Endoscopy works during the pandemic of coronavirus COVID-19: recommendations by the Chinese Society of Digestive Endoscopy

United European Gastroenterol J. 2020 Aug;8(7):798-803. doi: 10.1177/2050640620930632. Epub 2020 Jul 2.

Abstract

Since December 2019, a novel coronavirus disease, COVID-19, has occurred in China and has spread around the world rapidly. As an acute respiratory infectious disease, COVID-19 has been included in type B infectious diseases and managed according to the standard of type A infectious disease in China. Given the high risk of COVID-19 infection during endoscopic procedures via an airborne route, the Chinese Society of Digestive Endoscopy issued a series of recommendations to guide the endoscopy works in China during the pandemic. To the best of our knowledge, no new infectious case of COVID-19 resulting from endoscopic procedures has been reported in China to date. Here, these recommendations are integrated to provide guidance about the prevention of COVID-19 for endoscopists. The recommendations include advice about postponing non-urgent endoscopies, excluding the possibility of COVID-19 in patients undergoing endoscopy, protection of medical staff from coronavirus infection, and cleaning of endoscopy centres.

Keywords: Endoscopy; colonoscopy; endoscopic ultrasound; epidemiology; surgery.

MeSH terms

  • Betacoronavirus / isolation & purification
  • Betacoronavirus / pathogenicity
  • COVID-19
  • COVID-19 Testing
  • China / epidemiology
  • Clinical Laboratory Techniques / standards
  • Coronavirus Infections / diagnosis
  • Coronavirus Infections / epidemiology
  • Coronavirus Infections / prevention & control*
  • Coronavirus Infections / transmission
  • Coronavirus Infections / virology
  • Endoscopy, Gastrointestinal / instrumentation
  • Endoscopy, Gastrointestinal / standards*
  • Equipment Contamination / prevention & control
  • Gastroenterology / methods
  • Gastroenterology / standards
  • Gastrointestinal Diseases / diagnosis
  • Gastrointestinal Diseases / therapy
  • Health Personnel / standards
  • Humans
  • Infection Control / instrumentation
  • Infection Control / organization & administration*
  • Infection Control / standards
  • Infectious Disease Transmission, Patient-to-Professional / prevention & control
  • Infectious Disease Transmission, Professional-to-Patient / prevention & control
  • Operating Rooms / standards
  • Pandemics / prevention & control*
  • Personal Protective Equipment / standards*
  • Pneumonia, Viral / epidemiology
  • Pneumonia, Viral / prevention & control*
  • Pneumonia, Viral / transmission
  • Pneumonia, Viral / virology
  • Practice Guidelines as Topic*
  • Preoperative Care / standards
  • SARS-CoV-2
  • Societies, Medical / standards