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  1. Article ; Online: COVID-19 and its effects on the digestive system and endoscopy practice.

    Aguila, Enrik John T / Cua, Ian Homer Y / Dumagpi, Joseph Erwin L / Francisco, Carlos Paolo D / Raymundo, Nikko Theodore V / Sy-Janairo, Marianne Linley L / Cabral-Prodigalidad, Patricia Anne I / Lontok, Marie Antoinette Dc

    JGH open : an open access journal of gastroenterology and hepatology

    2020  Volume 4, Issue 3, Page(s) 324–331

    Abstract: ... highlights the best evidence and practices regarding the effects of the SARS-CoV-2 virus relevant to GI ... practice. Published clinical studies have supported that SARS-CoV-2 affects the GI tract and the liver ... The Coronavirus Disease 2019 (COVID-19) is a respiratory illness caused ...

    Abstract The Coronavirus Disease 2019 (COVID-19) is a respiratory illness caused by the severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) and has been classified as a pandemic by the World Health Organization in March 2020. Several studies have demonstrated that the gastrointestinal (GI) tract is also a potential route. As the pandemic is continuously evolving, and more data are made available, this article highlights the best evidence and practices regarding the effects of the SARS-CoV-2 virus relevant to GI practice. Published clinical studies have supported that SARS-CoV-2 affects the GI tract and the liver. The largest published dataset comprised of 4243 patients and showed a pooled prevalence of GI symptoms at 17.6%. GI symptoms varied and usually preceded pulmonary symptoms by 1-2 days. These include anorexia (26.8%), nausea and vomiting (10.2%), diarrhea (12.5%), and abdominal pain (9.2%). Incidence of liver injury ranges from 15 to 53%. Evidence shows that the severity of COVID-19 infection is compounded by its effects on nutrition, most especially for the critically ill. As such, nutrition societies have recommended optimization of oral diets and oral nutritional supplements followed by early enteral nutrition if nutritional targets are not met, and parenteral nutrition in the distal end of the spectrum. In addition to possible fecal-oral transmission, GI endoscopy procedures, which are considered to be aerosol-generating procedures, contribute to increased risk to GI health-care professionals. Infection prevention measures and guidelines are essential in protecting both patients and personnel.
    Keywords covid19
    Language English
    Publishing date 2020-05-17
    Publishing country Australia
    Document type Journal Article ; Review
    ISSN 2397-9070
    ISSN (online) 2397-9070
    DOI 10.1002/jgh3.12358
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  2. Article ; Online: COVID19 and its effects on the digestive system and endoscopy practice

    Aguila, Enrik John T. / Cua, Ian Homer Y. / Dumagpi, Joseph Erwin L. / Francisco, Carlos Paolo D. / Raymundo, Nikko Theodore V. / Sy‐Janairo, Marianne Linley L. / Cabral‐Prodigalidad, Patricia Anne I. / Lontok, Marie Antoinette DC.

    JGH Open

    2020  Volume 4, Issue 3, Page(s) 324–331

    Keywords covid19
    Language English
    Publisher Wiley
    Publishing country us
    Document type Article ; Online
    ISSN 2397-9070
    DOI 10.1002/jgh3.12358
    Database BASE - Bielefeld Academic Search Engine (life sciences selection)

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  3. Article ; Online: COVID19 and its effects on the digestive system and endoscopy practice

    Enrik John T. Aguila / Ian Homer Y. Cua / Joseph Erwin L. Dumagpi / Carlos Paolo D. Francisco / Nikko Theodore V. Raymundo / Marianne Linley L. Sy‐Janairo / Patricia Anne I. Cabral‐Prodigalidad / Marie Antoinette DC. Lontok

    JGH Open , Vol 4, Iss 3, Pp 324-

    2020  Volume 331

    Abstract: ... highlights the best evidence and practices regarding the effects of the SARS‐CoV‐2 virus relevant to GI ... practice. Published clinical studies have supported that SARS‐CoV‐2 affects the GI tract and the liver ... Abstract The Coronavirus Disease 2019 (COVID19) is a respiratory illness caused ...

