Bidirectional Endoscopy—A Trend for Future in COVID Era
Background and Study Aims In the coronavirus disease 2019 (COVID-19) pandemic, patients undergoing esophagogastroduodenoscopy (EGD) and colonoscopy on the same day (bidirectional endoscopy [BDE]) have increased. The aims of the study were to compare the procedure times, benefits, and safety of same-...
| Main Authors: | , , , , , , |
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| Format: | Article |
| Language: | English |
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Thieme Medical and Scientific Publishers Pvt. Ltd.
2022-06-01
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| Series: | Journal of Digestive Endoscopy |
| Subjects: | |
| Online Access: | http://www.thieme-connect.de/DOI/DOI?10.1055/s-0042-1744443 |
| _version_ | 1818115954935070720 |
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| author | Avinash Bhat Balekuduru Manoj Kumar Sahu Shruti Sagar Bongu Ashish Satyal Shashank Devarasetty Rakesh Matta Yeruva Poulina Deepthi Reddy |
| author_facet | Avinash Bhat Balekuduru Manoj Kumar Sahu Shruti Sagar Bongu Ashish Satyal Shashank Devarasetty Rakesh Matta Yeruva Poulina Deepthi Reddy |
| author_sort | Avinash Bhat Balekuduru |
| collection | DOAJ |
| description | Background and Study Aims In the coronavirus disease 2019 (COVID-19) pandemic, patients undergoing esophagogastroduodenoscopy (EGD) and colonoscopy on the same day (bidirectional endoscopy [BDE]) have increased. The aims of the study were to compare the procedure times, benefits, and safety of same-day BDE and conventional serial endoscopic examination (SEE).
Patients and Methods All the patients undergoing evaluation with either BDE or SEE were prospectively enrolled at Ramaiah Medical College and Hospitals, Bangalore, from 1st December 2020 to 31st May 2021. EGD was immediately followed by colonoscopy in BDE. In SEE, EGD was followed by colonoscopy in 1 or 2 days. Clinical data and results were collected and evaluated.
Results Two hundred consecutive patients who consented for BDE were enrolled in the study. The mean ± standard deviation (range) age of the patients was 45 ± 14.5 (22–60) years. Majority (124 [62%]) were men. The outcome measures of Boston Bowel Preparation Scale with the excellent/good preparation score and polyp detection rate were similar in both groups (p = 0.4). The total procedure time was significantly higher in the SEE group than in the BDE (p < 0.001). There were no adverse events noted in the study. The overall patient experience and satisfaction were higher in BDE than in SEE without any difference in the quality of the procedures (p < 0.001). Patients with weight loss and anemia were more likely to have a positive test result than the patients with abdominal pain and diarrhea.
Conclusions In conclusion, same-day BDE is advised for patients with anemia and weight loss which can reduce the number of hospital visits and improve patient satisfaction in COVID times. |
| first_indexed | 2024-12-11T04:14:50Z |
| format | Article |
| id | doaj.art-c8c848b2f5f546809f6868dcea191a19 |
| institution | Directory Open Access Journal |
| issn | 0976-5042 0976-5050 |
| language | English |
| last_indexed | 2024-12-11T04:14:50Z |
| publishDate | 2022-06-01 |
| publisher | Thieme Medical and Scientific Publishers Pvt. Ltd. |
| record_format | Article |
| series | Journal of Digestive Endoscopy |
| spelling | doaj.art-c8c848b2f5f546809f6868dcea191a192022-12-22T01:21:17ZengThieme Medical and Scientific Publishers Pvt. Ltd.Journal of Digestive Endoscopy0976-50420976-50502022-06-01130207007610.1055/s-0042-1744443Bidirectional Endoscopy—A Trend for Future in COVID EraAvinash Bhat Balekuduru0Manoj Kumar Sahu1Shruti Sagar Bongu2Ashish Satyal3Shashank Devarasetty4Rakesh Matta5Yeruva Poulina Deepthi Reddy6Department of Gastroenterology, M.S. Ramaiah Hospitals, Bangalore, Karnataka, IndiaDepartment of Gastrointestinal and Hepatobiliary Sciences, Institute of Medical Sciences & SUM Hospital, Bhubaneswar, Odisha, IndiaDepartment of Gastroenterology, M.S. Ramaiah Hospitals, Bangalore, Karnataka, IndiaDepartment of Gastroenterology, M.S. Ramaiah Hospitals, Bangalore, Karnataka, IndiaDepartment of Gastroenterology, M.S. Ramaiah Hospitals, Bangalore, Karnataka, IndiaDepartment of Gastroenterology, M.S. Ramaiah Hospitals, Bangalore, Karnataka, IndiaDepartment of Gastroenterology, M.S. Ramaiah Hospitals, Bangalore, Karnataka, IndiaBackground and Study Aims In the coronavirus disease 2019 (COVID-19) pandemic, patients undergoing esophagogastroduodenoscopy (EGD) and colonoscopy on the same day (bidirectional endoscopy [BDE]) have increased. The aims of the study were to compare the procedure times, benefits, and safety of same-day BDE and conventional serial endoscopic examination (SEE). Patients and Methods All the patients undergoing evaluation with either BDE or SEE were prospectively enrolled at Ramaiah Medical College and Hospitals, Bangalore, from 1st December 2020 to 31st May 2021. EGD was immediately followed by colonoscopy in BDE. In SEE, EGD was followed by colonoscopy in 1 or 2 days. Clinical data and results were collected and evaluated. Results Two hundred consecutive patients who consented for BDE were enrolled in the study. The mean ± standard deviation (range) age of the patients was 45 ± 14.5 (22–60) years. Majority (124 [62%]) were men. The outcome measures of Boston Bowel Preparation Scale with the excellent/good preparation score and polyp detection rate were similar in both groups (p = 0.4). The total procedure time was significantly higher in the SEE group than in the BDE (p < 0.001). There were no adverse events noted in the study. The overall patient experience and satisfaction were higher in BDE than in SEE without any difference in the quality of the procedures (p < 0.001). Patients with weight loss and anemia were more likely to have a positive test result than the patients with abdominal pain and diarrhea. Conclusions In conclusion, same-day BDE is advised for patients with anemia and weight loss which can reduce the number of hospital visits and improve patient satisfaction in COVID times.http://www.thieme-connect.de/DOI/DOI?10.1055/s-0042-1744443bidirectionalcolonoscopycovidendoscopy |
| spellingShingle | Avinash Bhat Balekuduru Manoj Kumar Sahu Shruti Sagar Bongu Ashish Satyal Shashank Devarasetty Rakesh Matta Yeruva Poulina Deepthi Reddy Bidirectional Endoscopy—A Trend for Future in COVID Era Journal of Digestive Endoscopy bidirectional colonoscopy covid endoscopy |
| title | Bidirectional Endoscopy—A Trend for Future in COVID Era |
| title_full | Bidirectional Endoscopy—A Trend for Future in COVID Era |
| title_fullStr | Bidirectional Endoscopy—A Trend for Future in COVID Era |
| title_full_unstemmed | Bidirectional Endoscopy—A Trend for Future in COVID Era |
| title_short | Bidirectional Endoscopy—A Trend for Future in COVID Era |
| title_sort | bidirectional endoscopy a trend for future in covid era |
| topic | bidirectional colonoscopy covid endoscopy |
| url | http://www.thieme-connect.de/DOI/DOI?10.1055/s-0042-1744443 |
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