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2020 ; 32
(5
): 812-815
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Emergency endoscopic variceal band ligation in a COVID-19 patient presented with
hematemesis while on mechanical ventilation
#MMPMID32289878
El Kassas M
; Al Shafie A
; Abdel Hameed AS
; Mahdi M
Dig Endosc
2020[Jul]; 32
(5
): 812-815
PMID32289878
show ga
COVID-19, caused by severe acute respiratory syndrome coronavirus (SARS-CoV-2),
is now a global pandemic with serious health consequences. Currently, many strict
control measures are applied in health care settings, including endoscopy units,
in order to limit virus spread. Several recommendations called to limit
endoscopic procedures to emergent endoscopies; however, several uncertainties
still exist concerning patient safety, protective measures, and infection control
methods in emergency endoscopic settings. In this case report, we present a case
of successful endoscopic band ligation for bleeding esophageal varices in man
with COVID-19 disease who presented with an acute attack of hematemesis while on
mechanical ventilation (MV). Esophago-gastroduodenoscopy was performed in the ICU
room after preparing the setting, and revealed large, risky esophageal varices.
Endoscopic band ligation was done with successful control of bleeding.
Third-level measures of medical protection were applied for the participating
medical personnel, and patient monitoring was maintained all through the
procedure. After the procedure, the bleeding stopped, and the patient was vitally
stable and conscious. We conclude that emergency endoscopic interventions could
be performed safely with appropriate arrangements in patients with confirmed
COVID-19 on MV.
|COVID-19
[MESH]
|COVID-19 Testing
[MESH]
|Clinical Laboratory Techniques
[MESH]
|Coronavirus Infections/*diagnosis/prevention & control
[MESH]
|Emergencies
[MESH]
|Endoscopy, Digestive System/*methods
[MESH]
|Esophageal and Gastric Varices/*complications/*surgery
[MESH]
|Hematemesis/etiology/*surgery
[MESH]
|Humans
[MESH]
|Infection Control/methods
[MESH]
|Intensive Care Units
[MESH]
|Ligation/methods
[MESH]
|Male
[MESH]
|Middle Aged
[MESH]
|Pandemics/prevention & control
[MESH]
|Pneumonia, Viral/*diagnosis/prevention & control
[MESH]