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[Recommendations of the Society of Gastroenterology of Peru to avoid the spread of SARS-CoV-2 through digestive endoscopy procedures].
Rev Gastroenterol Peru. 2020 Jan-Mar; 40(1):95-99.RG

Abstract

The SARS-CoV-2 coronavirus produces the disease called COVID-19, currently spreading in a rapidly evolving pandemic. It can be transmitted by contact, drops and aerosols, and has been isolated from gastrointestinal secretions and faeces. During digestive endoscopy, transmission by any of these mechanisms could occur. It is recommended to limit digestive endoscopy to cases of digestive bleeding, severe dysphagia, foreign body in the digestive tract, biliary obstruction with intractable pain or cholangitis, pseudocyst or complicated encapsulated pancreatic necrosis, gastrointestinal obstruction, and cases at risk of deterioration over time. It is recommended to screen patients based on temperature, symptoms, and epidemiological factors to classify them according to their risk of infection. For procedures in low risk patients, personnel must wear a disposable gown, gloves, eye or face shield, standard surgical mask, disposable hat, disposable shoe covers. In cases of intermediate or high risk, or confirmed COVID-19, protection should be increased using disposable waterproof gown, N95 respirator or similar, and double glove. In case of shortage it may be necessary to reuse N95 respirators for up to 5 uses, following CDC recommendations for donning, removing and storing to prevent secondary contact contamination. Likewise, all protective equipment should be put on and removed according to CDC recommendations. The presence of personnel in endoscopy should be limited to the bare minimum. Said personnel must have daily temperature control and if it is above 37.3ºC, the corresponding evaluation must be carried out. After each procedure, the stretcher and room surfaces should be properly disinfected. High-level disinfection of endoscopes eliminates SARS-CoV-2.

Authors+Show Affiliations

Clínica Ricardo Palma. Lima, Perú; Universidad Peruana Cayetano Heredia. Lima, Perú; Coordinador del Capítulo de Endoscopía, Sociedad de Gastroenterología del Perú. Lima, Perú.Hospital Nacional Guillermo Almenara Yrigoyen. Lima, Perú; Facultad de Medicina, Universidad Nacional Mayor de San Marcos. Lima, Perú; Editor Asociado de la Revista de Gastroenterología del Perú. Lima, Perú.Jefe de Gastroenterología, Hospital Guillermo Kaelin De la Fuente. Lima, Perú; Unidad de Revisiones Sistemá ticas y Meta-aná lisis, Guías de Prá cticas Clínicas y Evaluaciones de Tecnología Sanitaria - Universidad San Ignacio Loyola. Lima, Perú; Editor Principal de la Revista de Gastroenterología del Perú. Lima, Perú.Presidente de la Sociedad de Gastroenterología del Perú. Lima, Perú; Clínica Ricardo Palma. Lima, Perú; Editor Asociado de la Revista de Gastroenterología del Perú. Lima, Perú.

Pub Type(s)

Journal Article
Practice Guideline

Language

spa

PubMed ID

32369475

Citation

Prochazka Zá Rate, Ricardo Arturo, et al. "[Recommendations of the Society of Gastroenterology of Peru to Avoid the Spread of SARS-CoV-2 Through Digestive Endoscopy Procedures]." Revista De Gastroenterologia Del Peru : Organo Oficial De La Sociedad De Gastroenterologia Del Peru, vol. 40, no. 1, 2020, pp. 95-99.
Prochazka Zá Rate RA, Cabrera Cabrejos MC, Piscoya A, et al. [Recommendations of the Society of Gastroenterology of Peru to avoid the spread of SARS-CoV-2 through digestive endoscopy procedures]. Rev Gastroenterol Peru. 2020;40(1):95-99.
Prochazka Zá Rate, R. A., Cabrera Cabrejos, M. C., Piscoya, A., & Vera Calderón, A. F. (2020). [Recommendations of the Society of Gastroenterology of Peru to avoid the spread of SARS-CoV-2 through digestive endoscopy procedures]. Revista De Gastroenterologia Del Peru : Organo Oficial De La Sociedad De Gastroenterologia Del Peru, 40(1), 95-99.
Prochazka Zá Rate RA, et al. [Recommendations of the Society of Gastroenterology of Peru to Avoid the Spread of SARS-CoV-2 Through Digestive Endoscopy Procedures]. Rev Gastroenterol Peru. 2020 Jan-Mar;40(1):95-99. PubMed PMID: 32369475.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - [Recommendations of the Society of Gastroenterology of Peru to avoid the spread of SARS-CoV-2 through digestive endoscopy procedures]. AU - Prochazka Zá Rate,Ricardo Arturo, AU - Cabrera Cabrejos,María Cecilia, AU - Piscoya,Alejandro, AU - Vera Calderón,Augusto Francisco, PY - 2020/5/6/entrez PY - 2020/5/6/pubmed PY - 2020/5/8/medline SP - 95 EP - 99 JF - Revista de gastroenterologia del Peru : organo oficial de la Sociedad de Gastroenterologia del Peru JO - Rev Gastroenterol Peru VL - 40 IS - 1 N2 - The SARS-CoV-2 coronavirus produces the disease called COVID-19, currently spreading in a rapidly evolving pandemic. It can be transmitted by contact, drops and aerosols, and has been isolated from gastrointestinal secretions and faeces. During digestive endoscopy, transmission by any of these mechanisms could occur. It is recommended to limit digestive endoscopy to cases of digestive bleeding, severe dysphagia, foreign body in the digestive tract, biliary obstruction with intractable pain or cholangitis, pseudocyst or complicated encapsulated pancreatic necrosis, gastrointestinal obstruction, and cases at risk of deterioration over time. It is recommended to screen patients based on temperature, symptoms, and epidemiological factors to classify them according to their risk of infection. For procedures in low risk patients, personnel must wear a disposable gown, gloves, eye or face shield, standard surgical mask, disposable hat, disposable shoe covers. In cases of intermediate or high risk, or confirmed COVID-19, protection should be increased using disposable waterproof gown, N95 respirator or similar, and double glove. In case of shortage it may be necessary to reuse N95 respirators for up to 5 uses, following CDC recommendations for donning, removing and storing to prevent secondary contact contamination. Likewise, all protective equipment should be put on and removed according to CDC recommendations. The presence of personnel in endoscopy should be limited to the bare minimum. Said personnel must have daily temperature control and if it is above 37.3ºC, the corresponding evaluation must be carried out. After each procedure, the stretcher and room surfaces should be properly disinfected. High-level disinfection of endoscopes eliminates SARS-CoV-2. SN - 1609-722X UR - https://www.unboundmedicine.com/medline/citation/32369475/[Recommendations_of_the_Society_of_Gastroenterology_of_Peru_to_avoid_the_spread_of_SARS-CoV-2_through_digestive_endoscopy_procedures] L2 - http://www.diseaseinfosearch.org/result/6415 DB - PRIME DP - Unbound Medicine ER -