Year 2020 / Volume 112 / Number 5
Special Article
Resumption of activity in gastroenterology departments. Recommendations by SEPD, AEEH, GETECCU and AEG

397-411

DOI: 10.17235/reed.2020.7141/2020

Javier Crespo, Raúl Andrade, Fernando Alberca de las Parras, Francesc Balaguer, Manuel Barreiro-de Acosta, Luís Bujanda, Ana Gutiérrez, Francisco Jorquera, Julio Iglesias-García, Andrés Sánchez-Yagüe, José Luis Calleja,

Abstract
The set of measures proposed by SEPD, AEEH, GETECCU and AEG are aimed to help departments in their resumption of usual activity. We have prepared a number of practical recommendations regarding patient management and the stepwise resumption of healthcare activity. These recommendations are based on the sparse, changing evidence available, and will be updated in the future according to daily needs and the availability of expendable materials to suit them; in each department they will be implemented depending upon the cumulative incidence of SARS-CoV-2 infection in each region, and the burden the pandemic has represented for each hospital. The general objectives of these recommendations include: • To protect our patients against the risks of infection with SARS-CoV-2 and to provide them with high-quality care. • To protect all healthcare professionals against the risks of infection with SARS-CoV-2. • To resume normal functioning of our departments in a setting of ongoing risk for infection with SARS-CoV-2.
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16/07/2020 6:52:55
La presión ejercida por la pandemia de SARS Co2 sobre los servicios de atención especializada, al verse obligados a dejar sus labores habituales, para atender a los pacientes afectados por la pandemia. Al igual que la reactivación social y económica, los servicios de atención especializada, entre ellos los servicios digestivos, requieren de una planificación estratégica que brinde seguridad a todos los implicados. El presente documento, es un garante del esfuerzo de las diferentes Asociaciones y Sociedades españolas por normal nuestra nueva realidad, por el bien de los pacientes.


