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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