• Annals of medicine · Dec 2022

    Effect of COVID-19 on gastrointestinal endoscopy practice: a systematic review.

    • Mohamed H Emara, Mariam Zaghloul, Muhammad Abdel-Gawad, Nahed A Makhlouf, Mohamed Abdelghani, Doaa Abdeltawab, Aya M Mahros, Ahmed Bekhit, Nitin S Behl, Sadek Mostafa, Alejandro Piscoya, Sherief Abd-Elsalam, and Mohamed Alboraie.
    • Hepatology, Gastroenterology and Infectious Diseases Department, Kafrelsheikh University, Kafr El-Sheikh, Egypt.
    • Ann. Med. 2022 Dec 1; 54 (1): 287528842875-2884.

    BackgroundSince the emergence of the novel corona virus (SARS-Cov-2) in the late 2019 and not only the endoscopy practice and training but also the health care systems around the globe suffers. This systematic review focused the impact of Corona Virus Disease (COVID-19) on the endoscopy practice.MethodsA web search of different databases combining different search terms describing the endoscopy practice and the COVID-19 pandemic was done. Articles were screened for selection of relevant articles in two steps: title and abstract step and full-text screening step, by two independent reviewers and any debate was solved by a third reviewer.ResultsFinal studies included in qualitative synthesis were 47. The data shown in the relevant articles were evident for marked reduction in the volume of endoscopy, marked affection of colorectal cancer screening, impairments in the workflow, deficiency in personal protective equipment (PPE) and increased likelihood of catching the infection among both the staff and the patients.ConclusionThe main outcomes from this review are rescheduling of endoscopy procedures to be suitable with the situation of COVID-19 pandemic in each Country. Also, the endorsement of the importance of PPE use for health care workers and screening of COVID-19 infection pre-procedure.Key messagesThe data focussing Gastrointestinal Endoscopy and COVID-19 emerged from different areas around the globe. The data presented on the published studies were heterogeneous. However, there were remarkable reductions in the volume of GI endoscopy worldwideStaff reallocation added a burden to endoscopy practiceThere was a real risk for COVID-19 spread among both the staff and the patients.

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