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257287

Impact of Coronavirus Pandemic on The Practice of ERCP: A Multicenteric Study

Article

Last updated: 22 Jan 2023

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Tags

Gastroenetrology

Abstract

Background and study aim: During COVID-19 pandemic majority of non-emergency endoscopic procedures has ‎been deferred. ERCP is required to address both elective as well as emergency causes ‎such as biliary obstruction with cholangitis. Our aim to explore the status of ERCP in ‎different endoscopy units from different countries and to report the characteristics of ‎patients presented to these units and their procedure details‎.‎
Patients and Methods: ‎‎‎ Representatives of main endoscopy units in different countries were invited to ‎participate. Patient demographics, COVID-19 status, ERCP indications, laboratory ‎findings, radiology findings, pre procedural preparation and post procedure ‎complications were collected‎‎‎.‎
Results: Data of 352 patients from 11 countries were collected. Average age of patients was ‎‎57.80 (SD ±16.88) years and 182 (51.7%) were females. Majority of patient 332 ‎‎(94.3%) did not have COVID-19 infection. Most centers reported a decrease in ‎procedure volume, staff number and duration of ERCP procedure during COVID-19. ‎The most common indications for ERCP were choledocholithiasis (51.7%) and ‎suspected malignant biliary stricture (30.1%). Deep biliary cannulation was achieved in ‎‎324 (92%) cases. The most common therapeutic interventions carried out were CBD ‎stone extraction. Complications were observed in 20 (5.6%) cases with bleeding being ‎the most common immediate complication that was reported in 4.3% of patients. Post ‎ERCP pancreatitis (PEP) was reported in 2.8% of cases and it was managed ‎conservatively. The most common final diagnoses were choledocholithiasis (57.4%) ‎and benign biliary strictures (10.8%)‎‎‎‎‎.
Conclusion: COVID-19 pandemic negatively impacted ERCP procedure volume, training ‎opportunities and was associated with decrease staff number and shorter procedure ‎time‎‎.

DOI

10.21608/aeji.2022.148090.1237

Keywords

ERCP, COVID-19, pancreatitis, Procedure time

Authors

First Name

Ahmad

Last Name

Madkour

MiddleName

-

Affiliation

Endemic Medicine Department, Faculty of Medicine, Helwan University,Egypt.

Email

doctor.ahmad.madkour@gmail.com

City

-

Orcid

-

First Name

Amna

Last Name

Butt

MiddleName

Subhan

Affiliation

Section of Gastroenterology at Department of Medicine, The Aga Khan University Hospital, Karachi, Pakistan.

Email

amna.subhan@aku.edu

City

Karachi

Orcid

0000-0002-7311-4055

First Name

Omar

Last Name

Elshaarawy

MiddleName

-

Affiliation

Department of Hepatology, Gastroenterology and Liver Transplantation, National Liver Institute, Menoufia University,Egypt.

Email

oelshaarawy@liver.menofia.edu.eg

City

-

Orcid

-

First Name

Diogo

Last Name

Turiani Hourneaux de Moura

MiddleName

-

Affiliation

Department of Gastroenterology, Hospital das Clínicas da Faculdade de Medicina da ‎Universidade de São Paulo, Brazil

Email

dthmoura@hotmail.com

City

-

Orcid

-

First Name

Ahmed

Last Name

Altonbary

MiddleName

-

Affiliation

Department of Gastroenterology and Hepatology, Mansoura University, Mansoura, Egypt

Email

a.tonbary@gmail.com

City

-

Orcid

-

First Name

Zhiqin

Last Name

Wong

MiddleName

-

Affiliation

Gastroenterology and Hepatology unit, Department of Medicine, Faculty of Medicine, The National University of Malaysia, Kuala Lumpur, Malaysia.

Email

wzhiqin@ppukm.ukm.edu.my

City

-

Orcid

-

First Name

Radovan

Last Name

Prijic

MiddleName

-

Affiliation

Endoscopy Unit, Division of Gastroenterology and Hepatology, Department of Internal Medicine, University Hospital Center Zagreb, Zagreb, Croatia.

Email

radovan.prijic@gmail.com

City

-

Orcid

-

First Name

Mark

Last Name

Anthony De Lusong

MiddleName

-

Affiliation

Gastroenterology, Department of Medicine, University of the Philippines, Philippine General Hospital, Philippines.

Email

madelusong@up.edu.ph

City

-

Orcid

-

First Name

Ibrahim

Last Name

Halil Bahcecioglu

MiddleName

-

Affiliation

Gastroenterology, University of Fırat, Elazig, Turkey.

