{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,9,17]],"date-time":"2025-09-17T15:38:24Z","timestamp":1758123504843},"reference-count":0,"publisher":"Georg Thieme Verlag KG","issue":"07","license":[{"start":{"date-parts":[[2020,6,24]],"date-time":"2020-06-24T00:00:00Z","timestamp":1592956800000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Endosc Int Open"],"published-print":{"date-parts":[[2020,7]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:p>\n          Background and aim\u2002As the post-peak phase of the epidemic is approaching, there is an urgent need of an action plan to help resume endoscopy activity. To manage the Covid-19 pandemic-imposed backlog of postponed colonoscopy examinations, an efficient approach is needed. The practice of on-demand sedation with benzodiazepines and\/or opiates will allow most patients to complete a water-aided examination with minimal or no sedation. Other methods reported to minimize patient discomfort during colonoscopy can be used, in addition to water-aided techniques. Unsedated or minimally sedated patients who do not require recovery or require a shorter one allow rapid turnaround. The practice obviates the need for assistance with deep sedation from anesthesiologists, who may be in short supply. Trainee education in water-aided colonoscopy has been demonstrated to confer benefits. This review provides some insights into the impact of Covid-19 on endoscopy services, challenges ahead, and possible solutions to help recovery of colonoscopy work and training.<\/jats:p>","DOI":"10.1055\/a-1196-1711","type":"journal-article","created":{"date-parts":[[2020,6,25]],"date-time":"2020-06-25T01:01:22Z","timestamp":1593046882000},"page":"E985-E989","source":"Crossref","is-referenced-by-count":9,"title":["Covid-19 pandemic impact on colonoscopy service and suggestions for managing recovery"],"prefix":"10.1055","volume":"08","author":[{"given":"Sergio","family":"Cadoni","sequence":"first","affiliation":[{"name":"CTO Hospital, Digestive Endoscopy Unit, Iglesias, Italy"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Sauid","family":"Ishaq","sequence":"first","affiliation":[{"name":"Russell Hall, Dept. of Gastroenterology, Birmingham, United Kingdom"},{"name":"Birmingham City University, Birmingham, United Kingdom"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Cesare","family":"Hassan","sequence":"additional","affiliation":[{"name":"Nuovo Regina Margherita Hospital, Gastroenterology, Italy"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Pradeep","family":"Bhandari","sequence":"additional","affiliation":[{"name":"Portsmouth University Hospital, Dept. of Gastroenterology, Portsmouth, United Kingdom"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Helmut","family":"Neumann","sequence":"additional","affiliation":[{"name":"University Medical Center Mainz, Interventional Endoscopy Center, I. Medizinische Klinik und Poliklinik, Mainz, Germany"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Toshio","family":"Kuwai","sequence":"additional","affiliation":[{"name":"National Hospital Organization Kure Medical Center and Chugoku Cancer Center, Gastroenterology, Kure, Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Noriya","family":"Uedo","sequence":"additional","affiliation":[{"name":"Osaka International Cancer Institute, Department of Gastrointestinal Oncology, Osaka, Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Adolfo","family":"Parra-Blanco","sequence":"additional","affiliation":[{"name":"NIHR Nottingham Digestive Diseases Biomedical Research Centre, Nottingham University Hospitals NHS Trust, Gastroenterology, Nottingham, United Kingdom"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Chris J.J.","family":"Mulder","sequence":"additional","affiliation":[{"name":"VU University Medical Center, Dept. of Gastroenterology, Arnhem, Netherlands"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Kenneth F.","family":"Binmoeller","sequence":"additional","affiliation":[{"name":"California Pacific Medical Center, California, United States"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Felix W.","family":"Leung","sequence":"additional","affiliation":[{"name":"Veteran Affairs Greater Los Angeles Healthcare System, Sepulveda Ambulatory Care Center, California, United States"},{"name":"David Geffen School of Medicine at UCLA, Medicine, North Hills, California, United States."}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"194","published-online":{"date-parts":[[2020,6,24]]},"container-title":["Endoscopy International Open"],"original-title":[],"language":"en","link":[{"URL":"http:\/\/www.thieme-connect.de\/products\/ejournals\/pdf\/10.1055\/a-1196-1711.pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2020,6,25]],"date-time":"2020-06-25T01:01:22Z","timestamp":1593046882000},"score":1,"resource":{"primary":{"URL":"http:\/\/www.thieme-connect.de\/DOI\/DOI?10.1055\/a-1196-1711"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2020,6,24]]},"references-count":0,"journal-issue":{"issue":"07","published-online":{"date-parts":[[2020,6,16]]},"published-print":{"date-parts":[[2020,7]]}},"URL":"https:\/\/doi.org\/10.1055\/a-1196-1711","relation":{},"ISSN":["2364-3722","2196-9736"],"issn-type":[{"value":"2364-3722","type":"print"},{"value":"2196-9736","type":"electronic"}],"subject":[],"published":{"date-parts":[[2020,6,24]]}}}