COVID-19 and endoscopic management of superficial gastrointestinal neoplastic lesions: a multinational cross-sectional survey
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.
Received: 23 May 2020
Accepted after revision: 11 August 2020
11 August 2020 (online)
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