Characteristics of the endoscopic procedures performed in a hybrid tertiary-level hospital during the first year of the COVID-19 pandemic

Héctor Díaz Hernández; José Cuevas Castillejos; Godolfino Zazueta; Adriana Romano Munive; Francisco Andraca

doi:10.5114/pg.2022.118136

Abstract

2/2023 vol. 18

Original paper

Characteristics of the endoscopic procedures performed in a hybrid tertiary-level hospital during the first year of the COVID-19 pandemic

Héctor Adrián Díaz Hernández ¹

,

José Elihú Cuevas Castillejos ¹

,

Godolfino Miranda Zazueta ¹

,

Adriana Fabiola Romano Munive ¹

,

Francisco Valdovinos Andraca ¹

National Institute of Medical Sciences and Nutrition Salvador Zubirán, Belisario Domínguez Sección XVI, Tlalpan, Ciudad de México, Mexico

Gastroenterology Rev 2023; 18 (2): 198–203

DOI: https://doi.org/10.5114/pg.2022.118136

Online publish date: 2022/07/15

View full text

AMA

Díaz Hernández HA, Cuevas Castillejos JE, Zazueta GM, Romano Munive AF, Andraca FV. Characteristics of the endoscopic procedures performed in a hybrid tertiary-level hospital during the first year of the COVID-19 pandemic. Gastroenterology Review/Przegląd Gastroenterologiczny. 2023;18(2):198-203. doi:10.5114/pg.2022.118136.

APA

Díaz Hernández, H. A., Cuevas Castillejos, J. E., Zazueta, G. M., Romano Munive, A. F., & Andraca, F. V. (2023). Characteristics of the endoscopic procedures performed in a hybrid tertiary-level hospital during the first year of the COVID-19 pandemic. Gastroenterology Review/Przegląd Gastroenterologiczny, 18(2), 198-203. https://doi.org/10.5114/pg.2022.118136

Chicago

Díaz Hernández, Héctor A, José E Cuevas Castillejos, Godolfino M Zazueta, Adriana F Romano Munive, and Francisco V Andraca. 2023. "Characteristics of the endoscopic procedures performed in a hybrid tertiary-level hospital during the first year of the COVID-19 pandemic". Gastroenterology Review/Przegląd Gastroenterologiczny 18 (2): 198-203. doi:10.5114/pg.2022.118136.

Harvard

Díaz Hernández, H., Cuevas Castillejos, J., Zazueta, G., Romano Munive, A., and Andraca, F. (2023). Characteristics of the endoscopic procedures performed in a hybrid tertiary-level hospital during the first year of the COVID-19 pandemic. Gastroenterology Review/Przegląd Gastroenterologiczny, 18(2), pp.198-203. https://doi.org/10.5114/pg.2022.118136

MLA

Díaz Hernández, Héctor et al. "Characteristics of the endoscopic procedures performed in a hybrid tertiary-level hospital during the first year of the COVID-19 pandemic." Gastroenterology Review/Przegląd Gastroenterologiczny, vol. 18, no. 2, 2023, pp. 198-203. doi:10.5114/pg.2022.118136.

Vancouver

Díaz Hernández H, Cuevas Castillejos J, Zazueta G, Romano Munive A, Andraca F. Characteristics of the endoscopic procedures performed in a hybrid tertiary-level hospital during the first year of the COVID-19 pandemic. Gastroenterology Review/Przegląd Gastroenterologiczny. 2023;18(2):198-203. doi:10.5114/pg.2022.118136.

Introduction

The COVID-19 pandemic caused many changes in gastrointestinal endoscopy units.

Aim

To describe the changes that occurred in a gastrointestinal endoscopy unit of a hybrid hospital during the COVID-19 pandemic.

Material and methods

We performed a retrospective study of endoscopies performed in the first year of the COVID-19 pandemic. We collected and described the data of interest to the study, which is presented with numbers and percentages or measures of central tendency and dispersion as appropriate. Fisher’s exact test or the 2 test were used as appropriate.

Results

A total of 507 procedures were performed. There was a 92.5% reduction in the performance of endoscopic procedures. In all, 77 (15%) procedures were performed on patients with COVID-19. The most frequent procedures were esophagogastroduodenoscopy (EGD), colonoscopy, and endoscopic retrograde cholangiopancreatography (ERCP). The main indications were gastrointestinal bleeding, placement of enteral accesses, and alterations in the biliary and pancreatic ducts. Of these, 37 (48%) were therapeutic. Patients with COVID-19 were more susceptible to the development of complications.

Conclusions

During the first year of the COVID-19 pandemic, the number of endoscopic procedures performed decreased significantly. The procedures most often required were EGD, colonoscopy, and ERCP, mainly indicated by gastrointestinal bleeding, placement of enteral accesses, and alterations of the bile and pancreatic ducts.