Endoscopy during the Covid-19 outbreak: experience and recommendations from a single center in a high-incidence scenario
Identifieur interne : 001306 ( Ncbi/Merge ); précédent : 001305; suivant : 001307Endoscopy during the Covid-19 outbreak: experience and recommendations from a single center in a high-incidence scenario
Auteurs : Luca Elli [Italie] ; Alessandro Rimondi [Italie] ; Lucia Scaramella [Italie] ; Matilde Topa [Italie] ; Maurizio Vecchi [Italie] ; Davide Mangioni [Italie] ; Andrea Gori [Italie] ; Roberto Penagini [Italie]Source :
- Digestive and Liver Disease [ 1590-8658 ] ; 2020.
Abstract
A dramatic SARS-Cov-2 outbreak is hitting Italy hard. To face the new scenario all the hospitals have been re-organised in order to reduce all the outpatient services and to devote almost all their personnel and resources to the management of Covid-19 patients. As a matter of fact, all the services have undergone a deep re-organization guided by: the necessity to reduce exams, to create an environment that helps reduce the virus spread, and to preserve the medical personnel from infection. In these days a re-organization of the endoscopic unit, sited in a high-incidence area, has been adopted, with changes to logistics, work organization and patients selection. With the present manuscript, we want to support gastroenterologists and endoscopists in the organization of a “new” endoscopy unit that responds to the “new” scenario, while remaining fully aware that resources availability and local circumstances may extremely vary from unit to unit.
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DOI: 10.1016/j.dld.2020.04.018
PubMed: NONE
PubMed Central: 7183950
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Sforza 35, 20122 Milano, Italy</nlm:aff><country xml:lang="fr">Italie</country><wicri:regionArea>Gastroenterology and Endoscopy Unit, Fondazione IRCCS Ca’ Granda Ospedale Maggiore Policlinico, Via F. Sforza 35, 20122 Milano</wicri:regionArea><wicri:noRegion>20122 Milano</wicri:noRegion></affiliation><affiliation wicri:level="1"><nlm:aff id="aff0002">Department of pathophisiology and transplantation, University of Milano, Via F. Sforza 35, 20122 Milano, Italy</nlm:aff><country xml:lang="fr">Italie</country><wicri:regionArea>Department of pathophisiology and transplantation, University of Milano, Via F. 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Sforza 35, 20122 Milano, Italy</nlm:aff><country xml:lang="fr">Italie</country><wicri:regionArea>Department of pathophisiology and transplantation, University of Milano, Via F. Sforza 35, 20122 Milano</wicri:regionArea><wicri:noRegion>20122 Milano</wicri:noRegion></affiliation></author><author><name sortKey="Scaramella, Lucia" sort="Scaramella, Lucia" uniqKey="Scaramella L" first="Lucia" last="Scaramella">Lucia Scaramella</name><affiliation wicri:level="1"><nlm:aff id="aff0001">Gastroenterology and Endoscopy Unit, Fondazione IRCCS Ca’ Granda Ospedale Maggiore Policlinico, Via F. Sforza 35, 20122 Milano, Italy</nlm:aff><country xml:lang="fr">Italie</country><wicri:regionArea>Gastroenterology and Endoscopy Unit, Fondazione IRCCS Ca’ Granda Ospedale Maggiore Policlinico, Via F. Sforza 35, 20122 Milano</wicri:regionArea><wicri:noRegion>20122 Milano</wicri:noRegion></affiliation><affiliation wicri:level="1"><nlm:aff id="aff0002">Department of pathophisiology and transplantation, University of Milano, Via F. Sforza 35, 20122 Milano, Italy</nlm:aff><country xml:lang="fr">Italie</country><wicri:regionArea>Department of pathophisiology and transplantation, University of Milano, Via F. Sforza 35, 20122 Milano</wicri:regionArea><wicri:noRegion>20122 Milano</wicri:noRegion></affiliation></author><author><name sortKey="Topa, Matilde" sort="Topa, Matilde" uniqKey="Topa M" first="Matilde" last="Topa">Matilde Topa</name><affiliation wicri:level="1"><nlm:aff id="aff0001">Gastroenterology and Endoscopy Unit, Fondazione IRCCS Ca’ Granda Ospedale Maggiore Policlinico, Via F. Sforza 35, 