European Society for Neurogastroenterology and Motility recommendations for conducting gastrointestinal motility and function testing in the recovery phase of the COVID-19 pandemic

Jan Tack, Tim Vanuytsel, Jordi Serra, Anna Accarino, Vincenzo Stanghellini, Giovanni Barbara, Fernando Azpiroz, Serhat Bor, Ram Dickman, Asbjørn Drewes, Vasile Drug, Paul Enck, Adam Farmer, Goran Hauser, Agata Mulak, Luis Novais, Daniel Pohl, Edoardo Savarino, Olga Storonova, Frank ZerbibFlorencia Carbone, Annelies Geeraerts, Jolien Schol, Annamaria Altomare, Fabio Baldi, Massimo Bellini, Giovanni Cataudella, Mario Costantini, Cesare Cremon, Domenico Della Casa, Paola Iovino, Claudio Londoni, Elisa Marabotto, Renato Salvador, Salvatore Tolone, Javier Alcedo, Julio Pérez de la Serna, Pilar Mas, Elisabeth Barba, José F. Suárez, Antonio Ruiz de León

Research output: Contribution to journalArticlepeer-review

3 Scopus citations

Abstract

© 2020 John Wiley & Sons Ltd Background: During the peak of the COronaVIrus Disease 2019 (COVID-19) pandemic, care for patients with gastrointestinal motility and functional disorders was largely suspended. In the recovery phases of the pandemic, non-urgent medical care is resumed, but there is a lack of guidance for restarting and safely conducting motility and function testing. Breath tests and insertion of manometry and pH-monitoring probes carry a risk of SARS-CoV-2 spread through droplet formation. Methods: A panel of experts from the European Society for Neurogastroenterology and Motility (ESNM) evaluated emerging national and single-center recommendations to provide the best current evidence and a pragmatic approach to ensure the safe conduct of motility and function testing for both healthcare professionals and patients. Results: At a general level, this involves evaluation of the urgency of the procedure, evaluation of the infectious risk associated with the patient, the investigation and the healthcare professional(s) involved, provision of the test planning and test units, education and training of staff, and use of personnel protection equipment. Additional guidance is provided for specific procedures such as esophageal manometry, pH monitoring, and breath tests. Conclusions and Inferences: The ESNM guidelines provide pragmatic and appropriate guidance for the safe conduct of motility and function testing in the COVID-19 pandemic and early recovery phase.
Original languageEnglish
JournalNeurogastroenterology and Motility
Volume32
Issue number7
DOIs
StatePublished - 1 Jul 2020

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