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

Management of aerosol generation during upper gastrointestinal endoscopy

Department of Surgery

Division of Urology
Siriraj Hospital

Research output: Contribution to journal › Review article › peer-review

7 Citations (Scopus)

Abstract

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.

Original language	English
Pages (from-to)	588-593
Number of pages	6
Journal	Clinical Endoscopy
Volume	55
Issue number	5
DOIs	https://doi.org/10.5946/ce.2022.062
Publication status	Published - Sept 2022

UN SDGs

This output contributes to the following UN Sustainable Development Goals (SDGs)

SDG 3 Good Health and Well-being

Keywords

Aerosols
COVID-19
Gastroscopy
Health personnel
Respiratory protective devices

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10.5946/ce.2022.062

Cite this

Nampoolsuksan, C., Chinswangwatanakul, V., Methasate, A., Swangsri, J., Trakarnsanga, A., Phalanusitthepha, C., Parakonthun, T., Taweerutchana, V., Srisuworanan, N., Suwatthanarak, T., Tawantanakorn, T., & Akaraviputh, T. (2022). Management of aerosol generation during upper gastrointestinal endoscopy. Clinical Endoscopy, 55(5), 588-593. https://doi.org/10.5946/ce.2022.062

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title = "Management of aerosol generation during upper gastrointestinal endoscopy",

abstract = "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.",

keywords = "Aerosols, COVID-19, Gastroscopy, Health personnel, Respiratory protective devices",

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

note = "Publisher Copyright: {\textcopyright} 2022 Korean Society of Gastrointestinal Endoscopy.",

year = "2022",

month = sep,

doi = "10.5946/ce.2022.062",

language = "English",

volume = "55",

pages = "588--593",

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Nampoolsuksan, C, Chinswangwatanakul, V , Methasate, A , Swangsri, J , Trakarnsanga, A , Phalanusitthepha, C , Parakonthun, T , Taweerutchana, V , Srisuworanan, N, Suwatthanarak, T, Tawantanakorn, T & Akaraviputh, T 2022, 'Management of aerosol generation during upper gastrointestinal endoscopy', Clinical Endoscopy, vol. 55, no. 5, pp. 588-593. https://doi.org/10.5946/ce.2022.062

TY - JOUR

T1 - Management of aerosol generation during upper gastrointestinal endoscopy

AU - Nampoolsuksan, Chawisa

AU - Chinswangwatanakul, Vitoon

AU - Methasate, Asada

AU - Swangsri, Jirawat

AU - Trakarnsanga, Atthaphorn

AU - Phalanusitthepha, Chainarong

AU - Parakonthun, Thammawat

AU - Taweerutchana, Voraboot

AU - Srisuworanan, Nicha

AU - Suwatthanarak, Tharathorn

AU - Tawantanakorn, Thikhamporn

AU - Akaraviputh, Thawatchai

PY - 2022/9

Y1 - 2022/9

N2 - 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.

AB - 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.

KW - Aerosols

KW - COVID-19

KW - Gastroscopy

KW - Health personnel

KW - Respiratory protective devices

UR - https://www.scopus.com/pages/publications/85140786606

U2 - 10.5946/ce.2022.062

DO - 10.5946/ce.2022.062

M3 - Review article

AN - SCOPUS:85140786606

SN - 2234-2400

VL - 55

SP - 588

EP - 593

JO - Clinical Endoscopy

JF - Clinical Endoscopy

IS - 5

ER -

Management of aerosol generation during upper gastrointestinal endoscopy

Abstract

UN SDGs

Keywords

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