The Practice of Gastrointestinal Motility Laboratory During COVID-19 Pandemic: Position Statements of the Asian Neurogastroenterology and Motility Association (ANMA-GML-COVID-19 Position Statements)

Siah Kewin T H; Rahman M Masudur; Ong Andrew M L; Soh Alex Y S; Lee Yeong Yeh; Xiao Yinglian; Sachdeva Sanjeev; Jung Kee Wook; Wang Yen-Po; Oshima Tadayuki; Patcharatrakul Tanisa; Tseng Ping-Huei; Goyal Omesh; Pang Junxiong; Lai Christopher K C; Park Jung Ho; Mahadeva Sanjiv; Cho Yu Kyung; Wu Justin C Y; Ghoshal Uday C; Miwa Hiroto

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저자정보: Siah Kewin T H (Department of Medicine Yong Loo Lin School of Medicine The National University of Singapore Singapo) Rahman M Masudur (Department of Gastroenterology Sheikh Russel National Gastroliver Institute and Hospital Dhaka Bang) Ong Andrew M L (Department of Gastroenterology and Hepatology Singapore General Hospital SingaporeDuke-NUS Medical) Soh Alex Y S (Department of Medicine Yong Loo Lin School of Medicine The National University of Singapore Singapo) Lee Yeong Yeh (School of Medical Sciences Universiti Sains Malaysia MalaysiaSt George and Sutherland Clinical Scho) Xiao Yinglian (Department of Gastroenterology and Hepatology First Affiliated Hospital Sun Yat-sen University Guan) Sachdeva Sanjeev (Department of Gastroenterology GB Pant Hospital New Delhi India) Jung Kee Wook (Department of Gastroenterology Asan Medical Center University of Ulsan College of Medicine Seoul Ko) Wang Yen-Po (Endoscopy center for Diagnosis of Treatment Department of Medicine Taipei Veterans General Hospital) Oshima Tadayuki (Division of Gastroenterology and Hepatology Department of Internal Medicine Hyogo College of Medici) Patcharatrakul Tanisa (Center of Excellence in Neurogastroenterology and Motility Faculty of Medicine Chulalongkorn Univer) Tseng Ping-Huei (Department of Internal Medicine National Taiwan University Hospital Taipei Taiwan) Goyal Omesh (Dayanand Medical College & Hospital Ludhiana Punjab India) Pang Junxiong (Saw Swee Hock School of Public Health NUS Singapore) Lai Christopher K C (Department of Microbiology Faculty of Medicine The Chinese University of Hong Kong Hong Kong) Park Jung Ho (Division of Gastroenterology Department of Internal Medicine Kangbuk Samsung Hospital Sungkyunkwan) Mahadeva Sanjiv (Department of Medicine University of Malaysia Kuala Lumpur Malaysia) Cho Yu Kyung (Department of Internal Medicine The Catholic University of Korea Seoul Korea) Wu Justin C Y (Department of Medicine and Therapeutics Faculty of Medicine The Chinese University of Hong Kong Hon) Ghoshal Uday C (Department of Gastroenterology Sanjay Gandhi Postgraduate Institute Medical Science Lucknow India) Miwa Hiroto (Division of Gastroenterology and Hepatology Department of Internal Medicine Hyogo College of Medici)

저널정보: 대한소화관운동학회(현 대한소화기능성질환.운동학회) Journal of Neurogastroenterology and Motility (JNM) Journal of Neurogastroenterology and Motility (JNM) Vol.26 No.3

발행연도: 2020.1

수록면: 299 - 310 (12page)

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During the Coronavirus Disease 2019 (COVID-19) pandemic, practices of gastrointestinal procedures within the digestive tract require special precautions due to the risk of contraction of severe acute respiratoy syndrome coronavirus-2 (SARS-CoV-2) infection. Many procedures in the gastrointestinal motility laboratory may be considered moderate to high-risk for viral transmission. Healthcare staff working in gastrointestinal motility laboratories are frequently exposed to splashes, air droplets, mucus, or saliva during the procedures. Moreover, some are aerosol-generating and thus have a high risk of viral transmission. There are multiple guidelines on the practices of gastrointestinal endoscopy during this pandemic. However, such guidelines are still lacking and urgently needed for the practice of gastrointestinal motility laboratories. Hence, the Asian Neurogastroenterology and Motility Association had organized a group of gastrointestinal motility experts and infectious disease specialists to produce a position statement paper based-on current available evidence and consensus opinion with aims to provide a clear guidance on the practices of gastrointestinal motility laboratories during the COVID-19 pandemic. This guideline covers a wide range of topics on gastrointestinal motility activities from scheduling a motility test, the precautions at different steps of the procedure to disinfection for the safety and well-being of the patients and the healthcare workers. These practices may vary in different countries depending on the stages of the pandemic, local or institutional policy, and the availability of healthcare resources. This guideline is useful when the transmission rate of SARS-CoV-2 is high. It may change rapidly depending on the situation of the epidemic and when new evidence becomes available.

#COVID-19 #Esophageal motility disorders #Gastrointestinal diseases #Gastrointestinal motility #Infection control

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참고문헌 신청

Shahnaz Sultan / 2020 / AGA Rapid Recommendations for Gastrointestinal Procedures During the COVID-19 Pandemic / Gastroenterology 159(2):739~758.e4

Jean Bousquet / 2020 / Intranasal corticosteroids in allergic rhinitis in COVID‐19 infected patients: An ARIA‐EAACI statement / Allergy 75(10):2440~2444

Alemi F / 2013 / The receptor TGR5 mediates the prokinetic actions of intestinal bile acids and is required for normal defecation in mice / Gastroenterology 144:145~154

Lui RN / 2020 / Overview of guidance for endoscopy during the coronavirus disease 2019 pandemic / J Gastroenterol Hepatol 35:749~759

Jessica J. Bartoszko / 2020 / Medical masks vs N95 respirators for preventing COVID‐19 in healthcare workers: A systematic review and meta‐analysis of randomized trials / Influenza and Other Respiratory Viruses 14(4):365~373

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소속기관 Department of Medicine Yong Loo Lin School of Medicine The National University of Singapore Singapo

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