Gastroenterology Research, ISSN 1918-2805 print, 1918-2813 online, Open Access
Article copyright, the authors; Journal compilation copyright, Gastroenterol Res and Elmer Press Inc
Journal website https://www.gastrores.org

Original Article

Volume 15, Number 4, August 2022, pages 200-206


The Safety of the Re-Opening of an Academic Medical Center Outpatient Endoscopy Unit During the COVID-19 Pandemic

Figures

Figure 1.
Figure 1. Kaplan-Meier curve demonstrating time from endoscopic procedure to successful phone call and documentation of COVID-19 survey. COVID-19: coronavirus disease 2019.
Figure 2.
Figure 2. Patient reported measures during outpatient endoscopy, stratified between the first and second half of the observed time period, during the COVID-19 pandemic. COVID-19: coronavirus disease 2019.

Tables

Table 1. Baseline Characteristics
 
Characteristicn = 996
SD: standard deviation; BMI: body mass index.
Age (years), mean (± SD)58.7 (14.9)
Sex
  Male (%)461 (46.2%)
  Female (%)536 (53.8%)
Ethnicity
  African American (%)206 (20.7%)
  Asian (%)29 (2.9%)
  Caucasian (%)701 (70.3%)
  Hispanic (%)21 (2.1%)
  Other (%)40 (4.0%)
BMI, mean (± SD)28.5 (7.6)
Tobacco use
  Never (%)519 (52.1%)
  Former (%)131 (13.1%)
  Current (%)347 (34.8%)
Comorbidities
  Hypertension449 (45.1%)
  Hyperlipidemia376 (37.8%)
  Diabetes mellitus181 (18.2%)
  Coronary artery disease63 (6.3%)
  History of malignancy110 (11.0%)
  Cirrhosis43 (4.3%)
  Inflammatory bowel disease54 (5.4%)
  Liver or kidney transplantation12 (1.2%)
Endoscopy
  Upper endoscopy (%)525 (52.7%)
  Esophagogastroduodenoscopy (EGD) (% total)365 (36.6%)
  Endoscopic retrograde cholangiopancreatography (ERCP) (% total)86 (8.6%)
  Endoscopic ultrasound (% total)64 (6.4%)
  Enteroscopy (% total)10 (1%)
  Lower endoscopy (%)330 (33.1%)
  Colonoscopy (% total)323 (32.4%)
  Flexible sigmoidoscopy or pouchoscopy (% total)7 (0.7%)
  Same day upper and lower endoscopy (%)141 (14.1%)

 

Table 2. COVID-19-Related Symptoms and Outcomes After Elective Endoscopy
 
Symptom development post-procedureTotal (n = 996)Upper endoscopic procedure (n = 525)Lower endoscopic procedure (n = 330)Upper and lower endoscopic procedure (n = 141)
Any symptom66 (6.6%)45 (8.6%)9 (2.7%)10 (7.1%)
Fever12 (1.2%)9 (1.7%)1 (0.3%)2 (1.4%)
Chills4 (0.4%)3 (0.5%)01 (0.7%)
Shortness of breath16 (1.6%)11 (2.1%)05 (3.5%)
Muscle or body aches7 (0.7%)4 (0.8%)03 (2.1%)
New loss of taste or smell2 (0.2%)1 (0.2%)01 (0.7%)
Sore throat9 (0.9%)5 (0.9%)4 (1.2%)0
Congestion or runny nose6 (0.6%)3 (0.6%)2 (0.6%)1 (0.7%)
Nausea or vomiting27 (2.7%)17 (3.2%)3 (0.9%)7 (5.0%)
Diarrhea19 (1.9%)11 (2.1%)6 (1.8%)2 (1.4%)
Self-reported outcomes among symptomatic patientsYesNo
COVID-19: coronavirus disease 2019.
“Are symptoms persistent?”3630
“Did you seek medical attention?”2440
“Were you in contact with any person diagnosed with COVID-19 within the last 14 days?”264
“Were you in contact with any person who has traveled away from home in the last 14 days?”162
“Did you travel away from home in the last 14 days?”360

 

Table 3. COVID-19 Testing After Elective Endoscopy
 
N = 693Percentage of those tested (%)
COVID-19: coronavirus disease 2019.
Tested for COVID-19 after endoscopy360
Diagnosed with COVID-19 since endoscopy154.2
Positive ≤ 14 days20.6
Positive > 14 days133.6
Symptomatic patients (in those with positive testing)102.8
Asymptomatic patients (in those with positive testing)51.4