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COVID-19 and endoscopic management of superficial gastrointestinal neoplastic lesions: a multinational cross-sectional survey.

Identifieur interne : 000600 ( Main/Exploration ); précédent : 000599; suivant : 000601

COVID-19 and endoscopic management of superficial gastrointestinal neoplastic lesions: a multinational cross-sectional survey.

Auteurs : Marta Rodríguez-Carrasco [Portugal] ; Eduardo Albéniz [Espagne] ; Pradeep Bhandari [Royaume-Uni] ; Torsten Beyna [Allemagne] ; Michael J. Bourke [Australie] ; Ahyeon Min [Australie] ; Philip W Y. Chiu [République populaire de Chine] ; Simon Chu [République populaire de Chine] ; Hon Chi Yip [République populaire de Chine] ; Pierre H. Deprez [Belgique] ; Fabian Emura [Colombie] ; Alessandro Repici [Italie] ; Noriko Suzuki [Royaume-Uni] ; Naohisa Yahagi [Japon] ; Yoko Kubosawa [Japon] ; Cesare Hassan [Italie] ; Mário Dinis-Ribeiro [Portugal]

Source :

RBID : pubmed:32781471

Abstract

INTRODUCTION

We aimed to report the impact of the pandemic lockdown period on the treatment and prognosis of superficial gastrointestinal neoplastic lesions.

METHODS

A survey was completed by 11 centers from four continents regarding postponements during the early lockdown period of the pandemic, and the same period in 2019.

RESULTS

In 2020, 55 % of the scheduled procedures were deferred, which was 11 times higher than in 2019; the main reasons were directly related to COVID-19. In countries that were highly affected, this proportion rose to 76 % vs. 26 % in those where there was less impact. Despite the absolute reduction, the relative distribution in 2019 vs. 2020 was similar, the only exception being duodenal lesions (affected by a 92 % reduction in mucosectomies). Although it is expected that the majority of postponements will not affect the stage (based on the results from biopsies and/or endoscopic appearance), 3 % of delayed procedures will probably require surgery.

CONCLUSIONS

The lockdown period caused by the SARS-CoV-2 pandemic led to a substantial reduction in the number of endoscopic resections for neoplastic lesions. Nevertheless, based on clinical judgment, the planned median delay will not worsen the prognosis of the affected patients.


DOI: 10.1055/a-1237-5221
PubMed: 32781471


Affiliations:


