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SARS-COV-2 infection(coronavirus disease 2019)for the gastrointestinal consultant

World Journal of Gastroenterology 2020年第14期26卷 1546-1553页

作者： Kaveh Hajifathalian Srihari Mahadev Robert E Schwartz Shawn Shah Kartik Sampath felice schnoll-sussman Robert S Brown Jr David Carr-Locke David E Cohen Reem Z Sharaiha Division of Gastroenterology and Hepatology Weill Cornell MedicineNew York-Presbyterian HospitalNew YorkNY 10021United States

The current pandemic due to the severe acute respiratory syndrome coronavirus 2 has caused an extreme burden for health care systems globally,and the number of cases is expected to continue to increase,at least in the immediate *** virus is estimated to have infected more than 1.5 million *** available reports suggest that gastrointestinal(GI)involvement in coronavirus disease 2019(COVID-19)is common and in some cases the GI symptoms may precede the respiratory *** addition to direct effects of severe acute respiratory syndrome coronavirus 2,the infected patients remain at risk for the complications commonly managed by gastroenterology and hepatology *** most commonly reported GI manifestation of COVID-19 is diarrhea,which is reported in a third to up to more than half of the *** to moderate elevation of the liver enzymes are also common,although no case of acute liver failure has been reported so *** of the medications used for treatment of COVID-19 can also be associated with GI symptoms or liver injury and can be included in the differential diagnosis in these *** the diagnosis of the infection is currently based on RNA analysis in respiratory samples,the available literature on fecal shedding of this virus suggests that fecal RNA testing might prove to be a useful diagnostic *** is reasonable to delay all non-urgent endoscopic procedures during the peak of the pandemic and use additional protective equipment such as N95 respirators during endoscopy while most patients can be considered high risk for having been exposed to the virus.

关键词： SARS-CoV-2 COVID-19 Gastroenterology Hepatology Liver

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Practice patterns in FNA technique: A survey analysis

引用

World Journal of Gastrointestinal Endoscopy 2014年第10期6卷 499-505页

作者： Christopher J DiMaio Jonathan M Buscaglia Seth A Gross Harry R Aslanian Adam J Goodman Sammy Ho Michelle K Kim Shireen Pais felice schnoll-sussman Amrita Sethi Uzma D Siddiqui David H Robbins Douglas G Adler Satish Nagula Division of Gastroenterology Icahn School of Medicine at Mount Sinai Mount Sinai Medical CenterNew York NY 10029 United States Division of Gastroenterology and Hepatology Stony Brook University School of MedicineStony BrookNew YorkNY 11794 United States Division of Gastroenterology NYU School of Medicine New York NY 10016 United States Section of Digestive Diseases Yale School of Medicine New Haven Connecticut CT 06510 United States Division of Digestive and Liver Diseases Montefiore Medical Center Bronx New York NY 10467 United States Division of Gastroenterology and Hepatobiliary Diseases New York Medical College Valhalla New York NY 10595 United States Division of Gastroenterology and Hepatology Weill Cornell Medical College New York NY 10065 United States Division of Digestive and Liver Diseases Columbia University Medical Center New York NY 10032 United States Section of Gastroenterology Hepatology and Nutrition University of Chicago Medicine Chicago Illinois IL 60637 United States Division of Gastroenterology Lenox Hill Hospital New York NY 10075 United States Division of Gastroenterology and Hepatology University of Utah School of Medicine Salt Lake City Utah UT 84132 United States

AIM: To ascertain fine needle aspiration(FNA) tech-niques by endosonographers with varying levels of ex-perience and ***: A survey study was performed on United States based endosonographers. The subjects complet-ed an anonymous online electronic survey. The main outcome measurements were differences in needle choice, FNA technique, and clinical decision making among endosonographers and how this relates to years in practice, volume of EUS-FNA procedures, and prac-tice ***: A total of 210(30.8%) endosonographers completed the survey. Just over half(51.4%) identified themselves as academic/university-based practitioners. The vast majority of respondents(77.1%) identified themselves as high-volume endoscopic ultrasound(EUS)(> 150 EUS/year) and high-volume FNA(> 75 FNA/year) performers(73.3). If final cytology is non-diagnostic, high-volume EUS physicians were more likely than low volume physicians to repeat FNA with a core needle(60.5% vs 31.2%; P = 0.0004), and low volume physicians were more likely to refer patients for either surgical or percutaneous biopsy,(33.4% vs 4.9%, P < 0.0001). Academic physicians were more likely to repeat FNA with a core needle(66.7%) compared to community physicians(40.2%, P < 0.001). CONCLUSION: There is significant variation in EUS-FNA practices among United States endosonographers. Differences appear to be related to EUS volume and practice environment.

关键词： Endoscopic ultrasound Diagnostic procedures and techniques Fine needle biopsy Fine needle aspiration

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