Acta Scientific Clinical Case Reports

Opinion Volume 1 Issue 4

GI Endoscopy in the Era of COVID-19; Is it Remodelling Our Routine Practices?

Adeel Urrehman1*, Amna Subhan1 and Christopher Khor2

1Aga Khan University Hospital AKUH, Pakistan
2Singapore General Hospital, Singapore

*Corresponding Author: Adeel Urrehman, Aga Khan University Hospital AKUH, Pakistan.

Received: April 22, 2020; Published: April 30, 2020

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  As of 23th April 2020, there are nearly 2.7 million confirmed cases of COVID-19 and more than 187,000 fatalities across the world due to the pandemic. Cohort studies revealed that approximately 30% of cases have no symptoms, while majority of 55% have mild-moderate symptoms that do not require hospitalization, and the remaining 10% have severe symptoms needing hospital admission, while 5% need ICU care for ventilatory support [1-3]. Mortality is variable in different regions ranging from 1.6 - 12% with overall figures of approximately 6.7%. It is a highly contagious infection with the virus testing positive in various bodily fluids as follows: bronchoalveolar lavage fluid 93%, nasal swabs 63% and feces 29% [4]. Exponential increases in infection numbers indicate how rapidly the virus has spread across the globe, infecting every country in all continents.

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References

  1. Yang Liu., et al. “Viral dynamics in mild and severe cases of Covid-19”. The Lancet (2020).
  2. Lauer SA., et al. “The Incubation Period of Coronavirus Disease 2019 [COVID-19] From Publicly Reported Confirmed Cases. Estimation and Application”. Annals of Internal Medicine (2020).
  3. Niel M Ferguson., et al. “Impact of non-pharmaceutical interventions (NPIs) to reduce COVID-19 mortality and healthcare demand”. Imperial College COVID-19 response Team (2020).
  4. Wenling W., et al. “Detection of SARS-CoV-2 in Different Types of Clinical Specimens”. Journal of the American Medical Association (2020): e203786.
  5. British Society of gastroenterology. BSG/JAG COVID-19 guidance and advice (2020).
  6. Lui RN., et al. “Overview of guidance for endoscopy during the coronavirus disease 2019 (COVID-19) pandemic”. Journal of Gastroenterology and Hepatology (2020).
  7. Chiu PWY., et al. “Practice of Endoscopy during COVID-19 pandemic: position statements of the Asian Pacific Society for Digestive Endoscopy (AOSDE-COVID Statements)”. Gut (2020).
  8. “Joint GI society message: COVID-19 clinical insights for our community of gastroenterologist and gastroenterology care providers” (2020).
  9. Guidance on Personal Protective Equipment (PPE) To Be Used By Healthcare Workers during Management of Patients with Confirmed Ebola or Persons under Investigation (PUIs) for Ebola who are Clinically Unstable or Have Bleeding, Vomiting, or Diarrhea in U.S. Hospitals, Including Procedures for Donning and Doffing PPE.
  10. Essentials of donning, doffing and changes in endoscopy practice to reduce the risk of spreading COVID-19 during endoscopy.
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Citation

Citation: Adeel Urrehman., et al. “GI Endoscopy in the Era of COVID-19; Is it Remodelling Our Routine Practices?”. Acta Scientific Clinical Case Reports 1.4 (2020): 22-23.




Metrics

Acceptance rate30%
Acceptance to publication20-30 days
Impact Factor1.278

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