12/05/2020 14:52:30
EXCELENTE


References
1. Crespo J, Iglesias-García J, Hinojosa del Val J, Ampuero Herrojo J, Pérez-Cuadrado Martínez E. Afectación en aparato digestivo por COVID 19. Ref:7128/2020
2. Guan WJ, Ni ZY, Hu Y, et al. Clinical Characteristics of Coronavirus Disease 2019 in China. The New England journal of medicine 2020.
3. Protecting health care workers during the COVID-19 coronavirus outbreak-lessons from Taiwan's SARS response. Clin Infect Dis (2020 March 12), 10.1093/cid/ciaa255
4. R. Li et al., Substantial undocumented infection facilitates the rapid dissemination of novel coronavirus (SARS-CoV2) Science 10.1126/science.abb3221 (2020)
5. COVID-19: protecting health-care workers. The Lancet 2020 Mar 21;395(10228):922. doi: 10.1016/S0140-6736(20)30644-9.
6. Predicción imperial college
7. https://www.cochranelibrary.com/es/cdsr/doi/10.1002/14651858.CD013574/full/es?contentLanguage=es
8. Remuzzi A, Remuzzi G. COVID-19 and Italy: what next? Lancet. 2020 Mar 13. doi: 10.1016 / S0140-6736 (20) 30627-9
9. Terry K. Telehealth seen as a key tool to fight COVID-19. The Hospitalist 2020 Mar 6. https://www.the hospitalist.org/hospitalist/article/218574/coronavirus-updates/telehealthseen-key-tool-help-fight-covid-19.
10. Ohannessian R, Duong TA, Odone A. Global Telemedicine Implementation and Integration Within Health Systems to Fight the COVID-19 Pandemic: A Call to Action. JMIR Public Health Surveill. 2020 Apr 2;6(2):e18810. doi: 10.2196/18810.
11. Serper M, Cubell AW, Deleener ME, Casher TK, Rosenberg DJ, Whitebloom D, Rosin RM. Telemedicine in Liver Disease and Beyond: Can the COVID-19 Crisis Lead to Action?. Hepatology. 2020 Apr 10. doi: 10.1002/hep.31276. [Epub ahead of print]
12. Rubin DT, Gastroenterology 2020
13. Xiao F, Tang M, Zheng X, Liu Y, Li X, Shan H. Evidence for Gastrointestinal Infection of SARS-CoV-2. Gastroenterology. 2020 Mar 3. pii: S0016-5085(20)30282-1. doi: 10.1053/j.gastro.2020.02.055. [Epub ahead of print].
14. Wu Y, Guo C, Tang L, Hong Z, Zhou J, Dong X, et al. Prolonged presence of SARS-CoV-2 viral RNA in faecal samples. Lancet Gastroenterol Hepatol. 2020 May;5(5):434-435.
15. Norsa L, Indriolo A, Sansotta N, Cosimo P, Greco S, D'Antiga L. Uneventful course in IBD patients during SARS-CoV-2 outbreak in northern Italy. Gastroenterology. 2020 Apr 2. pii: S0016-5085(20)30445-5. doi: 10.1053/j.gastro.2020.03.062. [Epub ahead of print.
16. Ferreira CM. 1st Interview COVID-19 ECCO Taskforce, Journal of Crohn's and Colitis published March 13, 2020.
17. Current Data Secure-IBD Database. https://covidibd.org/current-data/
18. BSG expanded consensus advice for the management of IBD during the COVID-19 pandemic. The British Society of Gastroenterology. https://www.bsg.org.uk/covid-19- advice/bsg-advice-for-management-of-inflammatory-bowel-diseases-during-the-covid-19-pandemic/. Published March 30, 2020. Accessed March 31, 2020.
19. Rubin DT, Feuerstein JD, Wang AY, Cohen RD. AGA Clinical Practice Update on Management of Inflammatory Bowel Disease during the COVID-19 Pandemic: Expert Commentary. Gastroenterology S0016-5085(20)30482-0 DOI: https://doi.org/10.1053/j.gastro.2020.04.012
20. Brake SJ, Barnsley K, Lu W, McAlinden KD, Eapen MS, Sohal SS. Smoking Upregulates Angiotensin-Converting Enzyme-2 Receptor: A Potential Adhesion Site for Novel Coronavirus SARS-CoV-2 (Covid-19). J Clin Med. 2020 Mar 20;9(3). pii: E841. doi: 10.3390/jcm9030841.
21. Zingone, Savarino. Viral screening before initiation of biologics in patients with inflammatory bowel disease during the COVID-19 outbreak. Lancet Gastroenterol Hepatol 2020 Published Online March 25, 2020 https://doi.org/10.1016/S2468-1253(20)30085-6).
22. Mazza S, Sorce A, Peyvandi F, et al. A fatal case of COVID-19 pneumonia occurring in a patient with severe acute ulcerative colitis. Gut epub ahead of print: [31 March 2020]. doi:10.1136/gutjnl-2020-321183).
23. Lamb CA, Kennedy NA, Raine T, Hendy PA, Smith PJ, Limdi JK et al. British Society of Gastroenterology consensus guidelines on the management of inflammatory bowel disease in adults. Gut 2019 Dec;68(Suppl 3):s1-s106. doi: 10.1136/gutjnl-2019-318484. Epub 2019 Sep 27.
24. Kemp K, Dibley L, Chauhan U, Greveson K, Jäghult S, Ashton K et al. Second N-ECCO Consensus Statements on the European Nursing Roles in Caring for Patients with Crohn's Disease or Ulcerative Colitis. J Crohns Colitis 2018 Jun 28;12(7):760-776. doi: 10.1093/ecco-jcc/jjy020.