    Abstract Abstract The Coronavirus Disease 2019 (COVID19) is a respiratory illness caused by the severe acute respiratory syndrome coronavirus 2 (SARS‐CoV‐2) and has been classified as a pandemic by the World Health Organization in March 2020. Several studies have demonstrated that the gastrointestinal (GI) tract is also a potential route. As the pandemic is continuously evolving, and more data are made available, this article highlights the best evidence and practices regarding the effects of the SARS‐CoV‐2 virus relevant to GI practice. Published clinical studies have supported that SARS‐CoV‐2 affects the GI tract and the liver. The largest published dataset comprised of 4243 patients and showed a pooled prevalence of GI symptoms at 17.6%. GI symptoms varied and usually preceded pulmonary symptoms by 1–2 days. These include anorexia (26.8%), nausea and vomiting (10.2%), diarrhea (12.5%), and abdominal pain (9.2%). Incidence of liver injury ranges from 15 to 53%. Evidence shows that the severity of COVID19 infection is compounded by its effects on nutrition, most especially for the critically ill. As such, nutrition societies have recommended optimization of oral diets and oral nutritional supplements followed by early enteral nutrition if nutritional targets are not met, and parenteral nutrition in the distal end of the spectrum. In addition to possible fecal–oral transmission, GI endoscopy procedures, which are considered to be aerosol‐generating procedures, contribute to increased risk to GI health‐care professionals. Infection prevention measures and guidelines are essential in protecting both patients and personnel.
    Keywords COVID‐19 ; endoscopy ; gastroenterology ; liver ; nutrition ; Diseases of the digestive system. Gastroenterology ; RC799-869 ; covid19
    Subject code 610
    Language English
    Publishing date 2020-06-01T00:00:00Z
    Publisher Wiley
    Document type Article ; Online
    Database BASE - Bielefeld Academic Search Engine (life sciences selection)

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  4. Article: COVID-19 and its effects on the digestive system and endoscopy practice

    Aguila, Enrik John T. / Cua, Ian Homer Y. / Dumagpi, Joseph Erwin L. / Francisco, Carlos Paolo D. / Raymundo, Nikko Theodore V. / Sy-Janairo, Marianne Linley L. / Cabral-Prodigalidad, Patricia Anne I. / Lontok, Marie Antoinette DC.

    JGH Open

    Abstract: ... highlights the best evidence and practices regarding the effects of the SARS-CoV-2 virus relevant to GI ... practice. Published clinical studies have supported that SARS-CoV-2 affects the GI tract and the liver ... The Coronavirus Disease 2019 (COVID-19) is a respiratory illness caused ...

    Abstract The Coronavirus Disease 2019 (COVID-19) is a respiratory illness caused by the severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) and has been classified as a pandemic by the World Health Organization in March 2020. Several studies have demonstrated that the gastrointestinal (GI) tract is also a potential route. As the pandemic is continuously evolving, and more data are made available, this article highlights the best evidence and practices regarding the effects of the SARS-CoV-2 virus relevant to GI practice. Published clinical studies have supported that SARS-CoV-2 affects the GI tract and the liver. The largest published dataset comprised of 4243 patients and showed a pooled prevalence of GI symptoms at 17.6%. GI symptoms varied and usually preceded pulmonary symptoms by 1–2 days. These include anorexia (26.8%), nausea and vomiting (10.2%), diarrhea (12.5%), and abdominal pain (9.2%). Incidence of liver injury ranges from 15 to 53%. Evidence shows that the severity of COVID-19 infection is compounded by its effects on nutrition, most especially for the critically ill. As such, nutrition societies have recommended optimization of oral diets and oral nutritional supplements followed by early enteral nutrition if nutritional targets are not met, and parenteral nutrition in the distal end of the spectrum. In addition to possible fecal–oral transmission, GI endoscopy procedures, which are considered to be aerosol-generating procedures, contribute to increased risk to GI health-care professionals. Infection prevention measures and guidelines are essential in protecting both patients and personnel.
    Keywords covid19
    Publisher WHO
    Document type Article
    Note WHO #Covidence: #593208
    Database COVID19

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  5. Article ; Online: Impact of the COVID-19 pandemic on gastrointestinal endoscopy in Africa

