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Article ; Online: Endoscopy training during COVID-19.

Mejía Pérez, Lady Katherine / Sharma, Neel

2020 Volume 92, Issue 4, Page(s) 988

MeSH term(s)	Betacoronavirus ; COVID-19 ; Coronavirus Infections ; Endoscopy ; Endoscopy, Gastrointestinal ; Humans ; Pandemics ; Pneumonia, Viral ; SARS-CoV-2 ; United States
Keywords	covid19
Language	English
Publishing date	2020-09-23
Publishing country	United States
Document type	Letter ; Comment
ZDB-ID	391583-9
ISSN	1097-6779 ; 0016-5107
ISSN (online)	1097-6779
ISSN	0016-5107
DOI	10.1016/j.gie.2020.06.006
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Article: Endoscopy training during COVID-19

Mejía Pérez, Lady Katherine / Sharma, Neel

Gastrointest Endosc

Keywords	covid19
Publisher	WHO
Document type	Article
Note	WHO #Covidence: #778865
Database	COVID19

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Article ; Online: Endoscopy training during COVID-19

Mejía Pérez, Lady Katherine / Sharma, Neel

Gastrointestinal Endoscopy

2020 Volume 92, Issue 4, Page(s) 988

Keywords	Gastroenterology ; Radiology Nuclear Medicine and imaging ; covid19
Language	English
Publisher	Elsevier BV
Publishing country	us
Document type	Article ; Online
ZDB-ID	391583-9
ISSN	1097-6779 ; 0016-5107
ISSN (online)	1097-6779
ISSN	0016-5107
DOI	10.1016/j.gie.2020.06.006
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Article ; Online: Endoscopy training in Australia during COVID-19: Efficacy and knowledge assessment of gastroenterology and general surgery trainees.

Zorron Cheng Tao Pu, Leonardo / Cox, Daniel R A / Be, Kim H / Ng, Jonathan / Yeaman, Fiona / Gilhotra, Rajit A / Efthymiou, Marios / Vaughan, Rhys / Nestel, Debra / Perini, Marcos V / Muralidharan, Vijayaragavan / Chandran, Sujievvan

JGH open : an open access journal of gastroenterology and hepatology

2022 Volume 6, Issue 12, Page(s) 869–875

Abstract: Background and aim: During COVID-19, restrictions to elective endoscopy were introduced worldwide ... for gastroenterology trainees (64.0% : Conclusion: During COVID-19, endoscopy trainees' self-efficacy in endoscopic ... during the pandemic.: Methods: All Australian gastroenterology and general surgery trainees ...

Abstract	Background and aim: During COVID-19, restrictions to elective endoscopy were introduced worldwide. A reduction in procedures may impact trainees' endoscopy learning. This study aims to assess Australian advanced gastroenterology and general surgery trainees' self-perceived efficacy and knowledge in endoscopy during the pandemic. Methods: All Australian gastroenterology and general surgery trainees in their last 2 years of accredited training were invited to participate through email (2020-2021 and 2021-2022 training cycles). The primary outcome was to assess trainees' self-efficacy and knowledge regarding gastrointestinal endoscopy. Secondary outcomes included subgroup analysis between gastroenterology and general surgery trainees. Self-perceived efficacy was assessed with Likert-scale questions on 20 endoscopy procedures and knowledge was assessed through 21 endoscopy-related multiple choice questions. Results: Eighty-one trainees responded to a self-efficacy questionnaire and 77 responded to the knowledge questionnaire. Over 90% of the trainees were confident or extremely confident in diagnostic endoscopy, but only half demonstrated similar efficacy for therapeutic endoscopy. The efficacy for basic endoscopy procedures was higher for gastroenterology trainees (64.0% Conclusion: During COVID-19, endoscopy trainees' self-efficacy in endoscopic diagnostic procedures was achieved for most trainees. The differences in self-perceived efficacy and knowledge between gastroenterology and surgical trainees may be reflective of the different opportunities for learning between the two groups.
Language	English
Publishing date	2022-11-08
Publishing country	Australia
Document type	Journal Article
ISSN	2397-9070
ISSN (online)	2397-9070
DOI	10.1002/jgh3.12835
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Article: Up-to-date literature review and issues of sedation during digestive endoscopy.

Lv, Lu-Lu / Zhang, Meng-Meng

Wideochirurgia i inne techniki maloinwazyjne = Videosurgery and other miniinvasive techniques

2023 Volume 18, Issue 3, Page(s) 418–435

Abstract: ... with sedation and how to manage it, the legal issues associated with administration, the impact of COVID-19 ... Sedation is common during digestive endoscopy to provide comfort and pain relief for patients ... for training and certification for endoscopists administering sedation. The review will also analyse studies ...

