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“Endoshield”: A Physical Protective Box for Pediatric Endoscopy during the COVID-19 Pandemic
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Busara Charoenwat, Suphasarang Sirirattanakul, Kangsadan Hangnak, Itsares Muikham
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Clin Endosc 2021;54(5):688-693. Published online April 1, 2021
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DOI: https://doi.org/10.5946/ce.2021.082
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 Abstract
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- Background
/Aims: The coronavirus disease (COVID)-19 pandemic presents challenges for gastrointestinal endoscopy. Although the virus is transmitted through contact and droplets, aerosol-generating procedures produce aerosols that can spread through airborne routes. Several gastrointestinal societies have released statements to protect patients and health care providers (HCPs). This study describes a barrier box that may be used as an adjunctive device in addition to personal protective equipment during endoscopies.
Methods
A transparent acrylic box called “Endoshield” was created to place over patient’s head and shoulders and was tested for its ease of use for the endoscopist and suitability for patient size and position.
Results
Twelve children (66.67%, male) with a median age of 9 years (range, 2–11 years) underwent emergency or urgent endoscopy between April and June 2020 during the COVID-19 outbreak. The most common presenting symptom was life-threatening gastrointestinal bleeding (8/12, 66.67%), while the rest had urgent symptoms (4/12, 33.33%). The “Endoshield” was suitable for all patient positions (left lateral position: 9/12, 75% and supine position: 3/12, 25%). The patients and HCPs were followed up for their symptoms on day 14, and none of them had any symptoms of concern.
Conclusions
The “Endoshield” is affordable, reusable, and suitable for both positions.
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Citations
Citations to this article as recorded by  - A Novel Aerosol-Exposure Protection Mask for Patients During Upper Endoscopy
Soo-Jeong Cho
Clinical Endoscopy.2022; 55(2): 208. CrossRef - Simple and innovative methods of minimizing risk of aerosol generation during endoscopy
Sumitro Kosasih, Adli Metussin, Norwani Basir, Vui Heng Chong
Clinical Endoscopy.2022; 55(3): 470. CrossRef - Management of aerosol generation during upper gastrointestinal endoscopy
Chawisa Nampoolsuksan, Vitoon Chinswangwatanakul, Asada Methasate, Jirawat Swangsri, Atthaphorn Trakarnsanga, Chainarong Phalanusitthepha, Thammawat Parakonthun, Voraboot Taweerutchana, Nicha Srisuworanan, Tharathorn Suwatthanarak, Thikhamporn Tawantanako
Clinical Endoscopy.2022; 55(5): 588. CrossRef - Biopsy channel of the endoscope as a potential source of infectious droplets during GI endoscopy
Mark F. Coughlan, Mandeep S. Sawhney, Douglas K. Pleskow, Umar Khan, Andy Silva-Santisteban, Awais Ahmed, Xuejun Zhang, Maria Glyavina, Liming Chen, Paul K. Upputuri, Yuri N. Zakharov, Lei Zhang, Le Qiu, Lev T. Perelman
Gastrointestinal Endoscopy.2022; 96(5): 764. CrossRef
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