CC BY-NC-ND 4.0 · Endosc Int Open 2020; 08(07): E980-E984
DOI: 10.1055/a-1183-3073
Original article

The impact of COVID-19 pandemic on IBD endoscopic procedures in a high-volume IBD Center

Loris Riccardo Lopetuso
1  UOC di Medicina Interna e Gastroenterologia; CEMAD – IBD UNIT; Dipartimento di Scienze Mediche e Chirurgiche, Fondazione Policlinico Universitario “A. Gemelli” IRCCS, Roma, Italia
2  Department of Medicine and Ageing Sciences, “G. dʼAnnunzio” University of Chieti-Pescara, Chieti, Italia
3  Center for Advanced Studies and Technology (CAST), “G. dʼAnnunzio” University of Chieti-Pescara, Chieti, Italia
,
Franco Scaldaferri
1  UOC di Medicina Interna e Gastroenterologia; CEMAD – IBD UNIT; Dipartimento di Scienze Mediche e Chirurgiche, Fondazione Policlinico Universitario “A. Gemelli” IRCCS, Roma, Italia
,
Gianluca Ianiro
1  UOC di Medicina Interna e Gastroenterologia; CEMAD – IBD UNIT; Dipartimento di Scienze Mediche e Chirurgiche, Fondazione Policlinico Universitario “A. Gemelli” IRCCS, Roma, Italia
,
Stefano Bibbò
1  UOC di Medicina Interna e Gastroenterologia; CEMAD – IBD UNIT; Dipartimento di Scienze Mediche e Chirurgiche, Fondazione Policlinico Universitario “A. Gemelli” IRCCS, Roma, Italia
,
Carlo Romano Settanni
1  UOC di Medicina Interna e Gastroenterologia; CEMAD – IBD UNIT; Dipartimento di Scienze Mediche e Chirurgiche, Fondazione Policlinico Universitario “A. Gemelli” IRCCS, Roma, Italia
,
Alfredo Papa
1  UOC di Medicina Interna e Gastroenterologia; CEMAD – IBD UNIT; Dipartimento di Scienze Mediche e Chirurgiche, Fondazione Policlinico Universitario “A. Gemelli” IRCCS, Roma, Italia
,
Alessandro Armuzzi
1  UOC di Medicina Interna e Gastroenterologia; CEMAD – IBD UNIT; Dipartimento di Scienze Mediche e Chirurgiche, Fondazione Policlinico Universitario “A. Gemelli” IRCCS, Roma, Italia
,
Antonio Gasbarrini
1  UOC di Medicina Interna e Gastroenterologia; CEMAD – IBD UNIT; Dipartimento di Scienze Mediche e Chirurgiche, Fondazione Policlinico Universitario “A. Gemelli” IRCCS, Roma, Italia
,
Giovanni Cammarota
1  UOC di Medicina Interna e Gastroenterologia; CEMAD – IBD UNIT; Dipartimento di Scienze Mediche e Chirurgiche, Fondazione Policlinico Universitario “A. Gemelli” IRCCS, Roma, Italia
› Author Affiliations
  

Abstract

Background and study aims The COVID-19 pandemic is having a major clinical and also organizational impact on national health care systems, particularly in high-volume hospitals that are utilized for several essential clinical needs. We aimed to analyze the short-term impact of the SARS-CoV-2 pandemic on management of endoscopic procedures in patients with inflammatory bowel disease (IBD).

Patients and methods This was an observational prospective study exploring major clinical and organizational changes in endoscopic management at the IBD Center – CEMAD of the Fondazione Policlinico Gemelli IRCCS, Rome, Italy since the beginning of SARS-CoV-2 pandemic.

Results Our IBD Unit, with up to 1,500 IBD patients receiving biotechnological or experimental therapy, represents a high-volume Italian and European IBD center. Since the beginning of the outbreak, our hospital has been extremely impacted by care related to COVID-19 cases, with a consequent need to dramatically reorganize management of endoscopic procedures for IBD.

Conclusions Outbreak restrictions have significantly impacted the volume of endoscopic activities for IBD. Specific strategies have been designed to guarantee a high level of safety for both patients with IBD and healthcare personnel dedicated to their treatment.



Publication History

Received: 22 April 2020

Accepted: 05 May 2020

Publication Date:
23 June 2020 (online)

© 2020. Owner and Copyright ©

© Georg Thieme Verlag KG
Stuttgart · New York