Work Of The Endoscopic Department Of A Multi-Specialty Hospital In The Context Of A Pandemic Covid-19

Aims To analyze the results of the endoscopic department of a large multi-specialty city hospital in the context of the COVID-19 pandemic and assess the prospects for further effective functioning of the endoscopic service.

Methods Over the past period, from april 2020, 465 endoscopic studies were performed, of which 223 (48 %) were bronchoscopic examinations, 218 (47 %) examinations on the upper digestive tract, 24 (5 %) colonoscopies and other manipulations. It should be noted that 204 (44 %) patients were examined due to anemia and the clinic of gastrointestinal bleeding.

Results Analysis of the sources of bleeding showed that in 74 % of cases it is erosive-hemorrhagic gastroduodenopathy, in 15 %- acute stress ulcers of the duodenum and stomach, 11 % - chronic duodenal ulcers and stomach cancer. In addition, 78 % of patients with severe comorbid patholog. Average age was 66.1±2.8 years. There was no correlation between the volume of lung damage by CT, laboratory parameters (CRP, fibrinogen,intreleukins) and the volume of lesions of the upper gastrointestinal mucosa. Mortality in the this group was 19 % and was not associated with acute blood loss. Also, attention was drawn to the frequent detection of mycotic lesions of the esophageal mucosa, oral cavity and colon in patients with COVID-19, which was indicated by dysphagia and abdominal pain. These findings may have been a manifestation of dysbiosis against the background of ongoing therapy and immunosuppression.

Conclusions The technical features of manipulations with the exception of anti-epidemic measures do not differ from those performed in routine practice. Currently, there is no correlation between gastrointestinal complications and the course of COVID-19, but the most common source of bleeding was erosive-hemorrhagic gastroduodenopathy, has a rather specific endoscopic picture. Due to the uncertain timing of the end of the COVID-19 pandemic, an increase in the volume of work of the endoscopy department should be expected in the future.

Citation Antipova M, Rusanov D, Ogloblin A et al. eP490 WORK OF THE ENDOSCOPIC DEPARTMENT OF A MULTI-SPECIALTY HOSPITAL IN THE CONTEXT OF A PANDEMIC COVID-19. Endoscopy 2021; 53: S259.

Publication History

Article published online:
19 March 2021