Emergency endoscopic variceal band ligation in a COVID-19 patient presented with hematemesis while on mechanical ventilation.
Identifieur interne : 000684 ( Main/Exploration ); précédent : 000683; suivant : 000685Emergency endoscopic variceal band ligation in a COVID-19 patient presented with hematemesis while on mechanical ventilation.
Auteurs : Mohamed El Kassas [Égypte] ; Ahmad Al Shafie [Égypte] ; Abo Seif Abdel Hameed [Égypte] ; Mamdouh Mahdi [Égypte]Source :
- Digestive endoscopy : official journal of the Japan Gastroenterological Endoscopy Society [ 1443-1661 ] ; 2020.
Abstract
COVID-19, caused by severe acute respiratory syndrome coronavirus (SARS-CoV-2), is now a global pandemic with serious health consequences. Currently, many strict control measures are applied in health care settings, including endoscopy units, in order to limit virus spread. Several recommendations called to limit endoscopic procedures to emergent endoscopies; however, several uncertainties still existing concerning patient safety, protective measures, and infection control methods in emergency endoscopic settings. In this case report, we present a case of successful endoscopic band ligation for bleeding esophageal varices in man with COVID-19 disease who presented with an acute attack of hematemesis while on mechanical ventilation (MV). Esophago- gastroduodenoscopy was performed in the ICU room after preparing the setting, and revealed large, risky esophageal varices. Endoscopic band ligation was done with successful control of bleeding. Third-level measures of medical protection were applied for the participating medical personnel, and patient monitoring was kept all through the procedure. After the procedure, the bleeding stopped, and the patient was vitally stable and conscious. We conclude that emergency endoscopic interventions could be performed safely with appropriate arrangements in patients with confirmed COVID-19 on mechanical ventilation.
DOI: 10.1111/den.13694
PubMed: 32289878
Affiliations:
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first="Ahmad" last="Al Shafie">Ahmad Al Shafie</name><affiliation wicri:level="1"><nlm:affiliation>Endemic Medicine Department, Faculty of Medicine, Helwan University, Cairo, Egypt.</nlm:affiliation><country xml:lang="fr">Égypte</country><wicri:regionArea>Endemic Medicine Department, Faculty of Medicine, Helwan University, Cairo</wicri:regionArea><wicri:noRegion>Cairo</wicri:noRegion></affiliation></author><author><name sortKey="Abdel Hameed, Abo Seif" sort="Abdel Hameed, Abo Seif" uniqKey="Abdel Hameed A" first="Abo Seif" last="Abdel Hameed">Abo Seif Abdel Hameed</name><affiliation wicri:level="1"><nlm:affiliation>Anesthesia and ICU Department, Faculty of Medicine, Helwan University, Cairo, Egypt.</nlm:affiliation><country xml:lang="fr">Égypte</country><wicri:regionArea>Anesthesia and ICU Department, Faculty of Medicine, Helwan University, Cairo</wicri:regionArea><wicri:noRegion>Cairo</wicri:noRegion></affiliation></author><author><name sortKey="Mahdi, Mamdouh" sort="Mahdi, Mamdouh" uniqKey="Mahdi M" first="Mamdouh" last="Mahdi">Mamdouh Mahdi</name><affiliation wicri:level="1"><nlm:affiliation>Internal Medicine Department, Faculty of Medicine, Helwan University, Cairo, Egypt.</nlm:affiliation><country xml:lang="fr">Égypte</country><wicri:regionArea>Internal Medicine Department, Faculty of Medicine, Helwan University, Cairo</wicri:regionArea><wicri:noRegion>Cairo</wicri:noRegion></affiliation></author></analytic><series><title level="j">Digestive endoscopy : official journal of the Japan Gastroenterological Endoscopy Society</title><idno type="eISSN">1443-1661</idno><imprint><date when="2020" type="published">2020</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en">COVID-19, caused by severe acute respiratory syndrome coronavirus (SARS-CoV-2), is now a global pandemic with serious health consequences. Currently, many strict control measures are applied in health care settings, including endoscopy units, in order to limit virus spread. Several recommendations called to limit endoscopic procedures to emergent endoscopies; however, several uncertainties still existing concerning patient safety, protective measures, and infection control methods in emergency endoscopic settings. In this case report, we present a case of successful endoscopic band ligation for bleeding esophageal varices in man with COVID-19 disease who presented with an acute attack of hematemesis while on mechanical ventilation (MV). Esophago- gastroduodenoscopy was performed in the ICU room after preparing the setting, and revealed large, risky esophageal varices. Endoscopic band ligation was done with successful control of bleeding. Third-level measures of medical protection were applied for the participating medical personnel, and patient monitoring was kept all through the procedure. After the procedure, the bleeding stopped, and the patient was vitally stable and conscious. We conclude that emergency endoscopic interventions could be performed safely with appropriate arrangements in patients with confirmed COVID-19 on mechanical ventilation.</div></front></TEI><affiliations><list><country><li>Égypte</li></country></list><tree><country name="Égypte"><noRegion><name sortKey="El Kassas, Mohamed" sort="El Kassas, Mohamed" uniqKey="El Kassas M" first="Mohamed" last="El Kassas">Mohamed El Kassas</name></noRegion><name sortKey="Abdel Hameed, Abo Seif" sort="Abdel Hameed, Abo Seif" uniqKey="Abdel Hameed A" first="Abo Seif" last="Abdel Hameed">Abo Seif Abdel Hameed</name><name sortKey="Al Shafie, Ahmad" sort="Al Shafie, Ahmad" uniqKey="Al Shafie A" first="Ahmad" last="Al Shafie">Ahmad Al Shafie</name><name sortKey="Mahdi, Mamdouh" sort="Mahdi, Mamdouh" uniqKey="Mahdi M" first="Mamdouh" last="Mahdi">Mamdouh Mahdi</name></country></tree></affiliations></record>Pour manipuler ce document sous Unix (Dilib)
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