Year 2021 / Volume 113 / Number 5
Original
Risk of COVID-19 transmission in esophageal, anorectal manometry and 24-hour impedance-pH monitoring

332-338

DOI: 10.17235/reed.2021.7767/2020

Julio Pérez de la Serna y Bueno, Antonio Ruiz de León San Juan, Concepción Sevilla Mantilla, Constanza Ciriza de los Ríos, Ana Atarain Valles, Marta Aparicio Cabezudo, Laura García Pravia, David Olivares Quintanar, Enrique Rey Díaz-Rubio,

Abstract
Background: the impact of the COVID-19 pandemic has led to the interruption of most manometry or impedance-pH monitoring studies. The risk of restarting activities is unknown. Objective: assess the risk of SARS-CoV-2 virus infection, both to patients and healthcare workers, in relation to esophageal and anorectal functional tests during the pandemic without protective measures. Method: a questionnaire was designed to determine whether patients and healthcare workers had COVID-19, confirmed by either a test or compatible symptoms, after functional studies were performed from January until March 2020. Results: the survey was answered by 263 (92.9 %) patients. Four (1.52 %) patients had confirmed COVID-19 in the two weeks after the functional test (adjusted rate 8.34 cases per 1,000 [95 % CI -0.06-16.74], OR 0.84 [95 % CI: 0.83-0.85], p < 0.001) and no patient after anorectal manometry. Another five had only compatible symptoms, for a total of nine patients (3.42 %) (adjusted rate 27.50 cases/1,000 [95 % CI: 7.27-47.74], OR 2.84 [95 % CI: 2.81-2.87]). In the total study period, 18.25 % had confirmed COVID-19 or compatible symptoms. The average number of days between the procedure and the first day of symptoms was progressively shortened (January: 56 days, February: 33 days, March: 10.5 days). Two of ten healthcare workers (20 %) had confirmed COVID-19. Conclusions: the risk of COVID-19 infection when performing functional tests is low and more related to the evolution of the pandemic rather than to the procedure itself. The small number of healthcare workers included in the study does not allow a definitive conclusion to be drawn on their risk of infection.
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References
1. World Health Organization WHO Director-General's opening remarks at the media briefing on COVID-19 - 11 March 2020. Available from: https://www.who.int/dg/speeches/detail/whodirector-general-s-opening-remarks-at-the-media-briefing-on-covid-19---11-march-2020.
2. Informe sobre la situación de COVID-19 en personal sanitario en España a 14 de mayo de 2020. Equipo COVID-19. RENAVE. CNE. CNM (ISCIII). Available from: https://www.isciii.es/QueHacemos/Servicios/VigilanciaSaludPublicaRENAVE/EnfermedadesTransmisibles/Documents/INFORMES/Informes%20COVID-19/COVID-19%20en%20Espa%C3%B1a.%20Situaci%C3%B3n%20en%20Sanitarios%20a%2014%20de%20mayo%20de%202020.pdf. Consulted 08/06/2020.
3. Informe nº 31. Situación de COVID-19 en España a 14 de mayo de 2020. Equipo COVID-19. RENAVE. CNE. CNM (ISCIII). Available from: https://www.isciii.es/QueHacemos/Servicios/VigilanciaSaludPublicaRENAVE/EnfermedadesTransmisibles/Documents/INFORMES/Informes%20COVID-19/Informe%20n%C2%BA%2031.%20Situaci%C3%B3n%20de%20COVID-19%20en%20Espa%C3%B1a%20a%2014%20de%20mayo%20de%202020.pdf. Consulted 08/06/2020.
4. Tack J, Schol J, Geeraerts A, et al. A survey on the impact of the COVID-19 pandemic on motility and functional investigations in Europe and considerations for recommencing activities in the early recovery phase [published online ahead of print, 2020 Jun 1]. Neurogastroenterol Motil. 2020; e13926. doi:10.1111/nmo.13926.
5. Gu J, Han B, Wang J. COVID-19: gastrointestinal manifestations and potential fecal-oral transmission. Gastroenterology 2020 May;158(6):1518-19.
6. Tian Y, Rong L, Nian W, et al. Review article: gastrointestinal features in COVID-19 and the possibility of faecal transmission. Aliment Pharmacol Ther. 2020 May;51(9):843-851.
7. Xiao F, Tang M, Zheng X, et al. Evidence for gastrointestinal infection of SARS‐CoV‐2. Gastroenterology. 2020 May;158(6): 1831-33.e3.doi: 10.1053/j.gastro.2020.02.055.
8. Cheung KS, Hung IFN, Chan PPY, et al. Gastrointestinal Manifestations of SARS-CoV-2 Infection and Virus Load in Fecal Samples from the Hong Kong Cohort and Systematic Review and Meta-analysis. Gastroenterology. 2020 Jul;159(1): 81-95. doi: 10.1053/j.gastro.2020.03.065.
