Emergency upper gastrointestinal endoscopy performed safely in a patient with COVID‐19 with suspected hemorrhagic shock
Abstract Coronavirus disease 2019 caused by severe acute respiratory syndrome coronavirus 2 has spread explosively throughout the world and has since been declared a pandemic by the World Health Organization. Although it is recommended that upper gastrointestinal endoscopies either be postponed or c...
| Main Authors: | , , , , , , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
Wiley
2021-04-01
|
| Series: | DEN Open |
| Subjects: | |
| Online Access: | https://doi.org/10.1002/deo2.2 |
| _version_ | 1811337439705300992 |
|---|---|
| author | Yoshitsugu Misumi Yuki Nitta Kouichi Nonaka Masatoshi Kawana Ken Arimura Katsutoshi Tokushige Kazunari Tanabe |
| author_facet | Yoshitsugu Misumi Yuki Nitta Kouichi Nonaka Masatoshi Kawana Ken Arimura Katsutoshi Tokushige Kazunari Tanabe |
| author_sort | Yoshitsugu Misumi |
| collection | DOAJ |
| description | Abstract Coronavirus disease 2019 caused by severe acute respiratory syndrome coronavirus 2 has spread explosively throughout the world and has since been declared a pandemic by the World Health Organization. Although it is recommended that upper gastrointestinal endoscopies either be postponed or canceled during the pandemic because of their high risk of aerosol generation, this does not apply in emergency cases, which may include patients with coronavirus disease. In this case report, we describe the safe undertaking of an emergency upper gastrointestinal endoscopy in a patient with suspected hemorrhagic shock who tested positive for the severe acute respiratory syndrome coronavirus 2 using the polymerase chain reaction. We performed the procedure in the contamination zone of a specialized coronavirus disease ward with prespecified zones. Full personal protective equipment was worn during the procedure, as recommended by various academic societies, and careful attention was paid to the sterilization of all equipment after the procedure. Thus, emergency endoscopies can be performed safely in patients with coronavirus disease in a suitable environment by using appropriate personal protective equipment and by handling the equipment appropriately. |
| first_indexed | 2024-04-13T17:54:53Z |
| format | Article |
| id | doaj.art-1e6a2f1a7756431b895a9fe6dd7902e6 |
| institution | Directory Open Access Journal |
| issn | 2692-4609 |
| language | English |
| last_indexed | 2024-04-13T17:54:53Z |
| publishDate | 2021-04-01 |
| publisher | Wiley |
| record_format | Article |
| series | DEN Open |
| spelling | doaj.art-1e6a2f1a7756431b895a9fe6dd7902e62022-12-22T02:36:32ZengWileyDEN Open2692-46092021-04-0111n/an/a10.1002/deo2.2Emergency upper gastrointestinal endoscopy performed safely in a patient with COVID‐19 with suspected hemorrhagic shockYoshitsugu Misumi0Yuki Nitta1Kouichi Nonaka2Masatoshi Kawana3Ken Arimura4Katsutoshi Tokushige5Kazunari Tanabe6Department of Digestive Endoscopy Tokyo Women's Medical University Tokyo JapanDepartment of Gastroenterology Tokyo Women's Medical University Tokyo JapanDepartment of Digestive Endoscopy Tokyo Women's Medical University Tokyo JapanDepartment of General Medicine Tokyo Women's Medical University Tokyo JapanDepartment of Respiratory Medicine Tokyo Women's Medical University Tokyo JapanDepartment of Gastroenterology Tokyo Women's Medical University Tokyo JapanDepartment of Urology Tokyo Women's Medical University Tokyo JapanAbstract Coronavirus disease 2019 caused by severe acute respiratory syndrome coronavirus 2 has spread explosively throughout the world and has since been declared a pandemic by the World Health Organization. Although it is recommended that upper gastrointestinal endoscopies either be postponed or canceled during the pandemic because of their high risk of aerosol generation, this does not apply in emergency cases, which may include patients with coronavirus disease. In this case report, we describe the safe undertaking of an emergency upper gastrointestinal endoscopy in a patient with suspected hemorrhagic shock who tested positive for the severe acute respiratory syndrome coronavirus 2 using the polymerase chain reaction. We performed the procedure in the contamination zone of a specialized coronavirus disease ward with prespecified zones. Full personal protective equipment was worn during the procedure, as recommended by various academic societies, and careful attention was paid to the sterilization of all equipment after the procedure. Thus, emergency endoscopies can be performed safely in patients with coronavirus disease in a suitable environment by using appropriate personal protective equipment and by handling the equipment appropriately.https://doi.org/10.1002/deo2.2COVID‐19emergency endoscopygastrointestinal endoscopyinfection controlpersonal protective equipment |
| spellingShingle | Yoshitsugu Misumi Yuki Nitta Kouichi Nonaka Masatoshi Kawana Ken Arimura Katsutoshi Tokushige Kazunari Tanabe Emergency upper gastrointestinal endoscopy performed safely in a patient with COVID‐19 with suspected hemorrhagic shock DEN Open COVID‐19 emergency endoscopy gastrointestinal endoscopy infection control personal protective equipment |
| title | Emergency upper gastrointestinal endoscopy performed safely in a patient with COVID‐19 with suspected hemorrhagic shock |
| title_full | Emergency upper gastrointestinal endoscopy performed safely in a patient with COVID‐19 with suspected hemorrhagic shock |
| title_fullStr | Emergency upper gastrointestinal endoscopy performed safely in a patient with COVID‐19 with suspected hemorrhagic shock |
| title_full_unstemmed | Emergency upper gastrointestinal endoscopy performed safely in a patient with COVID‐19 with suspected hemorrhagic shock |
| title_short | Emergency upper gastrointestinal endoscopy performed safely in a patient with COVID‐19 with suspected hemorrhagic shock |
| title_sort | emergency upper gastrointestinal endoscopy performed safely in a patient with covid 19 with suspected hemorrhagic shock |
| topic | COVID‐19 emergency endoscopy gastrointestinal endoscopy infection control personal protective equipment |
| url | https://doi.org/10.1002/deo2.2 |
| work_keys_str_mv | AT yoshitsugumisumi emergencyuppergastrointestinalendoscopyperformedsafelyinapatientwithcovid19withsuspectedhemorrhagicshock AT yukinitta emergencyuppergastrointestinalendoscopyperformedsafelyinapatientwithcovid19withsuspectedhemorrhagicshock AT kouichinonaka emergencyuppergastrointestinalendoscopyperformedsafelyinapatientwithcovid19withsuspectedhemorrhagicshock AT masatoshikawana emergencyuppergastrointestinalendoscopyperformedsafelyinapatientwithcovid19withsuspectedhemorrhagicshock AT kenarimura emergencyuppergastrointestinalendoscopyperformedsafelyinapatientwithcovid19withsuspectedhemorrhagicshock AT katsutoshitokushige emergencyuppergastrointestinalendoscopyperformedsafelyinapatientwithcovid19withsuspectedhemorrhagicshock AT kazunaritanabe emergencyuppergastrointestinalendoscopyperformedsafelyinapatientwithcovid19withsuspectedhemorrhagicshock |