Abstract	Sedation is common during digestive endoscopy to provide comfort and pain relief for patients. However, the use of sedation in endoscopy also poses potential risks, and recent issues have been raised regarding its safety and administration. This literature review paper will discuss the most recent developments in the field of sedation in digestive endoscopy, including the adverse events that might be associated with sedation and how to manage it, the legal issues associated with administration, the impact of COVID-19 on sedation practices, and sedation in special situations. It will also touch upon the current guidelines and recommendations for sedation, including the importance of patient selection and monitoring and the need for training and certification for endoscopists administering sedation. The review will also analyse studies evaluating the safety and efficacy of various sedation techniques, including propofol, midazolam, and others. It will examine the benefits and drawbacks of these agents.
Language	English
Publishing date	2023-06-01
Publishing country	Poland
Document type	Journal Article ; Review
ZDB-ID	2596147-0
ISSN	2299-0054 ; 1895-4588
ISSN (online)	2299-0054
ISSN	1895-4588
DOI	10.5114/wiitm.2023.127854
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Article: Transnasal endoscopy: moving from endoscopy to the clinical outpatient-blue sky thinking in oesophageal testing.

Lim, Samuel / Haboubi, Hasan Nadim / Anderson, Simon H C / Dawson, Patrick / Machado, Ana Paula / Mangsat, Edna / Santos, Sara / Wong, Terry / Zeki, Sebastian / Dunn, Jason

Frontline gastroenterology

2022 Volume 13, Issue e1, Page(s) e65–e71

Abstract: Background: COVID-19 has severely affected UK endoscopy services with an estimate 86% loss ... great potential in recovering endoscopy services following the COVID-19 pandemic. Looking forward, TNE ... of activity during the first wave. Subsequent delays in diagnostic and surveillance procedures highlight ...

Abstract	Background: COVID-19 has severely affected UK endoscopy services with an estimate 86% loss of activity during the first wave. Subsequent delays in diagnostic and surveillance procedures highlight the need for novel solutions to tackle the resultant backlog. Transnasal endoscopy (TNE) provides an attractive option compared with conventional upper gastrointestinal endoscopy given its limited use of space, no sedation and reduced nursing resources. Our experience: We describe piloting and then establishing an outpatient model TNE service in the pandemic era and the implications on resource allocation, training and workforce. We also discuss our experiences and outline ways in which services can evolve to undertake more complex endoscopic diagnostic and therapeutic work. Over 90% of patients describe no discomfort and those who have previously experienced conventional transoral endoscopy preferred the transnasal approach. We describe a low complication rate (0.8%) comprising two episodes of mild epistaxis. The average procedure duration was reasonable (9.9±5.0 min) with full adherence to Joint Advisory Group quality standards. All biopsies assessed were deemed sufficient for diagnosis including those for surveillance procedures. Discussion: TNE can offer a safe, tolerable, high-quality service outside of a conventional endoscopy setting. Expanding procedural capacity without impacting on the current endoscopy footprint has great potential in recovering endoscopy services following the COVID-19 pandemic. Looking forward, TNE has potential to be used both within the endoscopy suite as part of therapeutic procedures, or outside of the endoscopy unit in outpatient clinics, community hospitals, or mobile units and to achieve this in a more sustainable and environmentally friendly way.
Language	English
Publishing date	2022-05-31
Publishing country	England
Document type	Journal Article
ZDB-ID	2521857-8
ISSN	2041-4137
ISSN	2041-4137
DOI	10.1136/flgastro-2022-102129
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Article: Pediatric Endoscopy During COVID-19 Times.

Shaoul, Ron / Day, Andrew S

Frontiers in pediatrics

2021 Volume 9, Page(s) 750717

Abstract: The global COVID-19 pandemic has led to healthcare resources being diverted or stretched ... especially during periods of lock-down in affected countries. Disruptions to normal services have resulted ... management of digestive diseases and upon endoscopy training. This review article aims to highlight key ...

Abstract	The global COVID-19 pandemic has led to healthcare resources being diverted or stretched, especially during periods of lock-down in affected countries. Disruptions to normal services have resulted in reduced or delayed provision of endoscopy in many countries, with consequent impacts on diagnosis or management of digestive diseases and upon endoscopy training. This review article aims to highlight key aspects of the impact of the pandemic upon endoscopy services, with a focus upon endoscopy in children.
Language	English
Publishing date	2021-12-16
Publishing country	Switzerland
Document type	Journal Article ; Review
ZDB-ID	2711999-3
ISSN	2296-2360
ISSN	2296-2360
DOI	10.3389/fped.2021.750717
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Article ; Online: Factors associated with risk of COVID-19 contagion for endoscopy healthcare workers: A survey from the Italian society of digestive endoscopy.

