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ESGE and ESGENA Position Statement on gastrointestinal endoscopy and the COVID-19 pandemic.

Identifieur interne : 000026 ( France/Analysis ); précédent : 000025; suivant : 000027

ESGE and ESGENA Position Statement on gastrointestinal endoscopy and the COVID-19 pandemic.

Auteurs : Ian M. Gralnek [Israël] ; Cesare Hassan [Italie] ; Ulrike Beilenhoff [Allemagne] ; Giulio Antonelli [Italie] ; Alanna Ebigbo [Allemagne] ; Maria Pellisè [Espagne] ; Marianna Arvanitakis [Belgique] ; Pradeep Bhandari [Royaume-Uni] ; Raf Bisschops [Belgique] ; Jeanin E. Van Hooft [Pays-Bas] ; Michal F. Kaminski [Pologne] ; Konstantinos Triantafyllou [Grèce] ; George Webster [Royaume-Uni] ; Heiko Pohl [États-Unis] ; Irene Dunkley [Royaume-Uni] ; Björn Fehrke [Suisse] ; Mario Gazic [Croatie] ; Tatjana Gjergek [Slovénie] ; Siiri Maasen [Estonie] ; Wendy Waagenes [Danemark] ; Marjon De Pater [Pays-Bas] ; Thierry Ponchon [France] ; Peter D. Siersema [Pays-Bas] ; Helmut Messmann [Allemagne] ; Mario Dinis-Ribeiro [Portugal]

Source :

RBID : pubmed:32303090

Abstract

We are currently living in the throes of the COVID-19 pandemic that imposes a significant stress on health care providers and facilities. Europe is severely affected with an exponential increase in incident infections and deaths. The clinical manifestations of COVID-19 can be subtle, encompassing a broad spectrum from asymptomatic mild disease to severe respiratory illness. Health care professionals in endoscopy units are at increased risk of infection from COVID-19. Infection prevention and control has been shown to be dramatically effective in assuring the safety of both health care professionals and patients. The European Society of Gastrointestinal Endoscopy (www.esge.com) and the European Society of Gastroenterology and Endoscopy Nurses and Associates (www.esgena.org) are joining forces to provide guidance during this pandemic to help assure the highest level of endoscopy care and protection against COVID-19 for both patients and endoscopy unit personnel. This guidance is based upon the best available evidence regarding assessment of risk during the current status of the pandemic and a consensus on which procedures to perform and the priorities on resumption. We appreciate the gaps in knowledge and evidence, especially on the proper strategy(ies) for the resumption of normal endoscopy practice during the upcoming phases and end of the pandemic and therefore a list of potential research questions is presented. New evidence may result in an updated statement.

