Opinion Review
Copyright ©The Author(s) 2020. Published by Baishideng Publishing Group Inc. All rights reserved.
World J Gastrointest Surg. May 27, 2020; 12(5): 197-202
Published online May 27, 2020. doi: 10.4240/wjgs.v12.i5.197
COVID-19 outbreak and endoscopy: Considerations in patients encountered in a foregut surgery practice
Tanya Olszewski, Andrew D Grubic, Shahin Ayazi, Blair A Jobe
Tanya Olszewski, Andrew D Grubic, Shahin Ayazi, Blair A Jobe, Esophageal and Lung Institute, Department of Surgery, Allegheny Health Network, Pittsburgh, PA 15224, United States
Author contributions: All author contributed to this work; Olszewski T, Grubic AD, Ayazi S, Jobe BA had concept of the study and designed it; Olszewski T and Grubic AD reviewed the literature; Olszewski T, Grubic AD and Ayazi S drafted the manuscript; Ayazi S and Jobe BA provided critical revision.
Conflict-of-interest statement: The authors declare no conflict of interests.
Open-Access: This article is an open-access article that was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution NonCommercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: http://creativecommons.org/licenses/by-nc/4.0/
Corresponding author: Shahin Ayazi, MD, Foregut Surgeon, Esophageal and Lung Institute, Department of Surgery, Allegheny Health Network, 4815 Liberty Avenue, Suite 439, Pittsburgh, PA 15224, United States. shahin.ayazi@ahn.org
Received: April 2, 2020
Peer-review started: April 2, 2020
First decision: April 19, 2020
Revised: April 23, 2020
Accepted: May 19, 2020
Article in press: May 19, 2020
Published online: May 27, 2020
Processing time: 54 Days and 10 Hours
Core Tip

Core tip: The coronavirus disease 2019 symptoms include fever and cough although patients may have a wide variety of symptoms or may be asymptomatic. Patients can transmit the disease via respiratory droplets, aerosol generating procedures including endoscopy, fecal-oral route and surface contact. Our practice guidelines: (1) Reschedule elective cases, follow tiered approach to determine urgency of cases; (2) Prescreen patients day-before procedures over the phone, perform day-of rapid testing if available; (3) Consider all patients asymptomatic carriers despite testing results; (4) Biosafety level 3 for endoscopy with minimal staff present; and (5) Biosafety level 2 for handling specimens, endoscope and for cleaning procedure room afterward.