Year 2022 / Volume 114 / Number 8
Original
Impact of the COVID-19 pandemic on endoscopic retrograde cholangiopancreatography: a single center experience

455-460

DOI: 10.17235/reed.2021.8229/2021

Mohammed Tag-Adeen, Mohamed Yousef, Heba Ahmed Osman, Muhammad Abdel-Gawad, Marwa Elsayed Hassan, Eisuke Ozawa, Ahlam Mohamed Sapra,

Abstract
Background: the COVID-19 pandemic has impacted on several aspects of health care services worldwide. The aim of the study was to determine its influence on the case volume, success rate and complication rate of endoscopic retrograde cholangiopancreatography (ERCP). Method: all patients who underwent ERCP one-year before and after applying COVID-19 safety measures at the Qena University Hospital were included. Data were collected from the patients’ records, analyzed and compared. Results: a total of 250 patients underwent ERCP between April 1st, 2019 and March 31st, 2021, and the mean age of participants was 52 ± 18 years. There was a 5 % increase in case volume after applying COVID-19 safety measures (128 vs 122) and the total procedure time was significantly shorter (42 vs 46 minutes, p = 0.04). There was no significant difference in the overall success rate and complication rate. Procedure success significantly correlated with cannulation attempts and total procedure time in both groups, and serum bilirubin and cannulation time in the pre-COVID-19 patients and alkaline phosphatase (ALP) in post-COVID patients. ERCP-related complications significantly correlated with cannulation attempts in both groups, and ALP, international normalized ratio (INR), cannulation time and total procedure time in pre-COVID-19 patients, and platelet count and amylase in post-COVID patients. Two patients were confirmed COVID-19 cases at the time of ERCP; therapeutic targets were achieved in both with a smooth post-ERCP recovery. Three out of nine ERCP team members caught a mild to moderate COVID-19 infection and recovered after receiving proper management. Conclusion: our result show that there was no negative impact of using COVID-19 safety measures and precautions on the case-volume, indications, overall outcome or complication rate of ERCP.
Share Button
New comment
Comments
No comments for this article
References
1. Chandrasekhara V, Khashab MA, Muthusamy VR, et al (2017) Adverse events associated with ERCP. Gastrointest Endosc 85:32–47
2. Ahmed M, Kanotra R, Savani GT, and et al (2017) Utilization trends in inpatient endoscopic retrograde cholangiopancreatography (ERCP): a cross-sectional US experience. Endosc Int Open 5:E261–E271
3. Anderson MA, Fisher L, Jain R, Evans JA, et al (2012) Complications of ERCP. Gastrointest Endosc 75:467–473
4. Marina Garcés-Albir , Rosa Martí-Fernández , Guillermo Martínez-Fernández, et al. The role of endoscopic retrograde cholangiopancreatography in the management of iatrogenic bile duct injury after cholecystectomy. REV ESP ENFERM DIG 2019:111(9):690-695 DOI: 10.17235/reed.2019.6245/2019.
5. Jean-Marc Dumonceau, Christine Kapral, Lars Aabakken, et al. ERCP-related adverse events: European Society of Gastrointestinal Endoscopy (ESGE) Guideline. Endoscopy 2020; 52: 127–149.
6. Shuntaro Mukai & Takao Itoi. Selective biliary cannulation techniques for endoscopic retrograde cholangiopancreatography procedures and prevention of post- endoscopic retrograde cholangiopancreatography pancreatitis. Expert Review of Gastroenterology & Hepatology, 2016. DOI: 10.1586/17474124.2016.1143774
7. Pier Alberto Testoni, Alberto Mariani, Lars Aabakken, et al. Papillary cannulation and sphincterotomy techniques at ERCP: European Society of Gastrointestinal Endoscopy (ESGE) Clinical Guideline. Endoscopy 2016; 48: 657–683.
8. Hisa T. Impact of changing our cannulation method on the incidence of post-endoscopic retrograde cholangiopancreatography pancreatitis after pancreatic guidewire placement. World J Gastroenterol 2011; 17: 5289
9. Li Q, Guan X, Wu P, et al. Early transmission dynamics in Wuhan, China, of novel coronavirus-infected pneumonia. N Engl J Med 2020;382:1199–207.
10. Johns Hopkins University. Coronavirus COVID‐19 global cases by the center for systems science and engineering (CSSE). Available: https://www. arcgis. com/ apps/opsdashboard/ index. html/ bda7 5947 40fd 4029 9423 467b 48e9ecf6