20122 Milano, Italy</nlm:aff><country xml:lang="fr">Italie</country><wicri:regionArea>Gastroenterology and Endoscopy Unit, Fondazione IRCCS Ca’ Granda Ospedale Maggiore Policlinico, Via F. Sforza 35, 20122 Milano</wicri:regionArea><wicri:noRegion>20122 Milano</wicri:noRegion></affiliation><affiliation wicri:level="1"><nlm:aff id="aff0002">Department of pathophisiology and transplantation, University of Milano, Via F. Sforza 35, 20122 Milano, Italy</nlm:aff><country xml:lang="fr">Italie</country><wicri:regionArea>Department of pathophisiology and transplantation, University of Milano, Via F. Sforza 35, 20122 Milano</wicri:regionArea><wicri:noRegion>20122 Milano</wicri:noRegion></affiliation></author><author><name sortKey="Vecchi, Maurizio" sort="Vecchi, Maurizio" uniqKey="Vecchi M" first="Maurizio" last="Vecchi">Maurizio Vecchi</name><affiliation wicri:level="1"><nlm:aff id="aff0001">Gastroenterology and Endoscopy Unit, Fondazione IRCCS Ca’ Granda Ospedale Maggiore Policlinico, Via F. Sforza 35, 20122 Milano, Italy</nlm:aff><country xml:lang="fr">Italie</country><wicri:regionArea>Gastroenterology and Endoscopy Unit, Fondazione IRCCS Ca’ Granda Ospedale Maggiore Policlinico, Via F. Sforza 35, 20122 Milano</wicri:regionArea><wicri:noRegion>20122 Milano</wicri:noRegion></affiliation><affiliation wicri:level="1"><nlm:aff id="aff0002">Department of pathophisiology and transplantation, University of Milano, Via F. Sforza 35, 20122 Milano, Italy</nlm:aff><country xml:lang="fr">Italie</country><wicri:regionArea>Department of pathophisiology and transplantation, University of Milano, Via F. Sforza 35, 20122 Milano</wicri:regionArea><wicri:noRegion>20122 Milano</wicri:noRegion></affiliation></author><author><name sortKey="Mangioni, Davide" sort="Mangioni, Davide" uniqKey="Mangioni D" first="Davide" last="Mangioni">Davide Mangioni</name><affiliation wicri:level="1"><nlm:aff id="aff0003">Infectious Diseases Unit, Department of Internal Medicine, Fondazione IRCCS Ca’ Granda Ospedale Maggiore Policlinico, Via F. Sforza 35, 20122 Milano, Italy</nlm:aff><country xml:lang="fr">Italie</country><wicri:regionArea>Infectious Diseases Unit, Department of Internal Medicine, Fondazione IRCCS Ca’ Granda Ospedale Maggiore Policlinico, Via F. Sforza 35, 20122 Milano</wicri:regionArea><wicri:noRegion>20122 Milano</wicri:noRegion></affiliation><affiliation wicri:level="1"><nlm:aff id="aff0004">Department of Medical Biotechnology and Translational Medicine, University of Milano, Via F. Sforza 35, 20122, Milano, Italy</nlm:aff><country xml:lang="fr">Italie</country><wicri:regionArea>Department of Medical Biotechnology and Translational Medicine, University of Milano, Via F. Sforza 35, 20122, Milano</wicri:regionArea><wicri:noRegion>Milano</wicri:noRegion></affiliation></author><author><name sortKey="Gori, Andrea" sort="Gori, Andrea" uniqKey="Gori A" first="Andrea" last="Gori">Andrea Gori</name><affiliation wicri:level="1"><nlm:aff id="aff0003">Infectious Diseases Unit, Department of Internal Medicine, Fondazione IRCCS Ca’ Granda Ospedale Maggiore Policlinico, Via F. Sforza 35, 20122 Milano, Italy</nlm:aff><country xml:lang="fr">Italie</country><wicri:regionArea>Infectious Diseases Unit, Department of Internal Medicine, Fondazione IRCCS Ca’ Granda Ospedale Maggiore Policlinico, Via F. Sforza 35, 20122 Milano</wicri:regionArea><wicri:noRegion>20122 Milano</wicri:noRegion></affiliation><affiliation wicri:level="1"><nlm:aff id="aff0004">Department of Medical Biotechnology and Translational Medicine, University of Milano, Via F. Sforza 35, 20122, Milano, Italy</nlm:aff><country xml:lang="fr">Italie</country><wicri:regionArea>Department of Medical Biotechnology and Translational Medicine, University of Milano, Via F. Sforza 35, 20122, Milano</wicri:regionArea><wicri:noRegion>Milano</wicri:noRegion></affiliation></author><author><name sortKey="Penagini, Roberto" sort="Penagini, Roberto" uniqKey="Penagini R" first="Roberto" last="Penagini">Roberto