DOI: 10.1055/a-1155-6229
PubMed: 32303090


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Le document en format XML

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<nlm:affiliation>Department of Gastroenterology and Hepatology,Catholic University of Leuven (KUL), TARGID, University, Hospitals Leuven, Leuven, Belgium.</nlm:affiliation>
<country xml:lang="fr">Belgique</country>
<wicri:regionArea>Department of Gastroenterology and Hepatology,Catholic University of Leuven (KUL), TARGID, University, Hospitals Leuven, Leuven</wicri:regionArea>
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</affiliation>
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<name sortKey="Van Hooft, Jeanin E" sort="Van Hooft, Jeanin E" uniqKey="Van Hooft J" first="Jeanin E" last="Van Hooft">Jeanin E. Van Hooft</name>
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<nlm:affiliation>Department of Gastroenterology and Hepatology, Amsterdam University Medical Centers, University of Amsterdam, The Netherlands.</nlm:affiliation>
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<wicri:regionArea>Department of Gastroenterology and Hepatology, Amsterdam University Medical Centers, University of Amsterdam</wicri:regionArea>
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<name sortKey="Kaminski, Michal F" sort="Kaminski, Michal F" uniqKey="Kaminski M" first="Michal F" last="Kaminski">Michal F. Kaminski</name>
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<nlm:affiliation>Department of Cancer Prevention and Department of Oncological Gastroenterology,The Maria Sklodowska-Curie National Research Institute of Oncology, Warsaw, Poland.</nlm:affiliation>
<country xml:lang="fr">Pologne</country>
<wicri:regionArea>Department of Cancer Prevention and Department of Oncological Gastroenterology,The Maria Sklodowska-Curie National Research Institute of Oncology, Warsaw</wicri:regionArea>
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</affiliation>
</author>
<author>
<name sortKey="Triantafyllou, Konstantinos" sort="Triantafyllou, Konstantinos" uniqKey="Triantafyllou K" first="Konstantinos" last="Triantafyllou">Konstantinos Triantafyllou</name>
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<nlm:affiliation>Hepatogastroenterology Unit, 2nd Department of Internal Medicine - Propaedeutic, Medical School, National and Kapodistrian University of Athens, Attikon University General Hospital, Athens, Greece.</nlm:affiliation>
<country xml:lang="fr">Grèce</country>
<wicri:regionArea>Hepatogastroenterology Unit, 2nd Department of Internal Medicine - Propaedeutic, Medical School, National and Kapodistrian University of Athens, Attikon University General Hospital, Athens</wicri:regionArea>
<placeName>
<settlement type="city">Athènes</settlement>
<region nuts="2" type="region">Attique (région)</region>
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<author>
<name sortKey="Webster, George" sort="Webster, George" uniqKey="Webster G" first="George" last="Webster">George Webster</name>
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<nlm:affiliation>Department of Gastroenterology, University College London Hospitals, London, United Kingdom.</nlm:affiliation>
<country xml:lang="fr">Royaume-Uni</country>
<wicri:regionArea>Department of Gastroenterology, University College London Hospitals, London</wicri:regionArea>
<placeName>
<settlement type="city">Londres</settlement>
<region type="country">Angleterre</region>
<region type="région" nuts="1">Grand Londres</region>
</placeName>
</affiliation>
</author>
<author>
<name sortKey="Pohl, Heiko" sort="Pohl, Heiko" uniqKey="Pohl H" first="Heiko" last="Pohl">Heiko Pohl</name>
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<nlm:affiliation>Dartmouth Geisel School of Medicine, Hanover NH, VA Medical Center, Section of Gastroenterology, White River Junction, VT., USA.</nlm:affiliation>
<country xml:lang="fr">États-Unis</country>
<wicri:regionArea>Dartmouth Geisel School of Medicine, Hanover NH, VA Medical Center, Section of Gastroenterology, White River Junction, VT.</wicri:regionArea>
<placeName>
<region type="state">Vermont</region>
</placeName>
</affiliation>
</author>
<author>
<name sortKey="Dunkley, Irene" sort="Dunkley, Irene" uniqKey="Dunkley I" first="Irene" last="Dunkley">Irene Dunkley</name>
<affiliation wicri:level="1">
<nlm:affiliation>North West Anglia NHS Foundation Trust, Hinchingbrooke, United Kingdom.</nlm:affiliation>
<country xml:lang="fr">Royaume-Uni</country>
<wicri:regionArea>North West Anglia NHS Foundation Trust, Hinchingbrooke</wicri:regionArea>
<wicri:noRegion>Hinchingbrooke</wicri:noRegion>
</affiliation>
</author>
<author>
<name sortKey="Fehrke, Bjorn" sort="Fehrke, Bjorn" uniqKey="Fehrke B" first="Björn" last="Fehrke">Björn Fehrke</name>
<affiliation wicri:level="3">
<nlm:affiliation>Inselspital, Bern, Switzerland.</nlm:affiliation>
<country xml:lang="fr">Suisse</country>
<wicri:regionArea>Inselspital, Bern</wicri:regionArea>
<placeName>
<settlement type="city">Berne</settlement>
<region type="région" nuts="3">Canton de Berne</region>