11. Li LQ, Huang T, Wang YQ, et al. COVID-19 patientsʼ clinical characteristics, discharge rate, and fatality rate of meta-analysis. J Med Virol 2020: doi:10.1002/jmv.25757
12. Wang Y, Wang Y, Chen Y, et al. Unique epidemiological and clinical features of the emerging 2019 novel coronavirus pneumonia (COVID-19) implicate special control measures. J Med Virol 2020:doi:10.1002/jmv.25748
13. Covid-19: Situazione in Italia. Available from: http://www.salute.gov. it/portale/nuovocoronavirus/homeNuovoCoronavirus.jsp?lingua=english
14. Lui RN, Wong SH, Sánchez-Luna SA, et al. Overview of guidance for endoscopy during the coronavirus disease 2019 pandemic. J Gastroenterol Hepatol 2020;35:749–59.
15. Soetikno R, Teoh AYB, Kaltenbach T, et al. Considerations in performing endoscopy during the COVID-19 pandemic. Gastrointest Endosc 2020: doi:10.1016/j.gie.2020.03.3758
16. Repici A, Maselli R, Colombo M, et al. Coronavirus (COVID-19) outbreak: what the department of endoscopy should know. Gastrointest Endosc 2020: doi:10.1016/j.gie.2020.03.019
17. Gralnek IM, Hassan C, Beilenhoff U, et al. ESGE and ESGENA Position Statement on Gastrointestinal Endoscopy and the COVID-19 Pandemic. Endoscopy 2020; 52: 483–490
18. Cheung KS, Hung IF, Chan PP, 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. DOI: 10.1053/j.gastro.2020.03.065
19. Javier Crespo, Julio Iglesias-García, Joaquín Hinojosa del Val, et al. COVID-19 and the digestive system: protection and management during the SARS-CoV-2 pandemic. REV ESP ENFERM DIG 2020:112(5):389-396. DOI: 10.17235/reed.2020.7128/2020
20. Matthew D Rutter , Matthew Brookes, Thomas J Lee, et al. Impact of the COVID-19 pandemic on UK endoscopic activity and cancer detection: A National Endoscopy Database Analysis. Gut 2021;70:537–543. doi:10.1136/gutjnl-2020-322179
21. Sravanthi Parasa, Nageshwar Reddy, Douglas O. Faigel, et al. Global Impact of the COVID-19 Pandemic on Endoscopy: An International Survey of 252 Centers From 55 Countries. Gastroenterology 2020;159:1579–1581.
22. Giulio Donato, Edoardo Forti, Massimiliano Mutignani, et al. A multicenter survey on endoscopic retrograde cholangiopancreatography during the COVID-19 pandemic in northern and central Italy. Endosc Int Open 2021; 09: E629–E634.
23. Tolga Düzenli, Hüseyin Köseoğlu. Endoscopic Retrograde Cholangiopancreatography During the COVID‑19 Pandemic: Effects of Enhanced Personal Protective Equipment. Digestive Diseases and Sciences (2021) 66:1845–1851. https://doi.org/10.1007/s10620-021-06940-4
24. Leeds JS, Awadelkarim B, Dipper C, et al. Effect of the SARSCoV2 pandemic on endoscopy provision—the impact of compliance with national guidance. Expert Rev Gastroenterol Hepatol. 2020. https:// doi. org/ 10. 1080/ 17474 124. 2021.
25. Zorniak M, Sirtl S, Mahajan UM, et al. Influence of COVID- 19 pandemic on endoscopic procedures in two European large-capacity endoscopy units: “keep calm, keep safe and scope on”? Dig Dis. 2020. https:// doi. org/ 10. 1159/ 00051 1076
26. Mahadev S, Aroniadis OC, Barraza LH, et al. Gastrointestinal endoscopy during the coronavirus pandemic in the New York area: results from a multi-institutional survey. Endosc Int Open 2020;8:E1865–E1871
27. Theodor Voiosu, Andrei Voiosu, Ivo Boškoski, et al. Technical and clinical outcomes of endoscopic retrograde cholangiopancreatography (ERCP) procedures performed in patients with COVID-19. Therap Adv Gastroenterol. 2020; 13: 1756284820980671. doi: 10.1177/1756284820980671.
Related articles

Letter

Acute cholecystitis treated by direct visualization endoscopy

DOI: 10.17235/reed.2023.9432/2022

Editorial

Fewer endoscopists should perform more ERCPs

DOI: 10.17235/reed.2023.9507/2022

Digestive Diseases Image

Endosonographic and ERCP findings in COVID-19 critical illness cholangiopathy

DOI: 10.17235/reed.2022.9218/2022

Digestive Diseases Image

Acute respiratory failure secondary to megaesophagus: think beyond COVID-19

DOI: 10.17235/reed.2022.8847/2022

Letter

Surgical acute abdomen and COVID-19 vaccination

DOI: 10.17235/reed.2022.8721/2022

Letter

AMA-positive hepatitis induced by the SARS-CoV-2 vaccine.

