Donning a New Approach to the Practice of Gastroenterology: Perspectives From the COVID-19 Pandemic Epicenter. Review uri icon

Overview

abstract

  • The COVID-19 pandemic seemingly is peaking now in New York City and has triggered significant changes to the standard management of gastrointestinal diseases. Priorities such as minimizing viral transmission, preserving personal protective equipment, and freeing hospital beds have driven unconventional approaches to managing gastroenterology (GI) patients. Conversion of endoscopy units to COVID units and redeployment of GI fellows and faculty has profoundly changed the profile of most GI services. Meanwhile, consult and procedural volumes have been reduced drastically. In this review, we share our collective experiences regarding how we have changed our practice of medicine in response to the COVID surge. Although we review our management of specific consults and conditions, the overarching theme focuses primarily on noninvasive measures and maximizing medical therapies. Endoscopic procedures have been reserved for those timely interventions that are most likely to be therapeutic. The role of multidisciplinary discussion, although always important, now has become critical. The support of our faculty and trainees remains essential. Local leadership can encourage well-being by frequent team check-ins and by fostering trainee development through remote learning. Advancing a clear vision and a transparent process for how to organize and triage care in the recovery phase will allow for a smooth transition to our new normal.

publication date

  • April 21, 2020

Research

keywords

  • Coronavirus Infections
  • Disease Management
  • Disease Transmission, Infectious
  • Gastroenterology
  • Infection Control
  • Pneumonia, Viral

Identity

PubMed Central ID

  • PMC7194523

Scopus Document Identifier

  • 85086583772

Digital Object Identifier (DOI)

  • 10.1053/j.gastro.2020.04.002

PubMed ID

  • 32330565

Additional Document Info

volume

  • 18

issue

  • 8