Email

ihbahcecioglu@yahoo.com

City

-

Orcid

-

First Name

Shiran

Last Name

Shetty

MiddleName

-

Affiliation

Gastroenterology and Hepatology, Kasturba medical college hospital, Manipal academy of higher education, Manipal, India.

Email

drshiran@gmail.com

City

-

Orcid

-

First Name

Mohamed

Last Name

Borahma

MiddleName

-

Affiliation

Department of Gastroenterology C, Ibn Sina Hospital, Mohammed V University in Rabat, Morocco.

Email

mohamed.borahma@um5.ac.ma

City

-

Orcid

-

First Name

Pezhman

Last Name

Alavinejad

MiddleName

-

Affiliation

Associate professor of Gastroenterology and hepatology, Alimentary Tract Research Center , Ahvaz Jundishapur University of Medical Sciences, Ahvaz, Iran

Email

pezhmanalavinejad@gmail.com

City

Ahvaz

Orcid

0000-0001-6857-6151

First Name

Shahzad

Last Name

Iqbal

MiddleName

-

Affiliation

Department of medicine, Hofstra Northwell School of Medicine, New York, USA.

Email

siqbal50@gmail.com

City

-

Orcid

-

First Name

Shahriyar

Last Name

Ghazanfar

MiddleName

-

Affiliation

Department of surgery, Dow University of Health Sciences, Karachi, Pakistan.

Email

shahriyar.ghazanfar@duhs.edu.pk

City

-

Orcid

-

First Name

Ahmed

Last Name

Eliwa

MiddleName

-

Affiliation

Department of Internal Medicine, Al-Azhar University, Cairo, Egypt.‎

Email

ahmedmahereliwa@yahoo.com

City

Cairo

Orcid

-

First Name

Funari

Last Name

Mateus Pereira

MiddleName

-

Affiliation

Department of Gastroenterology, Hospital das Clínicas da Faculdade de Medicina da ‎Universidade de São Paulo, Brazil

Email

mateusfunari@gmail.com

City

-

Orcid

-

First Name

Fareed

Last Name

Ghulam

MiddleName

-

Affiliation

Section of Gastroenterology at Department of Medicine, The Aga Khan University Hospital, Karachi, Pakistan.

Email

g.faryd@hotmail.com

City

-

Orcid

-

First Name

Khaled

Last Name

Ragab

MiddleName

-

Affiliation

Theodor Bilharz Research Institute, Giza, Egypt

Email

khalidmohamedragab@yahoo.com

City

-

Orcid

-

First Name

Amr

Last Name

Abou-Elmagd

MiddleName

-

Affiliation

Gastroenterology department, Armed forces college of medicine, Cairo, Egypt.

Email

amrgit@yahoo.com

City

-

Orcid

-

First Name

Zakarya

Last Name

Shady

MiddleName

-

Affiliation

Department of Internal Medicine, Al-Azhar University, Cairo, Egypt.‎

Email

zakaryashady@azhar.edu.eg

City

-

Orcid

-

First Name

Alejandro

Last Name

Piscoya

MiddleName

-

Affiliation

Systematic Reviews and Meta-analyses, Clinical Practice Guidelines, and Health Technology Assessments Unit (URSIGET), Universidad San Ignacio de Loyola.Peru

Email

alepiscoya@gmail.com

City

-

Orcid

-

First Name

Mohamed

Last Name

Alboraie

MiddleName

-

Affiliation

Department of Internal Medicine, Al-Azhar University, Cairo, Egypt.‎

Email

alboraie@azhar.edu.eg

City

-

Orcid

0000-0002-8490-9822

Volume

12

Article Issue

3

Related Issue

36292

Issue Date

2022-09-01

Receive Date

2022-06-30

Publish Date

2022-09-01

Page Start

289

Page End

297

Print ISSN

2090-7613

Online ISSN

2090-7184

Article File

AEJI_Volume 12_Issue 3_Pages 289-297.pdf

PDF . 550.8kB

Link

https://aeji.journals.ekb.eg/article_257287.html

Detail API

https://aeji.journals.ekb.eg/service?article_code=257287

Order

13

Type

Original Article

Type Code

616

Publication Type

Journal

Publication Title

Afro-Egyptian Journal of Infectious and Endemic Diseases

Publication Link

https://aeji.journals.ekb.eg/

MainTitle

-

Details

Type

Article

Created At

22 Jan 2023