    Alanna Ebigbo / John Gásdal Karstensen / Purnima Bhat / Uchenna Ijoma / Chukwuemeka Osuagwu / Hailemichael Desalegn / Ganiyat K. Oyeleke / Rezene B. Gebru / Claire Guy / Giulio Antonelli / Peter Vilmann / Lars Aabakken / Cesare Hassan

    Endoscopy International Open, Vol 08, Iss 08, Pp E1097-E

    2020  Volume 1101

    Abstract: ... to determine the impact and effects the COVID-19 pandemic has had on endoscopists in African countries. Results ... Background and study aims As with all other fields of medical practice, gastrointestinal endoscopy ... has been impacted by the COVID-19 pandemic. However, data on the impact of the pandemic in Africa ...

    Abstract Background and study aims As with all other fields of medical practice, gastrointestinal endoscopy has been impacted by the COVID-19 pandemic. However, data on the impact of the pandemic in Africa, especially sub-Saharan Africa are lacking. Methods A web-based survey was conducted by the International Working Group of the European Society for Gastrointestinal Endoscopy and the World Endoscopy Organization to determine the impact and effects the COVID-19 pandemic has had on endoscopists in African countries. Results Thirty-one gastroenterologists from 14 countries in north, central, and sub-Saharan Africa responded to the survey. The majority of respondents reduced their endoscopy volume considerably. Personal protective equipment including FFP-2 masks were available in almost all participating centers. Pre-endoscopy screening was performed as well. Conclusion The COVID-19 pandemic has had a substantial impact on gastrointestinal endoscopy in most African countries; however, the impact may not have been as devastating as expected.
    Keywords Diseases of the digestive system. Gastroenterology ; RC799-869 ; covid19
    Subject code 306
    Language English
    Publishing date 2020-08-01T00:00:00Z
    Publisher Georg Thieme Verlag KG
    Document type Article ; Online
    Database BASE - Bielefeld Academic Search Engine (life sciences selection)

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  6. Article ; Online: Gastroenterologists attitude in various clinical settings in the era of COVID-19 pandemic: An online Uni-National Israeli Survey.

    Sbeit, Wisam / Mari, Amir / Khoury, Tawfik

    Medicine

    2021  Volume 100, Issue 30, Page(s) e26781

    Abstract: Abstract: Coronavirus disease 2019 (COVID-19) pandemic has impacted our clinical practice ... For all questionnaire components, the 2 most common chosen options were "I perform endoscopy with N95 mask, gloves and ... coronavirus-2 (SARS-CoV-2) testing" and "Tend to postpone endoscopy until SARS-CoV-2 test is performed ...

    Abstract Abstract: Coronavirus disease 2019 (COVID-19) pandemic has impacted our clinical practice. Many gastroenterologists have changed their attitudes toward various gastroenterological clinical settings. The aim of the present study is to explore the gastroenterologist's attitudes in several clinical settings encountered in the clinical practice.An online based survey was completed by 101 of 250 Israeli gastroenterologists (40.5%).Most of the participants were males (76.2%), and most of them were in the age range of 40 to 50 (37.6%). For all questionnaire components, the 2 most common chosen options were "I perform endoscopy with N95 mask, gloves and gown protection in a standard endoscopy room without preendoscopy severe acute respiratory syndrome coronavirus-2 (SARS-CoV-2) testing" and "Tend to postpone endoscopy until SARS-CoV-2 test is performed because of fear from being infected, or virus spreading in the endoscopy suite." Notably, 12 (11.9%) gastroenterologists were infected by Coronavirus disease 2019 during their work. Classifying the clinical settings to either elective and non-elective, most gastroenterologists (77.4%) chose the attitude of "I perform endoscopy with N95 mask, gloves and gown protection in a standard endoscopy room without SARS-COV-2 testing" in the nonelective settings as compared to 54.2% for the elective settings, (P < .00001), whereas 32.9% of the responders chose the attitude of "Tend to postpone endoscopy until SARS-COV-2 test is performed because of fear from being infected, or virus spreading in the endoscopy suite" in the elective settings (P < .00001).Gastroenterologists' attitude in various gastroenterological settings was based on the clinical indication. Further studies are needed to assess the long-term consequences of the different attitudes.
    MeSH term(s) Adult ; Attitude of Health Personnel ; COVID-19/epidemiology ; COVID-19/prevention & control ; Endoscopy, Digestive System/adverse effects ; Endoscopy, Digestive System/psychology ; Female ; Gastroenterologists/psychology ; Gastroenterologists/statistics & numerical data ; Humans ; Infectious Disease Transmission, Patient-to-Professional/prevention & control ; Israel ; Male ; Middle Aged ; Surveys and Questionnaires
    Language English
    Publishing date 2021-08-16
    Publishing country United States
    Document type Journal Article
    ZDB-ID 80184-7
    ISSN 1536-5964 ; 0025-7974
    ISSN (online) 1536-5964
    ISSN 0025-7974
    DOI 10.1097/MD.0000000000026781
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  7. Article ; Online: Impact of the COVID-19 pandemic on high-resolution manometry and peroral endoscopic myotomy for esophageal motility disorder in Japan.

