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Background and Aims: Epidemics pose a great challenge to health care of patients. However, the impact of unprecedented situation of COVID‐19 outbreak on health care of inflammatory bowel disease (IBD) patients in real‐world setting has seldom been investigated. Methods: We performed an observational study in a tertiary referral IBD center in China. The mode of health care and medication use was compared before and after COVID‐19 outbreak. Electronic questionnaire surveys were performed among gastroenterologists and IBD patients to investigate the impact of COVID‐19 outbreak on their attitudes towards telemedicine. Results: COVID‐19 outbreak resulted in substantial decrease of patients participating in standard face‐to‐face visit during 1 month post‐outbreak (n = 51) than pre‐outbreak (n = 249), whereas the participation in telemedicine was significantly higher than comparable period in 2019 (414 vs 93). During the 1 month after COVID‐19 outbreak, 39 (39/56, 69.6%) patients had their infliximab infusion postponed with the mean delay of 3 weeks. The immunomodulator use was similar between pre‐outbreak and post‐outbreak. Six elective surgeries were postponed for a median of 43 days. In post‐outbreak period, 193 (193/297, 64.98%) of the surveyed physicians have used telemedicine with an increase of 18.9% compared with 46.13% (137/292) in the pre‐outbreak period (P < 0.001); 331 (331/505, 65.54%) of the surveyed IBD patients supported that the use of telemedicine should be increased in future health care. Conclusion: COVID‐19 outbreak resulted in a great change in health‐care access among IBD patients including decrease in standard face‐to‐face visit and delay of biologics use. There was an increased use and need of telemedicine after COVID‐19 outbreak. [ABSTRACT FROM AUTHOR]

Objective: To establish a simple, noninvasive, physiologic diagnostic assay for evaluating gastric sensation thresholds., Methods: The gastric perception and discomfort thresholds were monitored in 15 healthy controls and 30 functional dyspepsia patients by water load test and gastric barostat. Based on barostat the sensitivity, specificity, Kappa value, coincidence rate of water load test were evaluated and the correlation between those two methods was assessed., Results: Compared with gastric barostat, the sensitivity, specificity, Kappa value and coincidence rate of water load test for evaluating perception thresholds were reached 85.7%, 93.5%, 0.82, and 91.1%. These of water load test for evaluating discomfort thresholds were reached 81.8%, 91.2%, 0.79, and 88.9% compared with gastric barostat. The results were showed a good correlation between water load test and gastric barostat (P < 0.01, respectively)., Conclusions: It had higher specificity, Kappa value and coincidence rate of water load test for evaluating the sensation threshold compared with gastric barostat. It can be applied effectively in clinical diagnosis for evaluating the sensory threshold.