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</affiliation>
</author>
<author>
<name sortKey="Gazic, Mario" sort="Gazic, Mario" uniqKey="Gazic M" first="Mario" last="Gazic">Mario Gazic</name>
<affiliation wicri:level="1">
<nlm:affiliation>General hospital, Bjelovar, Croatia.</nlm:affiliation>
<country xml:lang="fr">Croatie</country>
<wicri:regionArea>General hospital, Bjelovar</wicri:regionArea>
<wicri:noRegion>Bjelovar</wicri:noRegion>
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</author>
<author>
<name sortKey="Gjergek, Tatjana" sort="Gjergek, Tatjana" uniqKey="Gjergek T" first="Tatjana" last="Gjergek">Tatjana Gjergek</name>
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<nlm:affiliation>University Medical Centre, Ljubljana, Slovenia.</nlm:affiliation>
<country xml:lang="fr">Slovénie</country>
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</author>
<author>
<name sortKey="Maasen, Siiri" sort="Maasen, Siiri" uniqKey="Maasen S" first="Siiri" last="Maasen">Siiri Maasen</name>
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<nlm:affiliation>Tallinn Healthcare College, Tallin,Estonia.</nlm:affiliation>
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<wicri:noRegion>Tallin</wicri:noRegion>
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<author>
<name sortKey="Waagenes, Wendy" sort="Waagenes, Wendy" uniqKey="Waagenes W" first="Wendy" last="Waagenes">Wendy Waagenes</name>
<affiliation wicri:level="3">
<nlm:affiliation>Hvidovre Hospital, Copenhagen, Denmark.</nlm:affiliation>
<country xml:lang="fr">Danemark</country>
<wicri:regionArea>Hvidovre Hospital, Copenhagen</wicri:regionArea>
<placeName>
<settlement type="city">Copenhague</settlement>
<region type="région" nuts="2">Hovedstaden</region>
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<author>
<name sortKey="De Pater, Marjon" sort="De Pater, Marjon" uniqKey="De Pater M" first="Marjon" last="De Pater">Marjon De Pater</name>
<affiliation wicri:level="3">
<nlm:affiliation>Amsterdam UMC location AMC, Amsterdam, The Netherlands.</nlm:affiliation>
<country xml:lang="fr">Pays-Bas</country>
<wicri:regionArea>Amsterdam UMC location AMC, Amsterdam</wicri:regionArea>
<placeName>
<settlement type="city">Amsterdam</settlement>
<region nuts="2" type="province">Hollande-Septentrionale</region>
</placeName>
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</author>
<author>
<name sortKey="Ponchon, Thierry" sort="Ponchon, Thierry" uniqKey="Ponchon T" first="Thierry" last="Ponchon">Thierry Ponchon</name>
<affiliation wicri:level="1">
<nlm:affiliation>Gastroenterology Division, Edouard Herriot Hospital Lyon, France.</nlm:affiliation>
<country xml:lang="fr">France</country>
<wicri:regionArea>Gastroenterology Division, Edouard Herriot Hospital Lyon</wicri:regionArea>
<wicri:noRegion>Edouard Herriot Hospital Lyon</wicri:noRegion>
<wicri:noRegion>Edouard Herriot Hospital Lyon</wicri:noRegion>
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<author>
<name sortKey="Siersema, Peter D" sort="Siersema, Peter D" uniqKey="Siersema P" first="Peter D" last="Siersema">Peter D. Siersema</name>
<affiliation wicri:level="3">
<nlm:affiliation>Department of Gastroenterology and Hepatology, Radboud University Medical Center, Nijmegen, The Netherlands.</nlm:affiliation>
<country xml:lang="fr">Pays-Bas</country>
<wicri:regionArea>Department of Gastroenterology and Hepatology, Radboud University Medical Center, Nijmegen</wicri:regionArea>
<placeName>
<settlement type="city">Nimègue</settlement>
<region type="province" nuts="2">Gueldre</region>
</placeName>
</affiliation>
</author>
<author>
<name sortKey="Messmann, Helmut" sort="Messmann, Helmut" uniqKey="Messmann H" first="Helmut" last="Messmann">Helmut Messmann</name>
<affiliation wicri:level="3">
<nlm:affiliation>III. Medizinische Klinik Universitätsklinikum Augsburg, Augsburg, Germany.</nlm:affiliation>
<country xml:lang="fr">Allemagne</country>
<wicri:regionArea>III. Medizinische Klinik Universitätsklinikum Augsburg, Augsburg</wicri:regionArea>
<placeName>
<region type="land" nuts="1">Bavière</region>
<region type="district" nuts="2">District de Souabe</region>
<settlement type="city">Augsbourg</settlement>
</placeName>
</affiliation>
</author>
<author>
<name sortKey="Dinis Ribeiro, Mario" sort="Dinis Ribeiro, Mario" uniqKey="Dinis Ribeiro M" first="Mario" last="Dinis-Ribeiro">Mario Dinis-Ribeiro</name>
<affiliation wicri:level="1">
<nlm:affiliation>Gastroenterology Department, Portuguese Oncology Institute of Porto, Portugal.</nlm:affiliation>
<country xml:lang="fr">Portugal</country>
<wicri:regionArea>Gastroenterology Department, Portuguese Oncology Institute of Porto</wicri:regionArea>
<wicri:noRegion>Portuguese Oncology Institute of Porto</wicri:noRegion>
</affiliation>
</author>
</analytic>
<series>
<title level="j">Endoscopy</title>
<idno type="eISSN">1438-8812</idno>
<imprint>
<date when="2020" type="published">2020</date>
</imprint>
</series>
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<textClass></textClass>
