Clinical Endoscopy

Original Articles

“Endoshield”: A Physical Protective Box for Pediatric Endoscopy during the COVID-19 Pandemic: Busara Charoenwat, Suphasarang Sirirattanakul, Kangsadan Hangnak, Itsares Muikham; Clin Endosc 2021;54(5):688-693. Published online April 1, 2021; DOI: https://doi.org/10.5946/ce.2021.082

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.

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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Changes in Policy and Endoscopic Procedures during the 2019 Coronavirus Disease Outbreak: A Single Center Experience: Adi Lahat, Avidan Benjamin; Clin Endosc 2021;54(1):48-54. Published online November 6, 2020; DOI: https://doi.org/10.5946/ce.2020.132

Abstract PDF PubReader ePub

Background
/Aims: The coronavirus disease-19 (COVID-19) pandemic forced endoscopy units to enact major changes on daily practice and policy. The Chaim Sheba Medical Center is a tertiary referral center located in the center of Israel, and serves cities with high infection rates. Our aim was to review the policies enacted during this outbreak and study their influence on the performance of endoscopic procedures.
Methods
Following the revision of work protocols, personnel were divided into two permanent and physically separate working groups and screening procedures were rescheduled. Relevant data including the number of endoscopic examinations, type of procedure performed, and patient referrals and indications were taken from a computerized database and evaluated. The study included data for January–March 2018–2020, and a comparison among the data from each year was performed.
Results
As of March 2020, the total number of endoscopic examinations performed reduced by 44% (p<0.0001) as compared to previous years, gastroscopy examinations reduced by 39% (p=0.02), and lower endoscopy procedures reduced by 57% (p<0.0001). Meanwhile, the number of advanced endoscopic procedures performed remained consistent with previous years. The indications for performance of gastroscopy and lower endoscopy were different in March 2020, while these remained unchanged for advanced endoscopic procedures.
Conclusions
The current policy appears to serve both our initial goals: protecting personnel and patients’ safety and minimizing potential damage from delayed endoscopic procedures. A longer term follow-up study is needed in order to fully analyze our results.

Citations

Citations to this article as recorded by

Association of COVID-19 Pandemic with Colorectal Cancer Screening: Impact of Race/Ethnicity and Social Vulnerability
Muhammad Muntazir Mehdi Khan, Muhammad Musaab Munir, Selamawit Woldesenbet, Yutaka Endo, Mujtaba Khalil, Diamantis Tsilimigras, Alan Harzman, Emily Huang, Matthew Kalady, Timothy M. Pawlik
Annals of Surgical Oncology.2024; 31(5): 3222. CrossRef
Setting up a three‐stage pre‐endoscopy triage during the coronavirus disease 2019 pandemic: A multicenter observational study
Tao‐Chieh Liu, Chen‐Ling Peng, Fang‐Yu Hsu, Li‐Chun Chang, Hsiu‐Po Wang, Wei‐Kuo Chang
DEN Open.2023;[Epub] CrossRef
Impact of the COVID-19 Pandemic on Colorectal Cancer Screening: a Systematic Review
Afrooz Mazidimoradi, Azita Tiznobaik, Hamid Salehiniya
Journal of Gastrointestinal Cancer.2022; 53(3): 730. CrossRef
The impact of the COVID-19 pandemic on colorectal and gastric cancer diagnosis, disease stage and mortality
Naim Abu-Freha, Reut Hizkiya, Muhammad Abu-Abed, Tal Michael, Binil Mathew Jacob, Keren Rouvinov, Doron Schwartz, Avraham Reshef, Uri Netz, Ilia Pinsk, Ohad Etzion
Frontiers in Medicine.2022;[Epub] CrossRef
The Dramatic Change in Endoscopic Activities Following the Coronavirus Disease 2019 Outbreak. Is It Evolution?
Kook Hyun Kim
Clinical Endoscopy.2021; 54(3): 445. CrossRef
Protecting Your Endoscopy Unit during the COVID-19 Pandemic
Hyeong Ho Jo, Eun Young Kim
The Korean Journal of Helicobacter and Upper Gastrointestinal Research.2021; 21(3): 239. CrossRef
Capsule Endoscopy in Crohn’s Disease—From a Relative Contraindication to Habitual Monitoring Tool
Adi Lahat, Ido Veisman
Diagnostics.2021; 11(10): 1737. CrossRef

5,660 View
131 Download
6 Web of Science
7 Crossref

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