Management of aerosol generation during upper gastrointestinal endoscopy

Chawisa Nampoolsuksan; Vitoon Chinswangwatanakul; Asada Methasate; Jirawat Swangsri; Atthaphorn Trakarnsanga; Chainarong Phalanusitthepha; Thammawat Parakonthun; Voraboot Taweerutchana; Nicha Srisuworanan; Tharathorn Suwatthanarak; Thikhamporn Tawantanakorn; Thawatchai Akaraviputh

doi:10.5946/ce.2022.062

Clinical Endoscopy (Sep 2022)

Management of aerosol generation during upper gastrointestinal endoscopy

Chawisa Nampoolsuksan,
Vitoon Chinswangwatanakul,
Asada Methasate,
Jirawat Swangsri,
Atthaphorn Trakarnsanga,
Chainarong Phalanusitthepha,
Thammawat Parakonthun,
Voraboot Taweerutchana,
Nicha Srisuworanan,
Tharathorn Suwatthanarak,
Thikhamporn Tawantanakorn,
Thawatchai Akaraviputh

Affiliations

Chawisa Nampoolsuksan: Department of Surgery, Faculty of Medicine Siriraj Hospital, Mahidol University, Bangkok, Thailand
Vitoon Chinswangwatanakul: Department of Surgery, Faculty of Medicine Siriraj Hospital, Mahidol University, Bangkok, Thailand
Asada Methasate: Department of Surgery, Faculty of Medicine Siriraj Hospital, Mahidol University, Bangkok, Thailand
Jirawat Swangsri: Department of Surgery, Faculty of Medicine Siriraj Hospital, Mahidol University, Bangkok, Thailand
Atthaphorn Trakarnsanga: Department of Surgery, Faculty of Medicine Siriraj Hospital, Mahidol University, Bangkok, Thailand
Chainarong Phalanusitthepha: Department of Surgery, Faculty of Medicine Siriraj Hospital, Mahidol University, Bangkok, Thailand
Thammawat Parakonthun: Department of Surgery, Faculty of Medicine Siriraj Hospital, Mahidol University, Bangkok, Thailand
Voraboot Taweerutchana: Department of Surgery, Faculty of Medicine Siriraj Hospital, Mahidol University, Bangkok, Thailand
Nicha Srisuworanan: Department of Surgery, Faculty of Medicine Siriraj Hospital, Mahidol University, Bangkok, Thailand
Tharathorn Suwatthanarak: Department of Surgery, Faculty of Medicine Siriraj Hospital, Mahidol University, Bangkok, Thailand
Thikhamporn Tawantanakorn: Department of Surgery, Faculty of Medicine Siriraj Hospital, Mahidol University, Bangkok, Thailand
Thawatchai Akaraviputh

DOI: https://doi.org/10.5946/ce.2022.062
Journal volume & issue: Vol. 55, no. 5
pp. 588 – 593

Abstract

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In the highly contagious coronavirus disease 2019 pandemic, aerosol-generating procedures (AGPs) are associated with high-risk of transmission. Upper gastrointestinal endoscopy is a procedure with the potential to cause dissemination of bodily fluids. At present, there is no consensus that endoscopy is defined as an AGP. This review discusses the current evidence on this topic with additional management. Prevailing publications on coronavirus related to upper gastrointestinal endoscopy and aerosolization from the PubMed and Scopus databases were searched and reviewed. Comparative quantitative analyses showed a significant elevation of particle numbers, implying that aerosols were generated by upper gastrointestinal endoscopy. The associated source events have also been reported. To reduce the dispersion, certain protective measures have been developed. Endoscopic unit protocols are recommended for the concerned personnel. Therefore, upper gastrointestinal endoscopy should be classified as an AGP. Proper practices should be adopted by healthcare workers and patients.

Published in Clinical Endoscopy

ISSN: 2234-2400 (Print); 2234-2443 (Online)
Publisher: Korean Society of Gastrointestinal Endoscopy
Country of publisher: Korea, Republic of
LCC subjects: Medicine: Internal medicine: Specialties of internal medicine: Diseases of the digestive system. Gastroenterology
Website: https://www.e-ce.org/

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