9. Sultan S, Lim JK, Altayar O, et al. AGA Rapid Recommendations for Gastrointestinal Procedures During the COVID-19 Pandemic. Gastroenterology. 2020;159(2):739-758. e4. doi: 10.1053/j.gastro.2020.03.072.
10. Crespo J, Andrade R, Alberca de las Parras F, et al. Restablecimiento de la actividad en los servicios de digestivo. Recomendaciones de la SEPD, AEEH, GETECCU y AEG. Rev Esp Enferm Dig 2020;112(5):397-411. doi: 10.17235/reed.2020.7141/2020.
11. Joint GI society message: COVID-19 clinical insights for our community of gastroenterologists and gastroenterology care providers. Weblink: https://www.gastro.org/press-release/joint-gi-society-message-covid-19-clinical-insights-for-our-community-of-gastroenterologists-and-gastroenterology-care-providers. Consulted: March 21, 2020.
12. Zou L, Ruan F, Huang M, et al. SARS-CoV-2 Viral Load in Upper Respiratory Specimens of Infected Patients. N Engl J Med. 2020 Mar 19;382(12):1177-1179. doi: 10.1056/NEJMc2001737.
13. Repici A, Aragona G, Cengia G, et al; ITALIAN GI-COVID19 Working Group. Low risk of covid-19 transmission in GI endoscopy. Gut. 2020 Nov;69(11): 1925-1927. doi: 10.1136/gutjnl-2020-321341.
14. Baker JR, Moshiree B, Rao S, et al. American Neurogastroenterology and Motility Society (ANMS) Task Force Recommendations for Resumption of Motility Laboratory Operations During the COVID-19 Pandemic. Available from: https://motilitysociety.org/pdf/ANMS_Task_Force_COVID_Recommendations_May_2020.pdf.
15. Recomendaciones de ASENEM para la reanudación de la actividad en los Laboratorios de Motilidad Digestiva durante la pandemia por COVID-19. Available from: https://gemd.org/index.php/2020/05/08/recomendaciones-asenem-reanudacion-actividad-pandemia-covid19/
16. Tack J, Vanuytsel T, Serra J, et al. European Society for Neurogastroenterology and Motility (ESNM) recommendations for conducting gastrointestinal motility and function testing in the recovery phase of the COVID-19 pandemic. Neurogastroenterol Motil. 2020 Jul;32(7): e13930. doi: 10.1111/nmo.13930.
17. Lee YY, Bredenoord AJ, Gyawali CP. Recommendations for Essential Esophageal Physiologic Testing During the COVID-19 Pandemic. Clin Gastroenterol Hepatol. 2020 Aug;18(9): 1906-08. doi: 10.1016/j.cgh.2020.04.075.
18. Nilsson M, Johnsen R, Ye W, et al. Prevalence of gastro-oesophageal reflux symptoms and the influence of age and sex. Scand J Gastroenterol. 2004;39(11): 1040-5.
19. Muñoz-Yagüe T, Solís-Muñoz P, Ciriza de los Ríos C, et al. Fecal incontinence in men. World J Gastroenterol. 2014 Jun 28;20(24): 7933-40. doi: 10.3748/wjg.v20.i24.7933.
20. Rao SS, Patcharatrakul T. Diagnosis and Treatment of Dyssynergic Defecation J Neurogastroenterol Motil. 2016 Jul 30;22(3):423-35. doi: 10.5056/jnm16060.
21. Ciriza de los Ríos C, Aparicio Cabezudo M, Zatarain Valles A, et al. Obstructed defecation syndrome: a diagnostic and therapeutic challenge. Rev Esp Enferm Dig 2020;112(6): 477-482.
22. Informe sobre la situación de COVID-19 en personal sanitario en España a 14 de mayo de 2020. Equipo COVID-19. RENAVE. CNE. CNM (ISCIII). Available from: https://www.isciii.es/QueHacemos/Servicios/VigilanciaSaludPublicaRENAVE/EnfermedadesTransmisibles/Documents/INFORMES/Informes%20COVID-19/COVID-19%20en%20Espa%C3%B1a.%20Situaci%C3%B3n%20en%20Sanitarios%20a%2014%20de%20mayo%20de%202020.pdf. Consulted 08/06/2020.
23. Wang D, Hu B, Hu C, et al. Clinical characteristics of 138 hospitalized patients with 2019 novel coronavirus-infected pneumonia in Wuhan, China. JAMA 2020 Mar 17;323(11):1061-1069. doi: 10.1001/jama.2020.1585.
24. Ng K, Poon BH, Kiat Puar TH, et al. COVID-19 and the risk to health care workers: a case report. Ann Intern Med 2020 Jun 2;172(11):766-767. doi: 10.7326/L20-0175.
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Pérez de la Serna y Bueno J, Ruiz de León San Juan A, Sevilla Mantilla C, Ciriza de los Ríos C, Atarain Valles A, Aparicio Cabezudo M, et all. Risk of COVID-19 transmission in esophageal, anorectal manometry and 24-hour impedance-pH monitoring. 7767/2020


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Publication history

Received: 30/12/2020

Accepted: 07/03/2021

Online First: 18/03/2021

Published: 10/05/2021

Article revision time: 45 days

Article Online First time: 78 days

Article editing time: 131 days


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