Penagini</name><affiliation wicri:level="1"><nlm:aff id="aff0001">Gastroenterology and Endoscopy Unit, Fondazione IRCCS Ca’ Granda Ospedale Maggiore Policlinico, Via F. Sforza 35, 20122 Milano, Italy</nlm:aff><country xml:lang="fr">Italie</country><wicri:regionArea>Gastroenterology and Endoscopy Unit, Fondazione IRCCS Ca’ Granda Ospedale Maggiore Policlinico, Via F. Sforza 35, 20122 Milano</wicri:regionArea><wicri:noRegion>20122 Milano</wicri:noRegion></affiliation><affiliation wicri:level="1"><nlm:aff id="aff0002">Department of pathophisiology and transplantation, University of Milano, Via F. Sforza 35, 20122 Milano, Italy</nlm:aff><country xml:lang="fr">Italie</country><wicri:regionArea>Department of pathophisiology and transplantation, University of Milano, Via F. Sforza 35, 20122 Milano</wicri:regionArea><wicri:noRegion>20122 Milano</wicri:noRegion></affiliation></author></analytic><series><title level="j">Digestive and Liver Disease</title><idno type="ISSN">1590-8658</idno><idno type="eISSN">1878-3562</idno><imprint><date when="2020">2020</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en"><p>A dramatic SARS-Cov-2 outbreak is hitting Italy hard. To face the new scenario all the hospitals have been re-organised in order to reduce all the outpatient services and to devote almost all their personnel and resources to the management of Covid-19 patients. As a matter of fact, all the services have undergone a deep re-organization guided by: the necessity to reduce exams, to create an environment that helps reduce the virus spread, and to preserve the medical personnel from infection. In these days a re-organization of the endoscopic unit, sited in a high-incidence area, has been adopted, with changes to logistics, work organization and patients selection. With the present manuscript, we want to support gastroenterologists and endoscopists in the organization of a “new” endoscopy unit that responds to the “new” scenario, while remaining fully aware that resources availability and local circumstances may extremely vary from unit to unit.</p></div></front><back><div1 type="bibliography"><listBibl><biblStruct><analytic><author><name sortKey="Huang, C" uniqKey="Huang C">C. Huang</name></author><author><name sortKey="Wang, Y" uniqKey="Wang Y">Y. Wang</name></author><author><name sortKey="Li, X" uniqKey="Li X">X. Li</name></author><author><name sortKey="Ren, L" uniqKey="Ren L">L. Ren</name></author><author><name sortKey="Zhao, J" uniqKey="Zhao J">J. Zhao</name></author><author><name sortKey="Hu, Y" uniqKey="Hu Y">Y. 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<front><journal-meta><journal-id journal-id-type="nlm-ta">Dig Liver Dis</journal-id><journal-id journal-id-type="iso-abbrev">Dig Liver Dis</journal-id><journal-title-group><journal-title>Digestive and Liver Disease</journal-title></journal-title-group><issn pub-type="ppub">1590-8658</issn><issn pub-type="epub">1878-3562</issn><publisher><publisher-name>Editrice Gastroenterologica Italiana S.r.l. Published by Elsevier Ltd.</publisher-name></publisher></journal-meta><article-meta><article-id pub-id-type="pmc">7183950</article-id><article-id pub-id-type="publisher-id">S1590-8658(20)30173-0</article-id><article-id pub-id-type="doi">10.1016/j.dld.2020.04.018</article-id><article-categories><subj-group subj-group-type="heading"><subject>Article</subject></subj-group></article-categories><title-group><article-title>Endoscopy during the Covid-19 outbreak: experience and recommendations from a single center in a high-incidence scenario</article-title></title-group><contrib-group><contrib contrib-type="author" id="au0001"><name><surname>Elli</surname><given-names>Luca</given-names></name><degrees>MD, PhD</degrees><email>luca.elli@policlinico.mi.it</email><xref rid="aff0001" ref-type="aff">a</xref><xref rid="aff0002" ref-type="aff">b</xref><xref rid="cor0001" ref-type="corresp">⁎</xref></contrib><contrib contrib-type="author" id="au0002"><name><surname>Rimondi</surname><given-names>Alessandro</given-names></name><degrees>MD</degrees><xref