Endoscopy
DOI: 10.1055/a-1237-5221
Innovations and Brief Communications

COVID-19 and endoscopic management of superficial gastrointestinal neoplastic lesions: a multinational cross-sectional survey

1  Instituto Portugues de Oncologia do Porto Francisco Gentil EPE, Gastroenterology, Porto, Portugal (Ringgold ID: RIN59035)
,
Eduardo Albéniz
2  Complejo Hospitalario de Navarra, Division of Gastroenterology, Pamplona, Spain
,
Pradeep Bhandari
3  Queen Alexandra Hosp, Gastroenterology Department, Department of Gastroenterology, United Kingdom of Great Britain and Northern Ireland
,
4  Evangelisches Krankenhaus Düsseldorf, Department of Internal Medicine, Düsseldorf, Germany
,
Michael Bourke
5  Westmead Hospital, Gastroenterology, Sydney, Australia
,
Min Ahyeon
6  Westmead Hospital, Department of Gastroenterology and Hepatology,, Westmead, Australia (Ringgold ID: RIN8539)
,
7  Chinese University of Hong Kong, Department of Surgery, Hong Kong, Hong Kong
,
Simon Chu
8  Prince of Wales Hospital, Endoscopy Center, New Territories, Hong Kong (Ringgold ID: RIN13621)
,
Hon Chi Yip
9  The Chinese University of Hong Kong, Surgery, New Territories, Hong Kong
,
10  Cliniques universitaires St Luc, Gastroenterology, Brussels, Belgium
,
Fabian Emura
11  Advanced GI Endoscopy, EmuraCenter LatinoAmerica, Endoscopy, Bogotá, Colombia
,
Alessandro Repici
12  Humanitas Research Hospital,, Digestive Endoscopy Unit, Division of Gastroenterology, Via Manzoni 56, Rozzano, Milan, 20089, Italy
,
Noriko Suzuki
13  St. Mark's Hospital, Wolfson Unit for Endoscopy, Harrow, United Kingdom of Great Britain and Northern Ireland
,
14  Keio University, School of Medicine, Cancer Center, Tokyo, Japan
,
Yoko Kubosawa
15  Keio University, School of Medicine, Cancer Center, Tokyo, Japan
,
Cesare Hassan
16  Nuovo Regina Marg Hospitalherita, Gastroenterology, Rome, Italy
,
Mario Dinis-Ribeiro
17  CIDES/CINTESIS, Faculty of Medicine, University of Porto, Portugal, Faculty of Medicine, Porto, Portugal
› Author Affiliations

Introduction: We aimed to report the impact of pandemic lockdown period on the treatment and prognosis of superficial gastrointestinal neoplastic lesions. Methods: a survey was completed by 11 centers from 4 continents, regarding postponements during early lockdown period of the pandemic, and the same period in 2019. Results: In 2020, 55% of the scheduled procedures were deferred which was eleven times higher than those in 2019, and the main reasons were directly related to COVID-19. In countries highly affected, this proportion rose to 76% versus 26% in those with less impact. Despite the absolute reduction, the relative distribution 2019 vs 2020 was similar, only exception was duodenal lesions (affected by a 92% reduction in mucosectomies). Although it is expected that the majority of postponements will not affect the stage (based on results from biopsies and/or endoscopic appearance), 3% may probably require surgery. Conclusions: The lockdown period caused by SARS-CoV-2 pandemic led to a substantial reduction in endoscopic resections of neoplastic lesions. Nevertheless, based on clinical judgment the planned median delay will not worsen their prognosis.



Publication History

Received: 23 May 2020

Accepted after revision: 11 August 2020

Publication Date:
11 August 2020 (online)

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