Performing EUS during COVID-19 postendemic period: A report from endoscopy center in Wuhan.

Endoscopic Ultrasound
Yuchong ZhaoBin Cheng

Abstract

In early April 2020, the 3-month-long city-wide lockdown was lifted in Wuhan, the epicenter of China during Coronavirus Disease 2019 (COVID-19) global pandemic. However, continuing precautions are still practiced considering the risk of transmission from asymptomatic carriers. Given that COVID-19 is spread via airborne droplets, including aspiration of oral and fecal material through endoscopes, our endoscopy center has strategically assigned health-care providers to ensure triage workflow and to minimize concomitant exposure from potential asymptomatic carriers. Here, we share the experience of performing EUS-FNA during the COVID-19 pandemic and postendemic periods. We illustrate our workflow using a patient with a left adrenal mass as an example and followed a biosafety level-2 standard. We believe all endoscopy centers need to focus on these three directions: (1) pre-EUS patients risk assessment and triage, (2) Personal protective equipment (PPE), and (3) dressing code modalities. We fully adopted them in our hospital to reduce COVID-19 resurgence risk.

References

Feb 29, 2020·The New England Journal of Medicine·Wei-Jie GuanUNKNOWN China Medical Treatment Expert Group for Covid-19
Mar 10, 2020·International Journal of Infectious Diseases : IJID : Official Publication of the International Society for Infectious Diseases·Dabiao ChenLiang Peng
Apr 2, 2020·JAMA : the Journal of the American Medical Association·Brad SpellbergPrabhu Gounder
Apr 2, 2020·Journal of Gastroenterology and Hepatology·Rashid N LuiJoseph J Y Sung
Apr 3, 2020·Gastrointestinal Endoscopy·Christopher C ThompsonLinda S Lee
Apr 3, 2020·Nature·Roman WölfelClemens Wendtner
Apr 4, 2020·BMJ : British Medical Journal·Michael Day
Apr 9, 2020·Clinical Infectious Diseases : an Official Publication of the Infectious Diseases Society of America·Jing YuanLei Liu
Apr 10, 2020·The Journal of Bone and Joint Surgery. American Volume·Xiaodong GuoYongchao Wu
May 7, 2020·Nature Medicine·Nancy H L LeungBenjamin J Cowling

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Citations

Jan 7, 2021·Endoscopic Ultrasound·Surinder Singh RanaNavin Pandey

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