Pandemi Koşullarında Gastrointestinal Endoskopi Pratiği

Abstract

Amaç COVID-19 veya SARS-COV-2 olarak adlandırılan bir yeni Coronavirüs, 2020 yılının Mart ayından bu yana DSÖ tarafından pandemi ilan edildi. Endoskopi de bu enfeksiyon için potansiyel bir yoldur. Bu nedenle, dünyadaki gastroenteroloji dernekleri, acil olmayan endoskopinin durdurulmasını önerdi. Çalışmamızın amacı, pandemi dönemde gerçekleştirilen acil endoskopik prosedürlerin özelliklerini araştırmak ve önceki yılın aynı dönemiyle karşılaştırmaktı. Gereç ve Yöntemler Endoskopi ünitemiz, acil endoskopik müdahalenin ve terapötik endoskopik prosedürlerin yetişkin hastalarda yapıldığı şehirdeki tek merkezdir. Sadece 16 Mart-18 Mayıs arasında, salgının en yoğun olduğu dönemindeki acil endoskopik prosedürler değerlendirildi. Endoskopi odasındaki personel, COVID-19 için test edilip edilmemesine bakılmaksızın, tüm endoskopik prosedürleri tam kişisel koruyucu ekipman kullandı. Bulgular Toplamda 96 üst endoskopik (56'sının 56'sı GIS kanama nedenli), 26 alt endoskopik (14 tanesi GIS kanama nedenli, çoğunlukla malignite) ve 27 ERCP prosedürü yapıldı. Sadece 62 yaşındaki tipik semptom sorgulaması negatif olan bir hastada prosedürden sonra aynı gün COVID-19 için alınmış olan PCR pozitif olarak tespit edildi. 2019'daki aynı dönemde toplamda 98 üst ve 25 alt endoskopi ile 99 ERCP acil endikasyonlu olarak yapılmıştı. Sonuç Covid-19 pandemisi, endoskopi işlemlerinde kısıtlanmış endikasyonlara neden olmuştur. Tüm endoskopi birimleri her zaman gastrointestinal kanama için acil endoskopi prosedürlerinin yönetimi için uygun olmalıdır.

Keywords

• endoskopi
• pandemi
• hemoraji

Gastrointestinal Endoscopy Practice in Pandemic Conditions

Abstract

Objective A novel coronavirus, which is termed COVID-19 or SARS-CoV-2, was declared a pandemic by the WHO since March 2020. Endoscopy is a potential route for infection. Because of this reason, gastroenterology associations around the world recommended the suspension of non-emergency endoscopy. The aim of our study was to investigate the characteristics of the emergency endoscopic procedures performed during the pandemic period and compare with the same period of the previous year. Material and Methods Our endoscopy unit is the only center in the city where emergency endoscopic intervention and therapeutic endoscopic procedures are performed on adult patients. Only emergency and urgent endoscopic procedures performed between March 16 and May 18, the period when the pandemic was most intense, were evaluated. The staff in the endoscopy room used full personal protective equipment all endoscopic procedures irrespective of whether or not to test for COVID-19. Results 96 upper endoscopic (56 of them GI bleeding), 26 lower endoscopic (14 of them GI bleeding, mostly malignancy) and 27 ERCP procedures were carried out. Only one patient that 62 years old male, with a negative typical symptom query, was detected PCR positive for COVID-19 on the same day after the procedure. In the same period in 2019, we had performed 98 upper and 25 lower endoscopies and 99 ERCP for emergency indications. Conclusion COVID-19 pandemic process caused extreme changes in endoscopy procedure practice and also indications. All endoscopy units should always be accoutered for the management of emergency endoscopy procedures such as gastrointestinal bleeding.

Keywords

• endoscopy
• pandemic
• hemorrage

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