1. European Society for Neurogastroenterology and Motility recommendations for conducting gastrointestinal motility and function testing in the recovery phase of the COVID‐19 pandemic
- Author
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Tack, Jan, Vanuytsel, Tim, Serra, Jordi, Accarino, Anna, Stanghellini, Vincenzo, Barbara, Giovanni, Azpiroz, Fernando, Bor, Serhat, Dickman, Ram, Drewes, Asbjørn, Drug, Vasile, Enck, Paul, Farmer, Adam, Hauser, Goran, Mulak, Agata, Novais, Luis, Pohl, Daniel, Savarino, Edoardo, Storonova, Olga, Zerbib, Frank, Carbone, Florencia, Geeraerts, Annelies, Schol, Jolien, Altomare, Annamaria, Baldi, Fabio, Bellini, Massimo, Cataudella, Giovanni, Costantini, Mario, Cremon, Cesare, Casa, Domenico Della, Iovino, Paola, Londoni, Claudio, Marabotto, Elisa, Salvador, Renato, Tolone, Salvatore, Alcedo, Javier, Pérez de la Serna, Julio, Mas, Pilar, Barba, Elisabeth, Suárez, José F., Ruiz de León, Antonio, Tack, J., Vanuytsel, T., Serra, J., Accarino, A., Stanghellini, V., Barbara, G., Azpiroz, F., Bor, S., Dickman, R., Drewes, A., Drug, V., Enck, P., Farmer, A., Hauser, G., Mulak, A., Novais, L., Pohl, D., Savarino, E., Storonova, O., Zerbib, F., Carbone, F., Geeraerts, A., Schol, J., Altomare, A., Baldi, F., Bellini, M., Cataudella, G., Costantini, M., Cremon, C., Casa, D. D., Iovino, P., Londoni, C., Marabotto, E., Salvador, R., Tolone, S., Alcedo, J., Perez de la Serna, J., Mas, P., Barba, E., Suarez, J. F., Ruiz de Leon, A., Tack J., Vanuytsel T., Serra J., Accarino A., Stanghellini V., Barbara G., Azpiroz F., Bor S., Dickman R., Drewes A., Drug V., Enck P., Farmer A., Hauser G., Mulak A., Novais L., Pohl D., Savarino E., Storonova O., Zerbib F., Carbone F., Geeraerts A., Schol J., Altomare A., Baldi F., Bellini M., Cataudella G., Costantini M., Cremon C., Casa D.D., Iovino P., Londoni C., Marabotto E., Salvador R., Tolone S., Alcedo J., Perez de la Serna J., Mas P., Barba E., Suarez J.F., and Ruiz de Leon A.
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breath test ,COVID-19 ,esophageal manometry ,personal protection equipment ,pH monitoring ,Coronavirus Infections ,Europe ,Expert Testimony ,Gastroenterology ,Gastrointestinal Motility ,Health Personnel ,Humans ,Neurology ,Pandemics ,Pneumonia, Viral ,Practice Guidelines as Topic ,Protective Clothing ,Recovery of Function ,Societies, Medical ,Betacoronavirus ,Physiology ,0302 clinical medicine ,Surveys and Questionnaires ,Pandemic ,030212 general & internal medicine ,Viral ,Function (engineering) ,Letter to the Editor ,media_common ,BIOMEDICINA I ZDRAVSTVO. Kliničke medicinske znanosti. Interna medicina ,medicine.diagnostic_test ,Neurogastroenterology ,Test (assessment) ,030211 gastroenterology & hepatology ,Position Paper ,Human ,medicine.medical_specialty ,Coronavirus disease 2019 (COVID-19) ,media_common.quotation_subject ,Motility ,Ph monitoring ,03 medical and health sciences ,COVID‐19 ,Medical ,medicine ,Intensive care medicine ,Letters to the Editor ,BIOMEDICINE AND HEALTHCARE. Clinical Medical Sciences. Internal Medicine ,Breath test ,business.industry ,SARS-CoV-2 ,Coronavirus Infection ,Endocrine and Autonomic Systems ,Pneumonia ,business ,Societies - Abstract
Background During the peak of the COronaVIrus Disease 2019 (COVID‐19) pandemic, care for patients with gastrointestinal motility and functional disorders was largely suspended. In the recovery phases of the pandemic, non‐urgent medical care is resumed, but there is a lack of guidance for restarting and safely conducting motility and function testing. Breath tests and insertion of manometry and pH monitoring probes carry a risk for SARS‐CoV‐2 spread through droplet formation. Methods A panel of experts from the European Society for Neurogastroenterology and Motility (ESNM) evaluated emerging national and single center recommendations to provide the best current evidence and a pragmatic approach to ensure the safe conduct of motility and function testing for both healthcare professionals and patients. Results At a general level, this involves evaluation of the urgency of the procedure, evaluation of the infectious risk associated with the patient, the investigation and the health care professional(s) involved, provision of the test planning and test units, education and training of staff and use of personnel protection equipment. Additional guidance is provided for specific procedures such as esophageal manometry, pH monitoring and breath tests. Conclusions and Inferences The ESNM guidelines provide pragmatic and appropriate guidance for the safe conduct of motility and function testing in the COVID‐19 pandemic and early recovery phase.
- Published
- 2020
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