Skip to main page content
Access keys NCBI Homepage MyNCBI Homepage Main Content Main Navigation
. 2020 Apr 27;S1590-8658(20)30173-0.
doi: 10.1016/j.dld.2020.04.018. Online ahead of print.

Endoscopy During the Covid-19 Outbreak: Experience and Recommendations From a Single Center in a High-Incidence Scenario

Free PMC article

Endoscopy During the Covid-19 Outbreak: Experience and Recommendations From a Single Center in a High-Incidence Scenario

Luca Elli et al. Dig Liver Dis. .
Free PMC article


A dramatic SARS-Cov-2 outbreak is hitting Italy hard. To face the new scenario all the hospitals have been re-organised in order to reduce all the outpatient services and to devote almost all their personnel and resources to the management of Covid-19 patients. As a matter of fact, all the services have undergone a deep re-organization guided by: the necessity to reduce exams, to create an environment that helps reduce the virus spread, and to preserve the medical personnel from infection. In these days a re-organization of the endoscopic unit, sited in a high-incidence area, has been adopted, with changes to logistics, work organization and patients selection. With the present manuscript, we want to support gastroenterologists and endoscopists in the organization of a "new" endoscopy unit that responds to the "new" scenario, while remaining fully aware that resources, availability and local circumstances may extremely vary from unit to unit.

Keywords: Coronavirus; Covid-19; Endoscopy; SARS-CoV-2.

Conflict of interest statement

Declaration of Competing Interest All the authors declare no conflict of interest.


Fig 1
Fig. 1
Algorithm for patients’ stratification in high-incidence Covid-19 scenarios.
Fig 2
Fig. 2
Example of space management for the Endoscopy Unit. Viral load and theoretical risk are depicted with a colour scale where red areas are those with a sure high viral load and yellow/green the ones with an estimated intermediate/lower viral load. Yellow areas are intermediate-risk areas. A Covid-19 waiting room is not planned because we assume that they are inpatients or on quarantine. However, a Covid-19 recovery room can be considered as a waiting room, when needed.

Similar articles

See all similar articles


    1. Huang C., Wang Y., Li X., Ren L., Zhao J., Hu Y. Clinical features of patients infected with 2019 novel coronavirus in Wuhan. China. Lancet. 2020;395:497–506. doi: 10.1016/S0140-6736(20)30183-5. - DOI - PMC - PubMed
    1. Sun K., Chen J., Viboud C. Early epidemiological analysis of the coronavirus disease 2019 outbreak based on crowdsourced data: a population-level observational study. Lancet Digit Heal. 2020:7500. doi: 10.1016/S2589-7500(20)30026-1. - DOI
    1. Chen N., Zhou M., Dong X., Qu J., Gong F., Han Y. Epidemiological and clinical characteristics of 99 cases of 2019 novel coronavirus pneumonia in Wuhan. China: a descriptive study. Lancet. 2020;395:507–513. doi: 10.1016/S0140-6736(20)30211-7. - DOI
    1. Rothe C., Schunk M., Sothmann P., Bretzel G., Froeschl G., Wallrauch C., et al. Transmission of 2019-nCoV Infection from an Asymptomatic Contact in Germany. N Engl J Med2020:2019–20. 10.1056/nejmc2001468. - DOI
    1. Bai Y., Yao L., Wei T., Tian F., Jin D.-Y., Chen L. Presumed Asymptomatic Carrier Transmission of COVID-19. JAMA. 2020:19–20. doi: 10.1056/nejmoa2001316. Online pub. - DOI