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Performing EUS during COVID-19 postendemic period: A report from endoscopy center in Wuhan


1 Department of Internal Medicine, The Division of Gastroenterology and Hepatology; The Second Clinical School Affiliated Tongji Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, Hubei Province, China
2 Department of Internal Medicine, The Division of Gastroenterology and Hepatology, Tongji Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, Hubei Province, China
3 Department of Medicine, Division of Digestive Diseases, University of Mississippi Medical Center, Jackson, MS, USA
4 Department of Gastroenterology, Shengjing Hospital of China Medical University, Shenyang, Liaoning Province, China

Correspondence Address:
Bin Cheng,
Department of Internal Medicine, The Division of Gastroenterology and Hepatology, Tongji Hospital, Tongji Medical College, HUST, Wuhan, 430030
China
Siyu Sun,
Department of Gastroenterology, Shengjing Hospital of China Medical University, Shenyang 110004
China
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Source of Support: None, Conflict of Interest: None

DOI: 10.4103/eus.eus_37_20

PMID: 32675462

In early April 2020, the 3-month-long city-wide lockdown was lifted in Wuhan, the epicenter of China during Coronavirus Disease 2019 (COVID-19) global pandemic. However, continuing precautions are still practiced considering the risk of transmission from asymptomatic carriers. Given that COVID-19 is spread via airborne droplets, including aspiration of oral and fecal material through endoscopes, our endoscopy center has strategically assigned health-care providers to ensure triage workflow and to minimize concomitant exposure from potential asymptomatic carriers. Here, we share the experience of performing EUS-FNA during the COVID-19 pandemic and postendemic periods. We illustrate our workflow using a patient with a left adrenal mass as an example and followed a biosafety level-2 standard. We believe all endoscopy centers need to focus on these three directions: (1) pre-EUS patients risk assessment and triage, (2) Personal protective equipment (PPE), and (3) dressing code modalities. We fully adopted them in our hospital to reduce COVID-19 resurgence risk.


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