rid="aff0001" ref-type="aff">a</xref><xref rid="aff0002" ref-type="aff">b</xref></contrib><contrib contrib-type="author" id="au0003"><name><surname>Scaramella</surname><given-names>Lucia</given-names></name><degrees>MD</degrees><xref rid="aff0001" ref-type="aff">a</xref><xref rid="aff0002" ref-type="aff">b</xref></contrib><contrib contrib-type="author" id="au0004"><name><surname>Topa</surname><given-names>Matilde</given-names></name><degrees>MD</degrees><xref rid="aff0001" ref-type="aff">a</xref><xref rid="aff0002" ref-type="aff">b</xref></contrib><contrib contrib-type="author" id="au0005"><name><surname>Vecchi</surname><given-names>Maurizio</given-names></name><degrees>MDPhD</degrees><xref rid="aff0001" ref-type="aff">a</xref><xref rid="aff0002" ref-type="aff">b</xref></contrib><contrib contrib-type="author" id="au0006"><name><surname>Mangioni</surname><given-names>Davide</given-names></name><degrees>MD</degrees><xref rid="aff0003" ref-type="aff">c</xref><xref rid="aff0004" ref-type="aff">d</xref></contrib><contrib contrib-type="author" id="au0007"><name><surname>Gori</surname><given-names>Andrea</given-names></name><degrees>MD</degrees><xref rid="aff0003" ref-type="aff">c</xref><xref rid="aff0004" ref-type="aff">d</xref></contrib><contrib contrib-type="author" id="au0008"><name><surname>Penagini</surname><given-names>Roberto</given-names></name><degrees>MD</degrees><xref rid="aff0001" ref-type="aff">a</xref><xref rid="aff0002" ref-type="aff">b</xref></contrib><on-behalf-of>on behalf of the </on-behalf-of><contrib contrib-type="author"><collab>Digestive Endoscopy team of the Fondazione IRCCS Ca’ Granda Ospedale Maggiore Policlinico-Milano<xref rid="fn1" ref-type="fn">§</xref></collab></contrib><aff id="aff0001"><label>a</label>Gastroenterology and Endoscopy Unit, Fondazione IRCCS Ca’ Granda Ospedale Maggiore Policlinico, Via F. Sforza 35, 20122 Milano, Italy</aff><aff id="aff0002"><label>b</label>Department of pathophisiology and transplantation, University of Milano, Via F. Sforza 35, 20122 Milano, Italy</aff><aff id="aff0003"><label>c</label>Infectious Diseases Unit, Department of Internal Medicine, Fondazione IRCCS Ca’ Granda Ospedale Maggiore Policlinico, Via F. Sforza 35, 20122 Milano, Italy</aff><aff id="aff0004"><label>d</label>Department of Medical Biotechnology and Translational Medicine, University of Milano, Via F. Sforza 35, 20122, Milano, Italy</aff></contrib-group><author-notes><corresp id="cor0001"><label>⁎</label>Corresponding author: Luca Elli, MD PhD, Gastroenterology and Endoscopy Unit, Fondazione IRCCS Ca’ Granda Ospedale Maggiore Policlinico, Via F. Sforza, 35, 20122 Milan (Italy) <email>luca.elli@policlinico.mi.it</email></corresp><fn id="fn1"><label>§</label><p id="notep0001">Members of the Digestive Endoscopy team of the Fondazione IRCCS Ca’ Granda Ospedale Maggiore Policlinico-Milano: G. Basilisco, F. Botti, P. Cantù, F. Caprioli, A. Carrara, Ciminiello, P.F. Leone, G.L. Scacchi, G.E. Tontini, G. Torgano,</p></fn></author-notes><pub-date pub-type="pmc-release"><day>27</day><month>4</month><year>2020</year></pub-date><pmc-comment> PMC Release delay is 0 months and 0 days and was based on .</pmc-comment>
<pub-date pub-type="epub"><day>27</day><month>4</month><year>2020</year></pub-date><history><date date-type="received"><day>29</day><month>3</month><year>2020</year></date><date date-type="accepted"><day>16</day><month>4</month><year>2020</year></date></history><permissions><copyright-statement>© 2020 Editrice Gastroenterologica Italiana S.r.l. Published by Elsevier Ltd. All rights reserved.