%0 Generic
%A Rodríguez-Carrasco M.
%A Albéniz E.
%A Bhandari P.
%A Beyna T.
%A Bourke M.
%A Min A.
%A Chiu P.
%A Chu S.
%A Yip H.
%A Deprez P.
%A Emura F.
%A Repici A.
%A Suzuki N.
%A Yahagi N.
%A Kubosawa Y.
%A Hassan C.
%A Dinis-Ribeiro M.
%8 2020-05-23
%@ 0013-726X
%U http://hdl.handle.net/10818/53183
%X Introduction We aimed to report the impact of the pandemic lockdown period on the treatment and prognosis of superficial gastrointestinal neoplastic lesions.

Methods A survey was completed by 11 centers from four continents regarding postponements during the early lockdown period of the pandemic, and the same period in 2019.

Results In 2020, 55 % of the scheduled procedures were deferred, which was 11 times higher than in 2019; the main reasons were directly related to COVID-19. In countries that were highly affected, this proportion rose to 76 % vs. 26 % in those where there was less impact. Despite the absolute reduction, the relative distribution in 2019 vs. 2020 was similar, the only exception being duodenal lesions (affected by a 92 % reduction in mucosectomies). Although it is expected that the majority of postponements will not affect the stage (based on the results from biopsies and/or endoscopic appearance), 3 % of delayed procedures will probably require surgery.

Conclusions The lockdown period caused by the SARS-CoV-2 pandemic led to a substantial reduction in the number of endoscopic resections for neoplastic lesions. Nevertheless, based on clinical judgment, the planned median delay will not worsen the prognosis of the affected patients.
%I Endoscopy
%T COVID-19 and endoscopic management of superficial gastrointestinal neoplastic lesions: a multinational cross-sectional survey
%R 10.1055/a-1257-9424
%~ Intellectum