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</teiHeader>
<front>
<div type="abstract" xml:lang="en">We are currently living in the throes of the COVID-19 pandemic that imposes a significant stress on health care providers and facilities. Europe is severely affected with an exponential increase in incident infections and deaths. The clinical manifestations of COVID-19 can be subtle, encompassing a broad spectrum from asymptomatic mild disease to severe respiratory illness. Health care professionals in endoscopy units are at increased risk of infection from COVID-19. Infection prevention and control has been shown to be dramatically effective in assuring the safety of both health care professionals and patients. The European Society of Gastrointestinal Endoscopy (www.esge.com) and the European Society of Gastroenterology and Endoscopy Nurses and Associates (www.esgena.org) are joining forces to provide guidance during this pandemic to help assure the highest level of endoscopy care and protection against COVID-19 for both patients and endoscopy unit personnel. This guidance is based upon the best available evidence regarding assessment of risk during the current status of the pandemic and a consensus on which procedures to perform and the priorities on resumption. We appreciate the gaps in knowledge and evidence, especially on the proper strategy(ies) for the resumption of normal endoscopy practice during the upcoming phases and end of the pandemic and therefore a list of potential research questions is presented. New evidence may result in an updated statement.</div>
</front>
</TEI>
<affiliations>
<list>
<country>
<li>Allemagne</li>
<li>Belgique</li>
<li>Croatie</li>
<li>Danemark</li>
<li>Espagne</li>
<li>Estonie</li>
<li>France</li>
<li>Grèce</li>
<li>Israël</li>
<li>Italie</li>
<li>Pays-Bas</li>
<li>Pologne</li>
<li>Portugal</li>
<li>Royaume-Uni</li>
<li>Slovénie</li>
<li>Suisse</li>
<li>États-Unis</li>
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<region>
<li>Angleterre</li>
<li>Attique (région)</li>
<li>Bavière</li>
<li>Canton de Berne</li>
<li>Catalogne</li>
<li>District de Souabe</li>
<li>Grand Londres</li>
<li>Gueldre</li>
<li>Hollande-Septentrionale</li>
<li>Hovedstaden</li>
<li>Latium</li>
<li>Région de Bruxelles-Capitale</li>
<li>Vermont</li>
</region>
<settlement>
<li>Amsterdam</li>
<li>Athènes</li>
<li>Augsbourg</li>
<li>Barcelone</li>
<li>Berne</li>
<li>Bruxelles</li>
<li>Copenhague</li>
<li>Londres</li>
<li>Nimègue</li>
<li>Rome</li>
</settlement>
<orgName>
<li>Université d'Amsterdam</li>
<li>Université de Barcelone</li>
</orgName>
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<name sortKey="Gralnek, Ian M" sort="Gralnek, Ian M" uniqKey="Gralnek I" first="Ian M" last="Gralnek">Ian M. Gralnek</name>
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</country>
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<name sortKey="Pellise, Maria" sort="Pellise, Maria" uniqKey="Pellise M" first="Maria" last="Pellisè">Maria Pellisè</name>
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<country name="Belgique">
<region name="Région de Bruxelles-Capitale">
<name sortKey="Arvanitakis, Marianna" sort="Arvanitakis, Marianna" uniqKey="Arvanitakis M" first="Marianna" last="Arvanitakis">Marianna Arvanitakis</name>
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</country>
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<region name="Hollande-Septentrionale">
<name sortKey="Van Hooft, Jeanin E" sort="Van Hooft, Jeanin E" uniqKey="Van Hooft J" first="Jeanin E" last="Van Hooft">Jeanin E. Van Hooft</name>
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<name sortKey="Triantafyllou, Konstantinos" sort="Triantafyllou, Konstantinos" uniqKey="Triantafyllou K" first="Konstantinos" last="Triantafyllou">Konstantinos Triantafyllou</name>
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<name sortKey="Pohl, Heiko" sort="Pohl, Heiko" uniqKey="Pohl H" first="Heiko" last="Pohl">Heiko Pohl</name>
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<name sortKey="Fehrke, Bjorn" sort="Fehrke, Bjorn" uniqKey="Fehrke B" first="Björn" last="Fehrke">Björn Fehrke</name>
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<country name="Croatie">
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<name sortKey="Gazic, Mario" sort="Gazic, Mario" uniqKey="Gazic M" first="Mario" last="Gazic">Mario Gazic</name>
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<name sortKey="Gjergek, Tatjana" sort="Gjergek, Tatjana" uniqKey="Gjergek T" first="Tatjana" last="Gjergek">Tatjana Gjergek</name>
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<name sortKey="Waagenes, Wendy" sort="Waagenes, Wendy" uniqKey="Waagenes W" first="Wendy" last="Waagenes">Wendy Waagenes</name>
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<name sortKey="Dinis Ribeiro, Mario" sort="Dinis Ribeiro, Mario" uniqKey="Dinis Ribeiro M" first="Mario" last="Dinis-Ribeiro">Mario Dinis-Ribeiro</name>
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</record>

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