Clinical Endoscopy

Andrea Anderloni

2 Articles

Impact of the COVID-19 Outbreak on Anesthesiologist Assistance for Endoscopic Procedures: Calcedonio Calcara, Camilla Ciscato, Arnaldo Amato, Emanuele Sinagra, Costanza Alvisi, Sandro Ardizzone, Andrea Anderloni, Pietro Gambitta, on behalf of the FISMAD Lombardy COVID-19 Impact on Anesthesiologist-Assisted Endoscopy Study Group; Clin Endosc 2022;55(1):49-57. Published online January 27, 2022; DOI: https://doi.org/10.5946/ce.2021.191

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Background
/Aims: The coronavirus disease 2019 (COVID-19) outbreak has modified the activities of endoscopy units worldwide. Herein, we investigated the impact of the COVID-19 outbreak on anesthesiologist assistance for endoscopic procedures in Lombardy, Italy.
Methods
A questionnaire concerning anesthesiologist assistance provided from October 26 to December 6, 2020, in comparison with the same period in 2019, was sent to endoscopic units in Lombardy.
Results
Approximately 54% (34/63) of the units responded. A reduction in the number of all endoscopies (-33.5%; 18792 in 2020 vs. 28264 in 2019) and anesthesiologist-assisted endoscopies (-15.3%; 2652 in 2020 vs. 3132 in 2019) was reported. A greater reduction in anesthesiologist assistance was observed in government community units (-29.5%) than in academic (-14%) and private community units (-4.6%). Among all units, 85% reported a reduction in anesthesiologist assistance; 65% observed a delay/cancellation of procedures; 59%, a restricted patient selection; 17%, the need to transfer some patients to other hospitals; and 32%, a related worsening of procedure quality.
Conclusion
The COVID-19 pandemic compromised the anesthesiologist assistance for endoscopic procedures in Lombardy, which worsened the procedure quality mainly in government community units. The COVID-19 “stress test” suggests a more balanced allocation of anesthesiologic resources in the future.

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COVID-19 and the Pancreas: A Narrative Review
Emanuele Sinagra, Endrit Shahini, Federica Crispino, Ina Macaione, Valentina Guarnotta, Marta Marasà, Sergio Testai, Socrate Pallio, Domenico Albano, Antonio Facciorusso, Marcello Maida
Life.2022; 12(9): 1292. CrossRef

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Micro-Biopsy Forceps in the Assessment of Peritoneal Carcinomatosis: A Possible New Indication?: Cecilia Binda, Emanuele Dabizzi, Emanuele Sinagra, Adele Fornelli, Luca Saragoni, Vincenzo Cennamo, Andrea Anderloni, Carlo Fabbri; Clin Endosc 2021;54(4):613-617. Published online March 25, 2021; DOI: https://doi.org/10.5946/ce.2020.241

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Peritoneal carcinomatosis (PC) is defined as a metastatic involvement of the peritoneum by several other primary sites and it is characterized by a marked worsening of prognosis, with limited treatment opportunities. Subsequently, PC should be ruled out before any invasive treatment is administered. A new through-the-needle micro-biopsy forceps (MF) was recently introduced that permits micro-histology cores. In this case series, we evaluated the feasibility of MF in the assessment of PC to complete patient diagnostic work-ups. Five consecutive patients referred for endoscopic ultrasound staging were sampled using MF. Sampling was feasible in all patients with a technical success of 100%. No adverse events were reported in any cases. This technique was feasible and safe with a technical success rate of 100%. It permitted sampling of peritoneal irregularity, obtained high-quality tissue fragments in all cases, and enabled an additional assessment, i.e., immunohistochemical staining.

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Current perspectives on the diversification of endoscopic ultrasound-guided fine-needle aspiration and biopsy
Shinpei Doi, Takako Adachi, Ayako Watanabe, Nobuhiro Katsukura, Takayuki Tsujikawa
Journal of Medical Ultrasonics.2024; 51(2): 235. CrossRef
Endoscopic ultrasound guided fine needle biopsy (EUS-FNB) from peritoneal lesions: a prospective cohort pilot study
Pradermchai Kongkam, Theerapat Orprayoon, Sirilak Yooprasert, Nakarin Sirisub, Naruemon Klaikaew, Anapat Sanpawat, Shahram Safa, Wiriyaporn Ridtitid, Pinit Kullavanijaya, Rungsun Rerknimitr
BMC Gastroenterology.2021;[Epub] CrossRef

3,530 View
70 Download
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