Jacobi Medical Center/Albert Einstein College of Medicine Bronx, NY
Arcelia Guerson, MD1, Sammy Ho, MD, FACG2; 1Jacobi Medical Center/Albert Einstein College of Medicine, Bronx, NY; 2Montefiore Medical Center, Bronx, NY
Introduction: Recent literature concerning the COVID-19 outbreak reported GI endoscopy as a potential source of infection for healthcare workers. However, not much is known about the risk for patients during endoscopy. The goal of this study is to assess the risk of COVID-19 transmission for patients undergoing endoscopic procedures during the pandemic. Methods: We performed a retrospective chart review on all patients >18 years old who underwent an endoscopic procedure including EGD, colonoscopy, ERCP and EUS between March 2nd and May 27th at a single center in the Bronx, NY. We identified patients who had a COVID-19 test performed prior to the procedure. Patients who tested negative were contacted by phone. A questionnaire was used to identify patients who had developed fever, respiratory symptoms, or gastrointestinal symptoms. In addition, we also identified patients who were diagnosed as COVID-19 positive within 2 weeks after the procedures. Results: Of the 412 patients that underwent endoscopic procedures only 191 (46%) had a COVID-19 test done prior; 41 (21.5%) tested positive, 150 (78.5%) tested negative. All 150 patients who had an endoscopic procedure performed, (70 EGDs, 38 colonoscopies, 34 ERCPs, and 21 EUS ) (Figure 1) received a 2-week follow-up phone call; the response rate was 112 (75%). None of these 112 patients developed symptoms, (fever, cough, dyspnea, sore throat, diarrhea, vomit, dysgeusia, anosmia). Three (2.7%) patients tested positive for COVID-9 after the procedures. None of them required hospitalization. Discussion: Following a 2-week follow up, we identified only 3 out of 112 patients who become COVID-19 positive following an endoscopic procedure. Our results indicate a potentially low risk of COVID-19 transmission for patients undergoing GI endoscopy.
Figure 1. Endoscopic Procedures Performed on COVID-19 Negative Patients.
Disclosures: Arcelia Guerson indicated no relevant financial relationships. Sammy Ho indicated no relevant financial relationships.