大利各地消化科部门的影响。方法 邀请意大利胃肠病学会 (SIGE) 的所有成员回答一项基于网络的调查。结果 分析了来自意大利所有 20 个地区的 121 家医院的数据。总体而言，10.7% 的胃肠科部门已转换为 Covid 部门。85.1%、96.2%和72.2%的单位门诊、内镜和超声检查仅限于急诊和肿瘤适应症，46.7%的单位暂停结直肠癌筛查。此外，72。2% 的员工接受了使用个人防护设备的培训，但 45.5% 的员工没有足够的设备来充分更换。总体而言，发现 41 个消化科部门的 132 名医护人员被感染。结论 这是第一项在国家层面评估 COVID-19 爆发对胃肠科部门影响的研究。整个国家都记录了做法的重大变化和程序的减少。这种修改的长期影响很难估计，但对许多消化系统疾病来说可能非常危险。COVID-19 爆发对消化科部门的影响。整个国家都记录了做法的重大变化和程序的减少。这种修改的长期影响很难估计，但对许多消化系统疾病来说可能非常危险。COVID-19 爆发对消化科部门的影响。整个国家都记录了做法的重大变化和程序的减少。这种修改的长期影响很难估计，但对许多消化系统疾病来说可能非常危险。