Precautionary Measures: Performing ERCP on a Patient With Juxtapapillary Duodenal Diverticula (JPDD)-Related Biliary Stone After COVID-19 Lockdown Restriction Lifted in Wuhan, China

Precautionary Measures: Performing ERCP on a Patient With Juxtapapillary Duodenal Diverticula (JPDD)-Related Biliary Stone After COVID-19 Lockdown Restriction Lifted in Wuhan, China

On April 8, 2020, after nearly 3 months of battling against the outbreak of COVID-19, Wuhan, where the pandemic began, began easing lockdown restrictions. However, given that asymptomatic carriers could continue to lead to transmission of COVID-19 during the very early stages, the endoscopists have...

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Main Authors: Qian Chen, Min Yang, Guang-quan Liao, Yu-er Zhao, Dao-yuan Yue, Yue Yuan, Bin Cheng, Hua Qin
Format: Article
Language:English
Published: Frontiers Media S.A. 2020-09-01
Series:Frontiers in Medicine
Subjects:
ERCP (endoscopic retrograde cholangiopancreatography)
COVID-19
post-coronavirus outbreak
personal protection equipment (PPE)
Healthcare workers (HCW)
Online Access:https://www.frontiersin.org/article/10.3389/fmed.2020.00564/full
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spelling doaj-211b5a3f664243588a7c80d8882260aa2020-11-25T03:46:46ZengFrontiers Media S.A.Frontiers in Medicine2296-858X2020-09-01710.3389/fmed.2020.00564572374Precautionary Measures: Performing ERCP on a Patient With Juxtapapillary Duodenal Diverticula (JPDD)-Related Biliary Stone After COVID-19 Lockdown Restriction Lifted in Wuhan, ChinaQian Chen0Min Yang1Guang-quan Liao2Yu-er Zhao3Dao-yuan Yue4Yue Yuan5Bin Cheng6Hua Qin7The Division of Gastroenterology and Hepatology, Department of Internal Medicine at Tongji Hospital, Tongji Medical College, Huazhong University of Science and Technology (HUST), Wuhan, ChinaThe Division of Gastroenterology and Hepatology, Department of Internal Medicine at Tongji Hospital, Tongji Medical College, Huazhong University of Science and Technology (HUST), Wuhan, ChinaThe Division of Gastroenterology and Hepatology, Department of Internal Medicine at Tongji Hospital, Tongji Medical College, Huazhong University of Science and Technology (HUST), Wuhan, ChinaThe Division of Gastroenterology and Hepatology, Department of Internal Medicine at Tongji Hospital, Tongji Medical College, Huazhong University of Science and Technology (HUST), Wuhan, ChinaThe Department of Laboratory Services at Tongji Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, ChinaTongji Medical College, Huazhong University of Science and Technology, Wuhan, ChinaThe Division of Gastroenterology and Hepatology, Department of Internal Medicine at Tongji Hospital, Tongji Medical College, Huazhong University of Science and Technology (HUST), Wuhan, ChinaThe Division of Gastroenterology and Hepatology, Department of Internal Medicine at Tongji Hospital, Tongji Medical College, Huazhong University of Science and Technology (HUST), Wuhan, ChinaOn April 8, 2020, after nearly 3 months of battling against the outbreak of COVID-19, Wuhan, where the pandemic began, began easing lockdown restrictions. However, given that asymptomatic carriers could continue to lead to transmission of COVID-19 during the very early stages, the endoscopists have taken precautions and conduct risk assessments to perform endoscopic intervention in this transition stage. Here, we have reported an urgent ERCP in a patient with acute pancreatitis secondary to JPDD-related biliary stone. Based on our experiences, the objective is to provide practical suggestions for the safe resumption of ERCP procedures in the setting of the COVID-19 pandemic with specific focus on patient risk assessment, personal protection equipment (PPE), and dress code modalities, all of which have been implemented in our hospital to reduce the risk of viral transmission.https://www.frontiersin.org/article/10.3389/fmed.2020.00564/fullERCP (endoscopic retrograde cholangiopancreatography)COVID-19post-coronavirus outbreakpersonal protection equipment (PPE)Healthcare workers (HCW)
collection DOAJ
language English
format Article
sources DOAJ
author Qian Chen
Min Yang
Guang-quan Liao
Yu-er Zhao
Dao-yuan Yue
Yue Yuan
Bin Cheng
Hua Qin
spellingShingle Qian Chen
Min Yang
Guang-quan Liao
Yu-er Zhao
Dao-yuan Yue
Yue Yuan
Bin Cheng
Hua Qin
Precautionary Measures: Performing ERCP on a Patient With Juxtapapillary Duodenal Diverticula (JPDD)-Related Biliary Stone After COVID-19 Lockdown Restriction Lifted in Wuhan, China
Frontiers in Medicine
ERCP (endoscopic retrograde cholangiopancreatography)
COVID-19
post-coronavirus outbreak
personal protection equipment (PPE)
Healthcare workers (HCW)
author_facet Qian Chen
Min Yang
Guang-quan Liao
Yu-er Zhao
Dao-yuan Yue
Yue Yuan
Bin Cheng
Hua Qin
author_sort Qian Chen
title Precautionary Measures: Performing ERCP on a Patient With Juxtapapillary Duodenal Diverticula (JPDD)-Related Biliary Stone After COVID-19 Lockdown Restriction Lifted in Wuhan, China
title_short Precautionary Measures: Performing ERCP on a Patient With Juxtapapillary Duodenal Diverticula (JPDD)-Related Biliary Stone After COVID-19 Lockdown Restriction Lifted in Wuhan, China
title_full Precautionary Measures: Performing ERCP on a Patient With Juxtapapillary Duodenal Diverticula (JPDD)-Related Biliary Stone After COVID-19 Lockdown Restriction Lifted in Wuhan, China
title_fullStr Precautionary Measures: Performing ERCP on a Patient With Juxtapapillary Duodenal Diverticula (JPDD)-Related Biliary Stone After COVID-19 Lockdown Restriction Lifted in Wuhan, China
title_full_unstemmed Precautionary Measures: Performing ERCP on a Patient With Juxtapapillary Duodenal Diverticula (JPDD)-Related Biliary Stone After COVID-19 Lockdown Restriction Lifted in Wuhan, China
title_sort precautionary measures: performing ercp on a patient with juxtapapillary duodenal diverticula (jpdd)-related biliary stone after covid-19 lockdown restriction lifted in wuhan, china
publisher Frontiers Media S.A.
series Frontiers in Medicine
issn 2296-858X
publishDate 2020-09-01
description On April 8, 2020, after nearly 3 months of battling against the outbreak of COVID-19, Wuhan, where the pandemic began, began easing lockdown restrictions. However, given that asymptomatic carriers could continue to lead to transmission of COVID-19 during the very early stages, the endoscopists have taken precautions and conduct risk assessments to perform endoscopic intervention in this transition stage. Here, we have reported an urgent ERCP in a patient with acute pancreatitis secondary to JPDD-related biliary stone. Based on our experiences, the objective is to provide practical suggestions for the safe resumption of ERCP procedures in the setting of the COVID-19 pandemic with specific focus on patient risk assessment, personal protection equipment (PPE), and dress code modalities, all of which have been implemented in our hospital to reduce the risk of viral transmission.
topic ERCP (endoscopic retrograde cholangiopancreatography)
COVID-19
post-coronavirus outbreak
personal protection equipment (PPE)
Healthcare workers (HCW)
url https://www.frontiersin.org/article/10.3389/fmed.2020.00564/full
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