</copyright-statement><copyright-year>2020</copyright-year><copyright-holder></copyright-holder><license><license-p>Since January 2020 Elsevier has created a COVID-19 resource centre with free information in English and Mandarin on the novel coronavirus COVID-19. The COVID-19 resource centre is hosted on Elsevier Connect, the company's public news and information website. Elsevier hereby grants permission to make all its COVID-19-related research that is available on the COVID-19 resource centre - including this research content - immediately available in PubMed Central and other publicly funded repositories, such as the WHO COVID database with rights for unrestricted research re-use and analyses in any form or by any means with acknowledgement of the original source. These permissions are granted for free by Elsevier for as long as the COVID-19 resource centre remains active.</license-p></license></permissions><abstract id="abs0001"><p>A dramatic SARS-Cov-2 outbreak is hitting Italy hard. To face the new scenario all the hospitals have been re-organised in order to reduce all the outpatient services and to devote almost all their personnel and resources to the management of Covid-19 patients. As a matter of fact, all the services have undergone a deep re-organization guided by: the necessity to reduce exams, to create an environment that helps reduce the virus spread, and to preserve the medical personnel from infection. In these days a re-organization of the endoscopic unit, sited in a high-incidence area, has been adopted, with changes to logistics, work organization and patients selection. With the present manuscript, we want to support gastroenterologists and endoscopists in the organization of a “new” endoscopy unit that responds to the “new” scenario, while remaining fully aware that resources availability and local circumstances may extremely vary from unit to unit.</p></abstract><kwd-group id="keys0001"><title>Key words</title><kwd>Endoscopy</kwd><kwd>Covid-19</kwd><kwd>Coronavirus</kwd><kwd>SARS-CoV-2</kwd></kwd-group></article-meta></front></pmc><affiliations><list><country><li>Italie</li></country></list><tree><country name="Italie"><noRegion><name sortKey="Elli, Luca" sort="Elli, Luca" uniqKey="Elli L" first="Luca" last="Elli">Luca Elli</name></noRegion><name sortKey="Elli, Luca" sort="Elli, Luca" uniqKey="Elli L" first="Luca" last="Elli">Luca Elli</name><name sortKey="Gori, Andrea" sort="Gori, Andrea" uniqKey="Gori A" first="Andrea" last="Gori">Andrea Gori</name><name sortKey="Gori, Andrea" sort="Gori, Andrea" uniqKey="Gori A" first="Andrea" last="Gori">Andrea Gori</name><name sortKey="Mangioni, Davide" sort="Mangioni, Davide" uniqKey="Mangioni D" first="Davide" last="Mangioni">Davide Mangioni</name><name sortKey="Mangioni, Davide" sort="Mangioni, Davide" uniqKey="Mangioni D" first="Davide" last="Mangioni">Davide Mangioni</name><name sortKey="Penagini, Roberto" sort="Penagini, Roberto" uniqKey="Penagini R" first="Roberto" last="Penagini">Roberto Penagini</name><name sortKey="Penagini, Roberto" sort="Penagini, Roberto" uniqKey="Penagini R" first="Roberto" last="Penagini">Roberto Penagini</name><name sortKey="Rimondi, Alessandro" sort="Rimondi, Alessandro" uniqKey="Rimondi A" first="Alessandro" last="Rimondi">Alessandro Rimondi</name><name sortKey="Rimondi, Alessandro" sort="Rimondi, Alessandro" uniqKey="Rimondi A" first="Alessandro" last="Rimondi">Alessandro Rimondi</name><name sortKey="Scaramella, Lucia" sort="Scaramella, Lucia" uniqKey="Scaramella L" first="Lucia" last="Scaramella">Lucia Scaramella</name><name sortKey="Scaramella, Lucia" sort="Scaramella, Lucia" uniqKey="Scaramella L" first="Lucia" last="Scaramella">Lucia Scaramella</name><name sortKey="Topa, Matilde" sort="Topa, Matilde" uniqKey="Topa M" first="Matilde" last="Topa">Matilde Topa</name><name sortKey="Topa, Matilde" sort="Topa, Matilde" uniqKey="Topa M" first="Matilde" last="Topa">Matilde Topa</name><name sortKey="Vecchi, Maurizio" sort="Vecchi, Maurizio" uniqKey="Vecchi M" first="Maurizio" last="Vecchi">Maurizio Vecchi</name><name sortKey="Vecchi, Maurizio" sort="Vecchi, Maurizio" uniqKey="Vecchi M" first="Maurizio" last="Vecchi">Maurizio Vecchi</name></country></tree></affiliations></record>Pour manipuler ce document sous Unix (Dilib)
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