Covid-19 pandemic impact on colonoscopy service and suggestions for managing recovery

Cadoni, Sergio and Ishaq, Sauid and Hassan, Cesare and Bhandari, Pradeep and Neumann, Helmut and Kuwai, Toshio and Uedo, Noriya and Parra-Blanco, Adolfo and Mulder, Chris J.J. and Binmoeller, Kenneth F. and Leung, Felix W. (2020) Covid-19 pandemic impact on colonoscopy service and suggestions for managing recovery. Endoscopy International Open, 08 (07). E985-E989. ISSN 2196-9736

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Abstract

Abstract Background and aim As the post-peak phase of the epidemic is approaching, there is an urgent need of an action plan to help resume endoscopy activity. To manage the Covid-19 pandemic-imposed backlog of postponed colonoscopy examinations, an efficient approach is needed. The practice of on-demand sedation with benzodiazepines and/or opiates will allow most patients to complete a water-aided examination with minimal or no sedation. Other methods reported to minimize patient discomfort during colonoscopy can be used, in addition to water-aided techniques. Unsedated or minimally sedated patients who do not require recovery or require a shorter one allow rapid turnaround. The practice obviates the need for assistance with deep sedation from anesthesiologists, who may be in short supply. Trainee education in water-aided colonoscopy has been demonstrated to confer benefits. This review provides some insights into the impact of Covid-19 on endoscopy services, challenges ahead, and possible solutions to help recovery of colonoscopy work and training.

Item Type: Article
Additional Information: ** Article version: VoR ** From Crossref via Jisc Publications Router ** History: epub 24-06-2020; issued 24-06-2020. ** Licence for VoR version of this article starting on 24-06-2020: https://creativecommons.org/licenses/by-nc-nd/4.0/
Identification Number: https://doi.org/10.1055/a-1196-1711
Date: 24 June 2020
Uncontrolled Keywords: COVID-19, colonoscopy service, pandemic, waiting lists
Subjects: A300 Clinical Medicine
Divisions: Faculty of Health, Education and Life Sciences > School of Health Sciences
REF UoA Output Collections > REF2021 UoA 03: Allied Health Professions, Dentistry, Nursing & Pharmacy
SWORD Depositor: JISC PubRouter
Depositing User: JISC PubRouter
Date Deposited: 06 Jul 2020 13:05
Last Modified: 05 Aug 2020 12:22
URI: http://www.open-access.bcu.ac.uk/id/eprint/9424

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