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Sigmoidoscopy and laparoscopy are distinct medical procedures that enable physicians to internally inspect different parts of the GI tract. Although they serve different purposes, each is essential for diagnosing and, in some cases, treating various medical conditions.
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An Esophagogastroduodenoscopy (EGD) is a diagnostic procedure in which an endoscopist uses a flexible, lighted endoscope to visualize the upper gastrointestinal (GI) tract. The procedure includes visualizing the oropharynx, esophagus, stomach, and the first part of the small intestine, the duodenum.
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Drastic decrease of urgent endoscopies outside regular working hours during the Covid-19 pandemic in the paris area.

Aymeric Becq1, Benedicte Jais2, Clémence Fron3

  • 1Sorbonne Université, Endoscopy Unit, AP-HP, Hôpital Saint-Antoine, 75012 Paris, France.

Clinics and Research in Hepatology and Gastroenterology
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The COVID-19 pandemic significantly reduced urgent endoscopy procedures in Paris by 44%, particularly for gastrointestinal bleeding cases. This highlights a major disruption in emergency endoscopic care during the isolation period.

Keywords:
COVID-19 pandemicEndoscopy outside regular working hoursUrgent endoscopy

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Area of Science:

  • Gastroenterology
  • Epidemiology
  • Public Health

Background:

  • The COVID-19 pandemic profoundly impacted healthcare delivery globally.
  • Urgent endoscopic procedures outside regular working hours were hypothesized to decrease in the Paris region.
  • This study aimed to quantify changes in these procedures during the 2020 home isolation period.

Purpose of the Study:

  • To describe the number of urgent endoscopic acts performed during the 2020 COVID-19 mandatory home isolation period.
  • To compare these numbers with previous years (2018-2019) and the expected 2020 values.
  • To analyze changes in specific indications for urgent endoscopy, such as gastrointestinal bleeding.

Main Methods:

  • A multicenter cohort study was conducted in Paris and its suburbs.
  • The number of urgent endoscopic procedures performed between January 17th and April 17th in 2018, 2019, and 2020 was collected.
  • Clinical, endoscopic, and outcome data were gathered for patients from 2019 and 2020.

Main Results:

  • During the March 17th-April 17th 2020 isolation period, urgent endoscopy acts decreased by 44.0% compared to the expected number.
  • Endoscopies for suspected gastrointestinal bleeding (GIB) decreased by 52.1%, variceal bleeding by 69.2%, and non-variceal bleeding by 43.1%.
  • In-hospital death rates remained similar between the periods studied.

Conclusions:

  • Urgent endoscopy caseload outside regular hours was nearly halved during the COVID-19 pandemic.
  • A significant reduction in endoscopies for suspected gastrointestinal bleeding was observed.
  • The findings underscore the pandemic's substantial effect on emergency gastrointestinal procedures.