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<nlm:affiliation>Department of Gastroenterology, Queen Alexandra Hospital, Portsmouth, UK.</nlm:affiliation>
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<name sortKey="Beyna, Torsten" sort="Beyna, Torsten" uniqKey="Beyna T" first="Torsten" last="Beyna">Torsten Beyna</name>
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<nlm:affiliation>Department of Gastroenterology, Evangelisches Krankenhaus, Düsseldorf, Germany.</nlm:affiliation>
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<name sortKey="Suzuki, Noriko" sort="Suzuki, Noriko" uniqKey="Suzuki N" first="Noriko" last="Suzuki">Noriko Suzuki</name>
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<nlm:affiliation>Division of Research and Development for Minimally Invasive Treatment, Cancer Center, Keio University School of Medicine, Tokyo, Japan.</nlm:affiliation>
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<wicri:regionArea>Division of Research and Development for Minimally Invasive Treatment, Cancer Center, Keio University School of Medicine, Tokyo</wicri:regionArea>
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<region type="région">Région de Kantō</region>
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<author>
<name sortKey="Hassan, Cesare" sort="Hassan, Cesare" uniqKey="Hassan C" first="Cesare" last="Hassan">Cesare Hassan</name>
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<nlm:affiliation>Department of Gastroenterology, Nuovo Regina Margherita Hospital, Rome, Italy.</nlm:affiliation>
<country xml:lang="fr">Italie</country>
<wicri:regionArea>Department of Gastroenterology, Nuovo Regina Margherita Hospital, Rome</wicri:regionArea>
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<settlement type="city">Rome</settlement>
<region nuts="2">Latium</region>
</placeName>
</affiliation>
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<author>
<name sortKey="Dinis Ribeiro, Mario" sort="Dinis Ribeiro, Mario" uniqKey="Dinis Ribeiro M" first="Mário" last="Dinis-Ribeiro">Mário Dinis-Ribeiro</name>
<affiliation wicri:level="1">
<nlm:affiliation>Department of Gastroenterology, Portuguese Oncology Institute of Porto, Porto, Portugal.</nlm:affiliation>
<country xml:lang="fr">Portugal</country>
<wicri:regionArea>Department of Gastroenterology, Portuguese Oncology Institute of Porto, Porto</wicri:regionArea>
<wicri:noRegion>Porto</wicri:noRegion>
</affiliation>
<affiliation wicri:level="1">
<nlm:affiliation>MEDCIDS - Department of Community Medicine, Health Information and Decision, Faculty of Medicine, University of Porto, Porto, Portugal.</nlm:affiliation>
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<wicri:regionArea>MEDCIDS - Department of Community Medicine, Health Information and Decision, Faculty of Medicine, University of Porto, Porto</wicri:regionArea>
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<series>
<title level="j">Endoscopy</title>
<idno type="eISSN">1438-8812</idno>
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<date when="2021" type="published">2021</date>
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<p>
<b>INTRODUCTION</b>
</p>
<p>We aimed to report the impact of the pandemic lockdown period on the treatment and prognosis of superficial gastrointestinal neoplastic lesions.</p>
</div>
<div type="abstract" xml:lang="en">
<p>
<b>METHODS</b>
</p>
<p>A survey was completed by 11 centers from four continents regarding postponements during the early lockdown period of the pandemic, and the same period in 2019.</p>
</div>
<div type="abstract" xml:lang="en">
<p>
<b>RESULTS</b>
</p>
<p>In 2020, 55 % of the scheduled procedures were deferred, which was 11 times higher than in 2019; the main reasons were directly related to COVID-19. In countries that were highly affected, this proportion rose to 76 % vs. 26 % in those where there was less impact. Despite the absolute reduction, the relative distribution in 2019 vs. 2020 was similar, the only exception being duodenal lesions (affected by a 92 % reduction in mucosectomies). Although it is expected that the majority of postponements will not affect the stage (based on the results from biopsies and/or endoscopic appearance), 3 % of delayed procedures will probably require surgery.</p>
</div>
<div type="abstract" xml:lang="en">
<p>
<b>CONCLUSIONS</b>
</p>
<p>The lockdown period caused by the SARS-CoV-2 pandemic led to a substantial reduction in the number of endoscopic resections for neoplastic lesions. Nevertheless, based on clinical judgment, the planned median delay will not worsen the prognosis of the affected patients.</p>
</div>
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<Day>29</Day>
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<Month>Feb</Month>
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<ArticleTitle>COVID-19 and endoscopic management of superficial gastrointestinal neoplastic lesions: a multinational cross-sectional survey.</ArticleTitle>
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<AbstractText Label="METHODS" NlmCategory="METHODS">A survey was completed by 11 centers from four continents regarding postponements during the early lockdown period of the pandemic, and the same period in 2019.</AbstractText>
<AbstractText Label="RESULTS" NlmCategory="RESULTS">In 2020, 55 % of the scheduled procedures were deferred, which was 11 times higher than in 2019; the main reasons were directly related to COVID-19. In countries that were highly affected, this proportion rose to 76 % vs. 26 % in those where there was less impact. Despite the absolute reduction, the relative distribution in 2019 vs. 2020 was similar, the only exception being duodenal lesions (affected by a 92 % reduction in mucosectomies). Although it is expected that the majority of postponements will not affect the stage (based on the results from biopsies and/or endoscopic appearance), 3 % of delayed procedures will probably require surgery.</AbstractText>