Mariani, Alberto / Capurso, Gabriele / Marasco, Giovanni / Bertani, Helga / Crinò, Stefano Francesco / Magarotto, Andrea / Tringali, Andrea / Pasquale, Luigi / Arcidiacono, Paolo Giorgio / Zagari, Rocco Maurizio

Digestive and liver disease : official journal of the Italian Society of Gastroenterology and the Italian Association for the Study of the Liver

2021 Volume 53, Issue 5, Page(s) 534–539

Abstract: ... with increased risk.: Conclusions: The risk of COVID-19 among endoscopy HCWs was not negligible and was ... months of the COVID-19 outbreak in Italy.: Results: 314/1306 (24%) SIED members accounting for 201/502 ... positive HCW in 17.4% of centers globally, 107/3308 (3.2%) HCWs were diagnosed with COVID-19 with similar ...

Abstract	Background and aims: The present study was aimed to assess the risk of SARS-CoV-2 infection and associated factors among HCWs in endoscopy centers in Italy. Methods: All members of the Italian Society of Digestive Endoscopy (SIED) were invited to participate to a questionnaire-based survey during the first months of the COVID-19 outbreak in Italy. Results: 314/1306 (24%) SIED members accounting for 201/502 (40%) endoscopic centers completed the survey. Personal Protection Equipment (PPE) were available in most centers, but filtering face-piece masks (FFP2 or FFP3) and negative pressure room were not in 10.9 and 75.1%. Training courses on PPE use were provided in 57.2% of centers only; there was at least one positive HCW in 17.4% of centers globally, 107/3308 (3.2%) HCWs were diagnosed with COVID-19 with similar rates of physicians (2.9%), nurses (3.5%) and other health operators (3.5%). Involvement in a COVID-19 care team (OR: 4.96) and the lack of training courses for PPE, (OR: 2.65) were associated with increased risk. Conclusions: The risk of COVID-19 among endoscopy HCWs was not negligible and was associated with work in a COVID-19 care team and lack of education on proper PPE use. These data deserve attention during the subsequent waves.
MeSH term(s)	COVID-19/diagnosis ; COVID-19/epidemiology ; COVID-19/prevention & control ; COVID-19/transmission ; Endoscopy, Digestive System/methods ; Endoscopy, Digestive System/statistics & numerical data ; Female ; Health Personnel/statistics & numerical data ; Humans ; Infection Control/instrumentation ; Infection Control/methods ; Infection Control/standards ; Infectious Disease Transmission, Patient-to-Professional/prevention & control ; Italy/epidemiology ; Male ; Middle Aged ; Needs Assessment ; Occupational Exposure/prevention & control ; Personal Protective Equipment/supply & distribution ; Risk Assessment/methods ; Risk Factors ; SARS-CoV-2/isolation & purification ; Staff Development/supply & distribution
Language	English
Publishing date	2021-03-20
Publishing country	Netherlands
Document type	Journal Article
ZDB-ID	1459373-7
ISSN	1878-3562 ; 1125-8055
ISSN (online)	1878-3562
ISSN	1125-8055
DOI	10.1016/j.dld.2021.03.014
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Article ; Online: Impact of COVID-19 on endoscopy trainees: an international survey.

Pawlak, Katarzyna M / Kral, Jan / Khan, Rishad / Amin, Sunil / Bilal, Mohammad / Lui, Rashid N / Sandhu, Dalbir S / Hashim, Almoutaz / Bollipo, Steven / Charabaty, Aline / de-Madaria, Enrique / Rodríguez-Parra, Andrés F / Sánchez-Luna, Sergio A / Żorniak, Michał / Walsh, Catharine M / Grover, Samir C / Siau, Keith

Gastrointestinal endoscopy

2020 Volume 92, Issue 4, Page(s) 925–935

Abstract: ... reduction in monthly procedure volume before and during COVID-19. Secondary outcomes included potential ... Conclusions: The COVID-19 pandemic has led to restrictions in endoscopic volumes and endoscopy training ... Background and aims: Although coronavirus disease 2019 (COVID-19) has affected endoscopy services ...

