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Gastrointestinal endoscopy in the era of the acute pandemic of coronavirus disease 2019: Recommendations by Japan Gastroenterological Endoscopy Society (Issued on April 9th, 2020)
Authors:Atsushi Irisawa  Takahisa Furuta  Takayuki Matsumoto  Takashi Kawai  Tomoki Inaba  Atsushi Kanno  Akio Katanuma  Yoshiro Kawahara  Koji Matsuda  Kazuhiro Mizukami  Takao Otsuka  Ichiro Yasuda  Shinji Tanaka  Kazuma Fujimoto  Shinsaku Fukuda  Hiroyasu Iishi  Yoshinori Igarashi  Kazuo Inui  Toshiharu Ueki  Haruhiko Ogata  Mototsugu Kato  Akiko Shiotani  Kazuhide Higuchi  Naotaka Fujita  Kazunari Murakami  Hironori Yamamoto  Tohru Ito  Kazuichi Okazaki  Yuko Kitagawa  Tetsuya Mine  Hisao Tajiri  Haruhiro Inoue
Institution:Japan Gastroenterological Endoscopy Society, Tokyo, Japan
Abstract:All gastrointestinal endoscopic procedures have a high risk of aerosol contamination of the coronavirus disease 2019 (COVID-19) to endoscopists, nurses, and healthcare assistants. Given the current pandemic situation of COVID-19, the Japan Gastroenterological Endoscopy Society issued the recommendation for gastrointestinal (GI) endoscopy based on the status of COVID-19 as of April 9, 2020, in Japan: (i) indications for GI endoscopy in the pandemic of COVID-19; (ii) practical protective equipment for medical personnel depending on the risk for COVID-19; (iii) preprocedural management, such as pharyngeal local anesthesia using lidocaine spray which has a potential to generate the aerosols; (iv) ideal settings of the endoscopy room including the numbers of the staff and the patients; (v) postprocedural management, such as undressing and follow-up of the patients, as well as the involved staff, were documented to fit the practical scenarios in GI endoscopy, with the available data in Japan and the world. We believe that certain measures will prevent further spread of COVID-19.
Keywords:coronavirus  COVID-19  gastrointestinal endoscopy  personal protective equipment
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