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 对英国内窥镜服务的全国调查：COVID-19 大流行的影响和内窥镜服务的早期恢复

简介 COVID-19 大流行已深刻影响了英国内窥镜检查的工作量。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关于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检查的临床线索，以深入了解服务恢复。方法 一项由 Google 表格设计的调查、评估内窥镜检查提供、Covid 最小化和转诊途径已分发给所有英国内窥镜检查导联。该调查于 2020 年 5 月 19 日至 24 日开放。结果 97 名内窥镜检查导联完成了调查，所有英国国家和地区都有代表。分析显示，20% 的内窥镜检查服务机构不提供内窥镜检查。工作负载限制是由于强制执行的程序间停机时间（92%；一些服务强制执行程序之间的停机时间超过 1 小时），保持社交距离 (88%) 和使用个人防护设备 (PPE) (87%)。91% 的服务报告了转诊积压（紧急中位数为 2 个月，常规中位数为 6 个月）。96% 的服务报告当前访问 PPE 没有问题。结肠镜检查中 1/2 级 PPE 的使用并不统一。63% 的服务机构在进行内窥镜检查之前会定期对患者进行 COVID-19 检测，88% 的服务机构不会对无症状的工作人员进行常规检测。评论通过审查和改变转诊标准来减少内窥镜检查需求，最常被引用的策略是增加有症状患者的粪便免疫化学检测（70% 的服务）。结论 这项调查表明大流行对英国内窥镜检查的深远影响。挑战包括标准化 Covid 最小化策略和恢复人员配备水平。为改善内镜服务，有必要完善转诊途径，改进审查并澄清内窥镜检查中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。