    Ominami, Masaki / Sato, Hiroki / Fujiyoshi, Yusuke / Abe, Hirofumi / Shiwaku, Hironari / Shiota, Junya / Sato, Chiaki / Sakae, Hiroyuki / Hata, Yoshitaka / Fukuda, Hisashi / Ogawa, Ryo / Nakamura, Jun / Tatsuta, Tetsuya / Ikebuchi, Yuichiro / Yokomichi, Hiroshi / Fujiwara, Yasuhiro / Inoue, Haruhiro

    Digestive endoscopy : official journal of the Japan Gastroenterological Endoscopy Society

    2021  Volume 34, Issue 4, Page(s) 769–777

    Abstract: ... system for HRM and POEM in each hospital as well as countrywide to overcome the effects of the pandemic. ... Aim: To elucidate the impact of the coronavirus disease 2019 (COVID-19) on the practice of high ... 19 pandemic influenced HRM and POEM practices in Japan. It is necessary to establish a sufficient ...

    Abstract Aim: To elucidate the impact of the coronavirus disease 2019 (COVID-19) on the practice of high-resolution manometry (HRM) and peroral endoscopic myotomy (POEM) in Japan.
    Methods: We utilized a large-scale database involving 14 high-volume centers in Japan to investigate changes in the numbers of HRM and POEM procedures performed and outcomes of POEM between 2019 and 2020. A questionnaire survey was also conducted to analyze pandemic-associated changes in the HRM and POEM protocols.
    Results: Compared to that in 2019, the number of HRM and POEM procedures decreased by 17.2% (1587-1314) and 20.9% (630-498), respectively. These declines were prominent during the state of emergency from April to May 2020, particularly in pandemic areas. HRM and POEM in nonpandemic areas were relatively unaffected. From 2019 to 2020, there was a 0.4% (254-248) decrease in POEM cases within the prefecture, but the number outside the prefecture decreased by 33.6% (372-247). During the pandemic, the safety and efficacy of POEM were maintained. The implementation of personal protective equipment (PPE) measures varied among facilities, and PPE for POEM was relatively insufficient compared to that for HRM.
    Conclusion: The COVID-19 pandemic influenced HRM and POEM practices in Japan. It is necessary to establish a sufficient system for HRM and POEM in each hospital as well as countrywide to overcome the effects of the pandemic.
    MeSH term(s) COVID-19/epidemiology ; Esophageal Achalasia/surgery ; Esophageal Motility Disorders/surgery ; Esophageal Sphincter, Lower ; Esophagoscopy/methods ; Humans ; Japan/epidemiology ; Manometry/methods ; Myotomy/methods ; Natural Orifice Endoscopic Surgery/methods ; Pandemics/prevention & control ; Treatment Outcome
    Language English
    Publishing date 2021-09-27
    Publishing country Australia
    Document type Journal Article
    ZDB-ID 1171589-3
    ISSN 1443-1661 ; 0915-5635
    ISSN (online) 1443-1661
    ISSN 0915-5635
    DOI 10.1111/den.14133
    Database MEDical Literature Analysis and Retrieval System OnLINE

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