Introduction The COVID-19 pandemic has profoundly affected UK endoscopy workload. The Joint Advisory Group on GI endoscopy and British Society of Gastroenterology issued guidelines on endoscopy service delivery changes and restoration. We surveyed UK endoscopy clinical leads to gain insights into service restoration. Methods A Google Forms-designed survey, assessing endoscopy provision, Covid minimisation and referral pathways was circulated to all UK endoscopy leads. The survey was open between 19 and 24 May 2020. Results 97 endoscopy leads completed the survey, with all UK nations and regions represented. Analysis showed 20% of endoscopy services were not providing endoscopy. Workload limitations were due to enforced interprocedural downtime (92%; with some services enforcing >1-hour downtime between procedures), social distancing (88%) and working in personal protective equipment (PPE) (87%). 91% of services reported a referral backlog (urgent median 2 months, routine median 6 months). 96% of services reported no current problems accessing PPE. Level 1/2 PPE use in colonoscopy was not uniform. 63% of services routinely swab patients for COVID-19 before endoscopy, 88% of services do not routinely swab asymptomatic staff. Comments addressed reducing endoscopy demand through vetting and changing referral criteria, the mostly commonly cited strategy being increased faecal immunochemical testing in symptomatic patients (70% of services). Conclusion This survey demonstrates the pandemic’s profound impact on UK endoscopy. Challenges include standardising Covid-minimisation strategies and recovering staffing levels. To improve endoscopy services, there is a need to refine referral pathways, improve vetting and clarify guidance on downtime and PPE within endoscopy. Non-identigiable data are available on reasonable request.

中文翻译：

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JAG/BSG 英国内窥镜检查服务全国调查：COVID-19 大流行的影响和内窥镜检查服务的早期恢复


简介 COVID-19 大流行深刻影响了英国内窥镜检查工作量。胃肠道内窥镜检查联合咨询小组和英国胃肠病学会发布了有关内窥镜检查服务提供变化和恢复的指南。我们调查了英国内窥镜临床线索，以深入了解服务恢复。方法 一项由 Google Forms 设计的调查，评估内窥镜检查的提供、新冠疫情最小化和转诊途径，并已分发给所有英国内窥镜检查负责人。该调查于 2020 年 5 月 19 日至 24 日期间开放。结果 97 名内窥镜检查领导完成了调查，涵盖英国所有国家和地区。分析显示，20% 的内窥镜检查服务不提供内窥镜检查。工作量限制是由于强制的程序间停机时间（92%；某些服务在程序之间强制执行>1小时的停机时间）、社交距离（88%）以及使用个人防护装备（PPE）工作（87%）。 91% 的服务报告有转诊积压（紧急中位 2 个月，常规中位 6 个月）。 96% 的服务机构表示当前在获取 PPE 方面没有问题。结肠镜检查中 1/2 级个人防护装备的使用并不统一。 63% 的服务机构在内窥镜检查前定期对患者进行 COVID-19 拭子检测，88% 的服务机构不定期对无症状工作人员进行拭子检测。评论讨论了通过审查和改变转诊标准来减少内窥镜检查需求，最常引用的策略是增加对有症状患​​者的粪便免疫化学检测（占服务的 70%）。结论 这项调查证明了这一流行病对英国内窥镜检查的深远影响。挑战包括标准化疫情最小化策略和恢复人员配置水平。为了改善内窥镜检查服务，需要完善转诊途径、改进审查并澄清有关内窥镜检查停机时间和个人防护装备的指导。 可根据合理要求提供不可识别的数据。