Management of aerosol generation during upper gastrointestinal endoscopy

In the highly contagious coronavirus disease 2019 pandemic, aerosol-generating procedures (AGPs) are associated with high-risk of transmission. Upper gastrointestinal endoscopy is a procedure with the potential to cause dissemination of bodily fluids. At present, there is no consensus that endoscopy...

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Main Authors: Chawisa Nampoolsuksan, Vitoon Chinswangwatanakul, Asada Methasate, Jirawat Swangsri, Atthaphorn Trakarnsanga, Chainarong Phalanusitthepha, Thammawat Parakonthun, Voraboot Taweerutchana, Nicha Srisuworanan, Tharathorn Suwatthanarak, Thikhamporn Tawantanakorn, Thawatchai Akaraviputh
Format: Article
Language:English
Published: Korean Society of Gastrointestinal Endoscopy 2022-09-01
Series:Clinical Endoscopy
Subjects:
Online Access:http://www.e-ce.org/upload/pdf/ce-2022-062.pdf
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author Chawisa Nampoolsuksan
Vitoon Chinswangwatanakul
Asada Methasate
Jirawat Swangsri
Atthaphorn Trakarnsanga
Chainarong Phalanusitthepha
Thammawat Parakonthun
Voraboot Taweerutchana
Nicha Srisuworanan
Tharathorn Suwatthanarak
Thikhamporn Tawantanakorn
Thawatchai Akaraviputh
author_facet Chawisa Nampoolsuksan
Vitoon Chinswangwatanakul
Asada Methasate
Jirawat Swangsri
Atthaphorn Trakarnsanga
Chainarong Phalanusitthepha
Thammawat Parakonthun
Voraboot Taweerutchana
Nicha Srisuworanan
Tharathorn Suwatthanarak
Thikhamporn Tawantanakorn
Thawatchai Akaraviputh
author_sort Chawisa Nampoolsuksan
collection DOAJ
description In the highly contagious coronavirus disease 2019 pandemic, aerosol-generating procedures (AGPs) are associated with high-risk of transmission. Upper gastrointestinal endoscopy is a procedure with the potential to cause dissemination of bodily fluids. At present, there is no consensus that endoscopy is defined as an AGP. This review discusses the current evidence on this topic with additional management. Prevailing publications on coronavirus related to upper gastrointestinal endoscopy and aerosolization from the PubMed and Scopus databases were searched and reviewed. Comparative quantitative analyses showed a significant elevation of particle numbers, implying that aerosols were generated by upper gastrointestinal endoscopy. The associated source events have also been reported. To reduce the dispersion, certain protective measures have been developed. Endoscopic unit protocols are recommended for the concerned personnel. Therefore, upper gastrointestinal endoscopy should be classified as an AGP. Proper practices should be adopted by healthcare workers and patients.
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spelling doaj.art-41073695fd754a8fa9e449835038d18e2023-11-02T08:18:01ZengKorean Society of Gastrointestinal EndoscopyClinical Endoscopy2234-24002234-24432022-09-0155558859310.5946/ce.2022.0627674Management of aerosol generation during upper gastrointestinal endoscopyChawisa Nampoolsuksan0Vitoon Chinswangwatanakul1Asada Methasate2Jirawat Swangsri3Atthaphorn Trakarnsanga4Chainarong Phalanusitthepha5Thammawat Parakonthun6Voraboot Taweerutchana7Nicha Srisuworanan8Tharathorn Suwatthanarak9Thikhamporn Tawantanakorn10Thawatchai Akaraviputh Department of Surgery, Faculty of Medicine Siriraj Hospital, Mahidol University, Bangkok, Thailand Department of Surgery, Faculty of Medicine Siriraj Hospital, Mahidol University, Bangkok, Thailand Department of Surgery, Faculty of Medicine Siriraj Hospital, Mahidol University, Bangkok, Thailand Department of Surgery, Faculty of Medicine Siriraj Hospital, Mahidol University, Bangkok, Thailand Department of Surgery, Faculty of Medicine Siriraj Hospital, Mahidol University, Bangkok, Thailand Department of Surgery, Faculty of Medicine Siriraj Hospital, Mahidol University, Bangkok, Thailand Department of Surgery, Faculty of Medicine Siriraj Hospital, Mahidol University, Bangkok, Thailand Department of Surgery, Faculty of Medicine Siriraj Hospital, Mahidol University, Bangkok, Thailand Department of Surgery, Faculty of Medicine Siriraj Hospital, Mahidol University, Bangkok, Thailand Department of Surgery, Faculty of Medicine Siriraj Hospital, Mahidol University, Bangkok, Thailand Department of Surgery, Faculty of Medicine Siriraj Hospital, Mahidol University, Bangkok, ThailandIn the highly contagious coronavirus disease 2019 pandemic, aerosol-generating procedures (AGPs) are associated with high-risk of transmission. Upper gastrointestinal endoscopy is a procedure with the potential to cause dissemination of bodily fluids. At present, there is no consensus that endoscopy is defined as an AGP. This review discusses the current evidence on this topic with additional management. Prevailing publications on coronavirus related to upper gastrointestinal endoscopy and aerosolization from the PubMed and Scopus databases were searched and reviewed. Comparative quantitative analyses showed a significant elevation of particle numbers, implying that aerosols were generated by upper gastrointestinal endoscopy. The associated source events have also been reported. To reduce the dispersion, certain protective measures have been developed. Endoscopic unit protocols are recommended for the concerned personnel. Therefore, upper gastrointestinal endoscopy should be classified as an AGP. Proper practices should be adopted by healthcare workers and patients.http://www.e-ce.org/upload/pdf/ce-2022-062.pdfaerosolscovid-19gastroscopyhealth personnelrespiratory protective devices
spellingShingle Chawisa Nampoolsuksan
Vitoon Chinswangwatanakul
Asada Methasate
Jirawat Swangsri
Atthaphorn Trakarnsanga
Chainarong Phalanusitthepha
Thammawat Parakonthun
Voraboot Taweerutchana
Nicha Srisuworanan
Tharathorn Suwatthanarak
Thikhamporn Tawantanakorn
Thawatchai Akaraviputh
Management of aerosol generation during upper gastrointestinal endoscopy
Clinical Endoscopy
aerosols
covid-19
gastroscopy
health personnel
respiratory protective devices
title Management of aerosol generation during upper gastrointestinal endoscopy
title_full Management of aerosol generation during upper gastrointestinal endoscopy
title_fullStr Management of aerosol generation during upper gastrointestinal endoscopy
title_full_unstemmed Management of aerosol generation during upper gastrointestinal endoscopy
title_short Management of aerosol generation during upper gastrointestinal endoscopy
title_sort management of aerosol generation during upper gastrointestinal endoscopy
topic aerosols
covid-19
gastroscopy
health personnel
respiratory protective devices
url http://www.e-ce.org/upload/pdf/ce-2022-062.pdf
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AT jirawatswangsri managementofaerosolgenerationduringuppergastrointestinalendoscopy
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