Donning a new approach to the practice of gastroenterology: Perspectives from the COVID-19 pandemic epicenter Review
| Authors: | Sethi, A.; Swaminath, A.; Latorre, M.; Behin, D. S.; Jodorkovsky, D.; Calo, D.; Aroniadis, O.; Mone, A.; Mendelsohn, R. B.; Sharaiha, R. Z.; Gonda, T. A.; Khanna, L. G.; Bucobo, J. C.; Nagula, S.; Ho, S.; Carr-Locke, D. L.; Robbins, D. H.; on behalf of New York Society for Gastrointestinal Endoscopy |
| Review Title: | Donning a new approach to the practice of gastroenterology: Perspectives from the COVID-19 pandemic epicenter |
| Abstract: | The COVID-19 pandemic seemingly is peaking now in New York City and has triggered significant changes to the standard management of gastrointestinal diseases. Priorities such as minimizing viral transmission, preserving personal protective equipment, and freeing hospital beds have driven unconventional approaches to managing gastroenterology (GI) patients. Conversion of endoscopy units to COVID units and redeployment of GI fellows and faculty has profoundly changed the profile of most GI services. Meanwhile, consult and procedural volumes have been reduced drastically. In this review, we share our collective experiences regarding how we have changed our practice of medicine in response to the COVID surge. Although we review our management of specific consults and conditions, the overarching theme focuses primarily on noninvasive measures and maximizing medical therapies. Endoscopic procedures have been reserved for those timely interventions that are most likely to be therapeutic. The role of multidisciplinary discussion, although always important, now has become critical. The support of our faculty and trainees remains essential. Local leadership can encourage well-being by frequent team check-ins and by fostering trainee development through remote learning. Advancing a clear vision and a transparent process for how to organize and triage care in the recovery phase will allow for a smooth transition to our new normal. © 2020 AGA Institute |
| Keywords: | review; diarrhea; gastrointestinal hemorrhage; treatment indication; medical decision making; nausea; vomiting; practice guideline; hospital care; health service; dysphagia; therapy delay; experience; medical practice; endoscopic therapy; alternative medicine; liver function test; guidelines; endoscopy; non invasive measurement; infection risk; health care access; immunocompromised patient; enteric feeding; pandemic; infection rate; gastroenterology; inflammatory bowel disease; prone position; ppe; human; consults; coronavirus disease 2019; covid-19; nysge |
| Journal Title: | Clinical Gastroenterology and Hepatology |
| Volume: | 18 |
| Issue: | 8 |
| ISSN: | 1542-3565 |
| Publisher: | Elsevier Science, Inc. |
| Date Published: | 2020-07-01 |
| Start Page: | 1673 |
| End Page: | 1681 |
| Language: | English |
| DOI: | 10.1016/j.cgh.2020.04.032 |
| PUBMED: | 32330565 |
| PROVIDER: | scopus |
| PMCID: | PMC7194523 |
| DOI/URL: | |
| Notes: | Review -- Export Date: 1 July 2020 -- Source: Scopus |