Abstract	Background and aims: Although coronavirus disease 2019 (COVID-19) has affected endoscopy services globally, the impact on trainees has not been evaluated. We aimed to assess the impact of COVID-19 on procedural volumes and on the emotional well-being of endoscopy trainees worldwide. Methods: An international survey was disseminated over a 3-week period in April 2020. The primary outcome was the percentage reduction in monthly procedure volume before and during COVID-19. Secondary outcomes included potential variation of COVID-19 impact between different continents and rates and predictors of anxiety and burnout among trainees. Results: Across 770 trainees from 63 countries, 93.8% reported a reduction in endoscopy case volume. The median percentage reduction in total procedures was 99% (interquartile range, 85%-100%), which varied internationally (P < .001) and was greatest for colonoscopy procedures. Restrictions in case volume and trainee activity were common barriers. A total of 71.9% were concerned that the COVID-19 pandemic could prolonged training. Anxiety was reported in 52.4% of respondents and burnout in 18.8%. Anxiety was independently associated with female gender (odds ratio [OR], 2.15; P < .001), adequacy of personal protective equipment (OR, 1.75; P = .005), lack of institutional support for emotional health (OR, 1.67; P = .008), and concerns regarding prolongation of training (OR, 1.60; P = .013). Modifying existing national guidelines to support adequate endoscopy training during the pandemic was supported by 68.9%. Conclusions: The COVID-19 pandemic has led to restrictions in endoscopic volumes and endoscopy training, with high rates of anxiety and burnout among endoscopy trainees worldwide. Targeted measures by training programs to address these key issues are warranted to improve trainee well-being and support trainee education.
MeSH term(s)	Adult ; Anxiety/epidemiology ; Betacoronavirus ; Burnout, Professional/epidemiology ; COVID-19 ; Coronavirus Infections/epidemiology ; Coronavirus Infections/prevention & control ; Coronavirus Infections/transmission ; Endoscopy/education ; Endoscopy/statistics & numerical data ; Female ; Humans ; Internationality ; Male ; Pandemics/prevention & control ; Pneumonia, Viral/epidemiology ; Pneumonia, Viral/prevention & control ; Pneumonia, Viral/transmission ; SARS-CoV-2 ; Surveys and Questionnaires
Keywords	covid19
Language	English
Publishing date	2020-06-11
Publishing country	United States
Document type	Journal Article
ZDB-ID	391583-9
ISSN	1097-6779 ; 0016-5107
ISSN (online)	1097-6779
ISSN	0016-5107
DOI	10.1016/j.gie.2020.06.010
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Article ; Online: Disinfection of Endoscopy and Reusability of Accessories

Praveer Rai

Journal of Digestive Endoscopy, Vol 11, Iss 01, Pp 61-

2020 Volume 66

Abstract: ... at high risk of infection by novel corona virus disease 2019 (COVID-19) from inhalation of droplets ... should be considered heavily contaminated in patients with intermediate or high risk of COVID-19 and ... Transmission of viral infections during endoscopy is quite rare and, it is usually the result of noncompliance ...

Abstract	Corona viruses are a group of medium-sized positive-sense single-stranded RNA viruses with crown-like structure due to projections noted over the surface of the virus. The infection has been declared as a pandemic by the world health organization (WHO) in March 2020. Health care professionals in endoscopy are at high risk of infection by novel corona virus disease 2019 (COVID-19) from inhalation of droplets, conjunctival contact, feces, and touch contamination. Upper gastrointestinal (GI) endoscopy is considered to be a high-risk aerosol-generating procedures (AGPs) and the live virus has been found in patient stool. Flexible endoscopes when contaminated have been considered as the vector for transmission of infections. Infections related to the side viewing endoscopes and endoscopic ultrasound scopes are more frequent than upper GI scope and colonoscopes. Stratifying patients needing endoscopy and deferral of elective procedures will help to decrease the virus spread. Planning and revision of workflows is necessary for safety of patient and staff and to successfully provide infection prevention and control measures, for this a “three zones and two passages” concept should be followed. Manual cleaning followed by high-level disinfection (HLD), effectively eliminates nearly all microorganisms from endoscopes during reprocessing. Transmission of viral infections during endoscopy is quite rare and, it is usually the result of noncompliance from the essential steps of reprocessing. Reuse of any disposable GI endoscopic device is strongly discouraged. Environmental decontamination is essential to reduce the risk of fomite transmission. Noncritical environmental surfaces frequently touched by hands (e.g., bedside tables and bed rails) and endoscopy furniture and floor should be considered heavily contaminated in patients with intermediate or high risk of COVID-19 and should be thoroughly disinfected at the end of each procedure. If available, negative pressure rooms are preferred for endoscopy, as has been advised by Centers for Disease Control and Prevention (CDC). Staff involved in reprocessing and the cleaning of endoscopy rooms should utilize personal protective equipment (PPE) including N95 mask. Reprocessing staff should undergo necessary training and ongoing annual assessment of competency.
Keywords	disinfection ; coivd-19 ; endoscopy ; endoscopic accessories ; Diseases of the digestive system. Gastroenterology ; RC799-869 ; covid19
Subject code	600
Language	English
Publishing date	2020-03-01T00:00:00Z
Publisher	Thieme Medical and Scientific Publishers Pvt. Ltd.
Document type	Article ; Online
Database	BASE - Bielefeld Academic Search Engine (life sciences selection)

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