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10.1007/s12328-021-01439-x

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suck abstract from ncbi


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pmid34008112      Clin+J+Gastroenterol 2021 ; 14 (4): 1182-1185
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  • Emergency lower gastrointestinal endoscopy performed safely in a COVID-19 patient on extracorporeal membrane oxygenation (ECMO) with hemorrhagic shock #MMPMID34008112
  • Misumi Y; Fujii Y; Yaguchi A; Nonaka K
  • Clin J Gastroenterol 2021[Aug]; 14 (4): 1182-1185 PMID34008112show ga
  • Emergency endoscopy in coronavirus disease 2019 (COVID-19) patients should be avoided whenever possible to ensure the safety of medical staff; however, it may be unavoidable in some cases. We report a case of emergency lower gastrointestinal endoscopy performed with full personal protective equipment in a patient on extracorporeal membrane oxygenation with severe COVID-19 pneumonia admitted in a restricted area under negative pressure in the intensive care unit. To avoid the risk of fecal-oral transmission of the severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) during the procedure, the patient's lower body was covered with a 2 m(2) vinyl sheet with an aperture (diameter, approximately 2 cm). None of the medical staff involved exhibited any signs of SARS-CoV-2 infection after the procedure. Although patients with severe COVID-19 pneumonia on extracorporeal membrane oxygenation have a high risk of bleeding, we believe that emergency lower endoscopy can be safely performed in such patients by reducing exposure to dispersed feces and using full personal protective equipment.
  • |*COVID-19[MESH]
  • |*Extracorporeal Membrane Oxygenation/adverse effects[MESH]
  • |*Shock, Hemorrhagic[MESH]
  • |Endoscopy, Gastrointestinal[MESH]
  • |Humans[MESH]


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