DOI: 10.17235/reed.2022.8533/2021

Letter

A case of COVID-19 with concomitant infection with hepatitis A

DOI: 10.17235/reed.2021.8372/2021

Letter

ERCP and situs inversus

DOI: 10.17235/reed.2021.8374/2021

Letter

COVID-19 and aorto-enteric fistula

DOI: 10.17235/reed.2021.8272/2021

Letter

Autoimmune hepatitis triggered by COVID-19

DOI: 10.17235/reed.2021.8045/2021

Letter

Pneumoperitoneum and COVID-19. A causal association?

DOI: 10.17235/reed.2021.7877/2021

Letter

COVID-19 and the liver: the chicken or the egg dilemma

DOI: 10.17235/reed.2021.7861/2021

Letter

Pancreatic injury and acute pancreatitis in COVID-19 patients

DOI: 10.17235/reed.2021.7807/2021

Editorial

Leading in turbulent times with the aim to serve

DOI: 10.17235/reed.2020.7684/2020

Letter

Pancreatic injury in COVID-19: pathogenesis and challenges

DOI: 10.17235/reed.2020.7541/2020

Letter

SARS-CoV-2 and acute pancreatitis: a new etiological agent?

DOI: 10.17235/reed.2020.7481/2020

Letter

Latin American authorship in scientific production on COVID-19

DOI: 10.17235/reed.2020.7432/2020

Letter

COVID-19. Immunothrombosis and the gastrointestinal tract

DOI: 10.17235/reed.2020.7292/2020

Letter

The effect of Adacolumn® on ulcerative colitis with COVID-19

DOI: 10.17235/reed.2020.7156/2020

Digestive Diseases Image

A rare case of acute obstructive suppurative pancreatic ductitis associated with ERCP

DOI: 10.17235/reed.2018.5756/2018

Editorial

Pancreatic stents in ERCP. Where are we?

DOI: 10.17235/reed.2018.5670/2018

Letter to the Editor

Me, the intruder: revisited and rethought

DOI: 10.17235/reed.2018.5575/2018

Letter

Obstructive jaundice secondary to a hepatic hydatid cyst

DOI: 10.17235/reed.2018.5574/2018

Editorial

Pursuing excellence in ERCP

DOI: 10.17235/reed.2018.5373/2017

Letter to the Editor

A post-endoscopic retrograde cholangiopancreatography subcapsular hepatic hematoma

DOI: 10.17235/reed.2017.5123/2017

Letter to the Editor

Accuracy of ASGE criteria for the prediction of choledocholithiasis

DOI: 10.17235/reed.2017.4511/2016

Case Report

Hepatic hematoma after ERCP: two new case reports

DOI: 10.17235/reed.2017.4237/2016

Digestive Diseases Image

Successive breaks in biliary stents

Citation tools
Tag-Adeen M, Yousef M, Osman H, Abdel-Gawad M, Elsayed Hassan M, Ozawa E, et all. Impact of the COVID-19 pandemic on endoscopic retrograde cholangiopancreatography: a single center experience. 8229/2021


Download to a citation manager

Download the citation for this article by clicking on one of the following citation managers:

Metrics
This article has received 1845 visits.
This article has been downloaded 93 times.

Statistics from Dimensions


Statistics from Plum Analytics

Publication history

Received: 22/07/2021

Accepted: 22/10/2021

Online First: 26/10/2021

Published: 27/07/2022

Article revision time: 87 days

Article Online First time: 96 days

Article editing time: 370 days


Share
This article hasn't been rated yet.
Reader rating:
Valora este artículo:




Asociación Española de Ecografía Digestiva Sociedad Española de Endoscopia Digestiva Sociedad Española de Patología Digestiva
The Spanish Journal of Gastroenterology is the official organ of the Sociedad Española de Patología Digestiva, the Sociedad Española de Endoscopia Digestiva and the Asociación Española de Ecografía Digestiva
Cookie policy Privacy Policy Legal Notice © Copyright 2023 y Creative Commons. The Spanish Journal of Gastroenterology