25. Aguas M1, Del Hoyo J, Faubel R, Nos P. Telemedicine in Inflammatory Bowel Disease: Opportunity Ahead. Inflamm Bowel Dis. 2016 Feb;22(2):E4-5. doi: 10.1097/MIB.0000000000000676.
26. Calvet X, Panés J, Alfaro N, Hinojosa J, Sicilia B, Gallego M et al. Delphi consensus statement: Quality Indicators for Inflammatory Bowel Disease Comprehensive Care Units. J Crohns Colitis. 2014 Mar;8(3):240-51. doi: 10.1016/j.crohns.2013.10.010. Epub 2013 Dec 2.
27. Van Assche G, Vermeire S, Ballet V, Gabriels F, Noman M, D'Haens G et al. Switch to adalimumab in patients with Crohn's disease controlled by maintenance infliximab: prospective randomised SWITCH trial. Gut. 2012 Feb;61(2):229-34. doi: 10.1136/gutjnl-2011-300755. Epub 2011 Sep 23.
28. Lin L, Jiang X, Zhang Z, Huang S, Zhang Z, Fang Z, et al.Gastrointestinal symptoms of 95 cases with SARS-CoV-2 infection. Gut. 2020 Apr 2. pii: gutjnl-2020-321013. doi: 10.1136/gutjnl-2020-321013. [Epub ahead of print].
29. Chiu PWY, Ng SC, Inoue H, Reddy DN, Ling Hu E, Cho JY, et al. Practice of endoscopy during COVID-19 pandemic: position statements of the Asian Pacific Society for Digestive Endoscopy (APSDE-COVID statements). Gut. 2 de abril de 2020;
30. Han J, Wang Y, Zhu L, Cui Y, Li L, Zeng Z, et al. Preventing the spread of COVID-19 in digestive endoscopy during the resuming period: meticulous execution of screening procedures. Gastrointest Endosc. 5 de abril de 2020;
31. Zhang Y, Zhang X, Liu L, Wang H, Zhao Q. Suggestions for infection prevention and control in digestive endoscopy during current 2019-nCoV pneumonia outbreak in Wuhan, Hubei province, China. Endoscopy. 2020;52(4):312-4.
32. Cheung KS, Hung IF, Chan PP, Lung KC, Tso E, Liu R, 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. 3 de abril de 2020;
33. Sociedad Española de Patología Digestiva, Asociación Española de Gastroenterología. Recommendations by the SEPD and AEG, both in general and on the operation of gastrointestinal endoscopy and gastroenterology units, concerning the current SARS-CoV-2 pandemic (March, 18). Rev Espanola Enfermedades Dig Organo Of Soc Espanola Patol Dig. 23 de 2020;
34. ESGE and ESGENA Position Statement on gastrointestinal endoscopy and the COVID-19 pandemic – European Society of Gastrointestinal Endoscopy (ESGE) [Internet]. [citado 13 de abril de 2020]. Disponible en: https://www.esge.com/esge-and-esgena-position-statement-on-gastrointestinal-endoscopy-and-the-covid-19-pandemic/
35. Repici A, Maselli R, Colombo M, Gabbiadini R, Spadaccini M, Anderloni A, et al. Coronavirus (COVID-19) outbreak: what the department of endoscopy should know. Gastrointest Endosc. 14 de marzo de 2020;
36. Beilenhoff U, Biering H, Blum R, Brljak J, Cimbro M, Dumonceau J-M, et al. Reprocessing of flexible endoscopes and endoscopic accessories used in gastrointestinal endoscopy: Position Statement of the European Society of Gastrointestinal Endoscopy (ESGE) and European Society of Gastroenterology Nurses and Associates (ESGENA) - Update 2018. Endoscopy. 2018;50(12):1205-34.
37. Zhang C, Shi L, Wang F-S. Liver injury in COVID-19: Management and challenges. Lancet Gastroenterol Hepatol 2020 March 4. doi: 10.1016/S2468-1253(20)30057-1. [Epub ahead of print).
38. Liang W, Guan W, Chen R, Wang W, Li J, Xu K, et al. Cancer patients in SARS-CoV-2 infection: a nationwide analysis in China. Lancet Oncol 2020 March; 21:335–337.
39. Huang C, Wang Y, Li X, Ren L, Zhao J, Hu Y, et al. Clinical features of patients infected with 2019 novel coronavirus in Wuhan, China. Lancet 2020 15;395:497–506.
40. D’Antiga L. Coronaviruses and immunosuppressed patients. The facts during the third epidemic. Liver Transpl 2020 March 20. doi: 10.1002/lt.25756.
41. AASLD clinical insights for hepatology and liver transplant providers, 7 april 2020.
42. Organización Nacional de Trasplantes. 13/04/2020. REFERENCIA: BV-ES-20200122-8
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Crespo J, Andrade R, Alberca de las Parras F, Balaguer F, Barreiro-de Acosta M, Bujanda L, et all. Resumption of activity in gastroenterology departments. Recommendations by SEPD, AEEH, GETECCU and AEG. 7141/2020


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Publication history

Received: 15/04/2020

Accepted: 16/04/2020

Online First: 22/04/2020

Published: 08/05/2020

Article Online First time: 7 days

Article editing time: 23 days


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