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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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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