<AbstractText Label="CONCLUSIONS" NlmCategory="CONCLUSIONS">The lockdown period caused by the SARS-CoV-2 pandemic led to a substantial reduction in the number of endoscopic resections for neoplastic lesions. Nevertheless, based on clinical judgment, the planned median delay will not worsen the prognosis of the affected patients.</AbstractText>
<CopyrightInformation>Thieme. All rights reserved.</CopyrightInformation>
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<LastName>Rodríguez-Carrasco</LastName>
<ForeName>Marta</ForeName>
<Initials>M</Initials>
<AffiliationInfo>
<Affiliation>Department of Gastroenterology, Portuguese Oncology Institute of Porto, Porto, Portugal.</Affiliation>
</AffiliationInfo>
</Author>
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<LastName>Albéniz</LastName>
<ForeName>Eduardo</ForeName>
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<Affiliation>Endoscopy Unit and Gastroenterology Department, Complejo Hospitalario de Navarra, Navarrabiomed Biomedical Research Center, UPNA, IdiSNA, Pamplona, Spain.</Affiliation>
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<LastName>Bhandari</LastName>
<ForeName>Pradeep</ForeName>
<Initials>P</Initials>
<AffiliationInfo>
<Affiliation>Department of Gastroenterology, Queen Alexandra Hospital, Portsmouth, UK.</Affiliation>
</AffiliationInfo>
</Author>
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<LastName>Beyna</LastName>
<ForeName>Torsten</ForeName>
<Initials>T</Initials>
<AffiliationInfo>
<Affiliation>Department of Gastroenterology, Evangelisches Krankenhaus, Düsseldorf, Germany.</Affiliation>
</AffiliationInfo>
</Author>
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<LastName>Bourke</LastName>
<ForeName>Michael J</ForeName>
<Initials>MJ</Initials>
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<Affiliation>Department of Gastroenterology and Hepatology, Westmead Hospital, Sydney, Australia.</Affiliation>
</AffiliationInfo>
</Author>
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<LastName>Min</LastName>
<ForeName>Ahyeon</ForeName>
<Initials>A</Initials>
<AffiliationInfo>
<Affiliation>Department of Gastroenterology and Hepatology, Westmead Hospital, Sydney, Australia.</Affiliation>
</AffiliationInfo>
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<LastName>Chiu</LastName>
<ForeName>Philip W Y</ForeName>
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<Affiliation>Endoscopy Center, Institute of Digestive Disease, The Chinese University of Hong Kong, Hong Kong, China.</Affiliation>
</AffiliationInfo>
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<LastName>Chu</LastName>
<ForeName>Simon</ForeName>
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<Affiliation>Endoscopy Center, Institute of Digestive Disease, The Chinese University of Hong Kong, Hong Kong, China.</Affiliation>
</AffiliationInfo>
</Author>
<Author ValidYN="Y" EqualContrib="N">
<LastName>Yip</LastName>
<ForeName>Hon Chi</ForeName>
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<Affiliation>Endoscopy Center, Institute of Digestive Disease, The Chinese University of Hong Kong, Hong Kong, China.</Affiliation>
</AffiliationInfo>
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<Affiliation>Department of Hepato-Gastroenterology, Cliniques universitaires St-Luc, Université Catholique de Louvain, Brussels, Belgium.</Affiliation>
</AffiliationInfo>
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<Affiliation>EmuraCenter Latinoamérica, Bogota, Colombia.</Affiliation>
</AffiliationInfo>
<AffiliationInfo>
<Affiliation>Gastroenterology Division, Universidad de La Sabana, Chia, Colombia.</Affiliation>
</AffiliationInfo>
</Author>
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<LastName>Repici</LastName>
<ForeName>Alessandro</ForeName>
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</AffiliationInfo>
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<LastName>Suzuki</LastName>
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<Affiliation>Wolfson Department of Endoscopy, St Mark's Hospital, London, UK.</Affiliation>
</AffiliationInfo>
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<ForeName>Naohisa</ForeName>
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<Affiliation>Division of Research and Development for Minimally Invasive Treatment, Cancer Center, Keio University School of Medicine, Tokyo, Japan.</Affiliation>
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<AffiliationInfo>
<Affiliation>Division of Research and Development for Minimally Invasive Treatment, Cancer Center, Keio University School of Medicine, Tokyo, Japan.</Affiliation>
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<LastName>Hassan</LastName>
<ForeName>Cesare</ForeName>
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<Affiliation>Department of Gastroenterology, Nuovo Regina Margherita Hospital, Rome, Italy.</Affiliation>
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<LastName>Dinis-Ribeiro</LastName>
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<Affiliation>Department of Gastroenterology, Portuguese Oncology Institute of Porto, Porto, Portugal.</Affiliation>
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<AffiliationInfo>
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<Year>2020</Year>
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<CoiStatement>F. Emura received research support from Fujifilm. The remaining authors declare that they have no conflict of interest.</CoiStatement>
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<name sortKey="Repici, Alessandro" sort="Repici, Alessandro" uniqKey="Repici A" first="Alessandro" last="Repici">Alessandro Repici</name>
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<name sortKey="Yahagi, Naohisa" sort="Yahagi, Naohisa" uniqKey="Yahagi N" first="Naohisa" last="Yahagi">Naohisa Yahagi</name>
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