CC BY-NC-ND 4.0 · Endosc Int Open 2020; 08(12): E1865-E1871
DOI: 10.1055/a-1264-7599
Original article

Gastrointestinal endoscopy during the coronavirus pandemic in the New York area: results from a multi-institutional survey

Srihari Mahadev
1  NYP-Weill Cornell Medicine, New York, New York, United States
,
Olga C. Aroniadis
2  Stony Brook University Hospital, Stony Brook, NY
,
Luis H. Barraza
3  NYP-Columbia University Irving Medical Center, New York, United States
,
Emil Agarunov
3  NYP-Columbia University Irving Medical Center, New York, United States
,
Michael S. Smith
6  Mount Sinai Hospital, New York, New York, United States
,
Adam J. Goodman
4  NYU Langone Health, New York, New York, United States
,
Petros C. Benias
5  Northwell Health, Manhasset, NY
,
Jonathan M. Buscaglia
2  Stony Brook University Hospital, Stony Brook, NY
,
Seth A. Gross
4  NYU Langone Health, New York, New York, United States
,
Franklin Kasmin
6  Mount Sinai Hospital, New York, New York, United States
,
Jonathan Cohen
4  NYU Langone Health, New York, New York, United States
,
David L. Carr-Locke
1  NYP-Weill Cornell Medicine, New York, New York, United States
,
David Greenwald
6  Mount Sinai Hospital, New York, New York, United States
,
Robin Mendelsohn
7  Memorial Sloan Kettering Hospital, New York, New York, United States
,
Amrita Sethi
3  NYP-Columbia University Irving Medical Center, New York, United States
,
Tamas A. Gonda
3  NYP-Columbia University Irving Medical Center, New York, United States
,
(on behalf of NYSGE research committee)› Author Affiliations

Abstract

Background and study aims The coronavirus disease 2019 (COVID-19), and measures taken to mitigate its impact, have profoundly affected the clinical care of gastroenterology patients and the work of endoscopy units. We aimed to describe the clinical care delivered by gastroenterologists and the type of procedures performed during the early to peak period of the pandemic.

Methods Endoscopy leaders in the New York region were invited to participate in an electronic survey describing operations and clinical service. Surveys were distributed on April 7, 2020 and responses were collected over the following week. A follow-up survey was distributed on April 20, 2020. Participants were asked to report procedure volumes and patient characteristics, as well protocols for staffing and testing for COVID-19.

Results Eleven large academic endoscopy units in the New York City region responded to the survey, representing every major hospital system. COVID patients occupied an average of 54.5 % (18 – 84 %) of hospital beds at the time of survey completion, with 14.5 % (2 %-23 %) of COVID patients requiring intensive care. Endoscopy procedure volume and the number of physicians performing procedures declined by 90 % (66 %-98 %) and 84.5 % (50 %-97 %) respectively following introduction of restricted practice. During this period the most common procedures were EGDs (7.9/unit/week; 88 % for bleeding; the remainder for foreign body and feeding tube placement); ERCPs (5/unit/week; for cholangitis in 67 % and obstructive jaundice in 20 %); Colonoscopies (4/unit/week for bleeding in 77 % or colitis in 23 %) and least common were EUS (3/unit/week for tumor biopsies). Of the sites, 44 % performed pre-procedure COVID testing and the proportion of COVID-positive patients undergoing procedures was 4.6 % in the first 2 weeks and up to 19.6 % in the subsequent 2 weeks. The majority of COVID-positive patients undergoing procedures underwent EGD (30.6 % COVID +) and ERCP (10.2 % COVID +).

Conclusions COVID-19 has profoundly impacted the operation of endoscopy units in the New York region. Our data show the impact of a restricted emergency practice on endoscopy volumes and the proportion of expected COVID positive cases during the peak time of the pandemic.

Supplementary material



Publication History

Received: 25 June 2020

Accepted: 20 August 2020

Publication Date:
27 November 2020 (online)

© 2020. The Author(s). This is an open access article published by Thieme under the terms of the Creative Commons Attribution-NonDerivative-NonCommercial License, permitting copying and reproduction so long as the original work is given appropriate credit. Contents may not be used for commecial purposes, or adapted, remixed, transformed or built upon. (https://creativecommons.org/licenses/by-nc-nd/4.0/)

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