{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,4]],"date-time":"2026-06-04T17:35:39Z","timestamp":1780594539521,"version":"3.54.1"},"reference-count":45,"publisher":"Wiley","issue":"7","license":[{"start":{"date-parts":[[2020,6,25]],"date-time":"2020-06-25T00:00:00Z","timestamp":1593043200000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Neurogastroenterology Motil"],"published-print":{"date-parts":[[2020,7]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Background<\/jats:title><jats:p>During the peak of the COronaVIrus Disease 2019 (COVID\u201019) pandemic, care for patients with gastrointestinal motility and functional disorders was largely suspended. In the recovery phases of the pandemic, non\u2010urgent 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\u2010monitoring probes carry a risk of SARS\u2010CoV\u20102 spread through droplet formation.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>A panel of experts from the European Society for Neurogastroenterology and Motility (ESNM) evaluated emerging national and single\u2010center 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.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>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.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions and Inferences<\/jats:title><jats:p>The ESNM guidelines provide pragmatic and appropriate guidance for the safe conduct of motility and function testing in the COVID\u201019 pandemic and early recovery phase.<\/jats:p><\/jats:sec>","DOI":"10.1111\/nmo.13930","type":"journal-article","created":{"date-parts":[[2020,6,11]],"date-time":"2020-06-11T09:11:21Z","timestamp":1591866681000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":14,"title":["European Society for Neurogastroenterology and Motility recommendations for conducting gastrointestinal motility and function testing in the recovery phase of the COVID\u201019 pandemic"],"prefix":"10.1111","volume":"32","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-3206-6704","authenticated-orcid":false,"given":"Jan","family":"Tack","sequence":"first","affiliation":[{"name":"Department of Chronic Diseases Translational Research Center for Gastrointestinal Disorders (TARGID), Metabolism and Ageing (CHROMETA) KU Leuven Leuven Belgium"},{"name":"Division of Gastroenterology and Hepatology Leuven University Hospitals Leuven Belgium"},{"name":"Department of Internal Medicine &amp; Clinical Nutrition Institute of Medicine Sahlgrenska Academy University of Gothenburg Gothenburg Sweden"},{"name":"Rome Foundation Falls of Neuse Chapel Hill NC USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-8728-0903","authenticated-orcid":false,"given":"Tim","family":"Vanuytsel","sequence":"additional","affiliation":[{"name":"Department of Chronic Diseases Translational Research Center for Gastrointestinal Disorders (TARGID), Metabolism and Ageing (CHROMETA) KU Leuven Leuven Belgium"},{"name":"Division of Gastroenterology and Hepatology Leuven University Hospitals Leuven Belgium"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-2120-6270","authenticated-orcid":false,"given":"Jordi","family":"Serra","sequence":"additional","affiliation":[{"name":"Motility and Functional Gut Disorders Unit University Hospital Germans Trias i Pujol Badalona Spain"},{"name":"Centro de Investigaci\u00f3n Biom\u00e9dica en Red de enfermedades hepaticas y digestivas (CIBERehd) Barcelona Spain"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Anna","family":"Accarino","sequence":"additional","affiliation":[{"name":"Centro de Investigaci\u00f3n Biom\u00e9dica en Red de enfermedades hepaticas y digestivas (CIBERehd) Barcelona Spain"},{"name":"Digestive System Research Unit University Hospital Vall d\u2019Hebron Barcelona Spain"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-0559-4875","authenticated-orcid":false,"given":"Vincenzo","family":"Stanghellini","sequence":"additional","affiliation":[{"name":"Department of Digestive Diseases and Internal Medicine University of Bologna St Orsola\u2010Malpighi Hospital Bologna Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-9745-0726","authenticated-orcid":false,"given":"Giovanni","family":"Barbara","sequence":"additional","affiliation":[{"name":"Department of Digestive Diseases and Internal Medicine University of Bologna St Orsola\u2010Malpighi Hospital Bologna Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"name":"the ESNM Consensus Group, the Leuven Consensus Group, the Italian Consensus Group, the Spanish Consensus Group on function testing in the COVID\u201019 pandemic era","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2020,6,25]]},"reference":[{"key":"e_1_2_15_2_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jiph.2020.03.019"},{"key":"e_1_2_15_3_1","volume-title":"WHO: Coronavirus Disease 2019 (COVID\u201019) Situation Report \u2013 110","year":"2020"},{"key":"e_1_2_15_4_1","unstructured":"XiaL WuK.Gastroenterology Practice in COVID\u201019 Pandemic.https:\/\/www.worldgastroenterology.org\/publications\/e-wgn\/gastroenterology-practice-in-covid-19-pandemic. Accessed May 24th 2020."},{"key":"e_1_2_15_5_1","doi-asserted-by":"publisher","DOI":"10.1177\/2050640620920157"},{"key":"e_1_2_15_6_1","doi-asserted-by":"publisher","DOI":"10.1186\/s13054-020-2841-7"},{"key":"e_1_2_15_7_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1365-2982.2008.01097.x"},{"key":"e_1_2_15_8_1","doi-asserted-by":"publisher","DOI":"10.1053\/j.gastro.2020.04.014"},{"key":"e_1_2_15_9_1","doi-asserted-by":"publisher","DOI":"10.1111\/nmo.13926"},{"key":"e_1_2_15_10_1","doi-asserted-by":"publisher","DOI":"10.1055\/a-1155-6229"},{"key":"e_1_2_15_11_1","doi-asserted-by":"publisher","DOI":"10.1111\/den.13706"},{"key":"e_1_2_15_12_1","doi-asserted-by":"publisher","DOI":"10.1056\/NEJMc2001737"},{"key":"e_1_2_15_13_1","article-title":"Recommendations of the Spanish Society of Neurogastroenterology and Motility (ASENEM) to restart digestive motility laboratories activity during the COVID\u201019 pandemic","author":"Alcedo J","year":"2020","journal-title":"Gastroenterol Hepatol"},{"key":"e_1_2_15_14_1","unstructured":"Gastroenterologia ed Endoscopia Digestiva \u2010 fase II Emergenza COVID Documento FISMAD Fase 2 \u2013 Parte 3\u20132. Attivit\u00e0 ambulatoriale di fisiopatologia digestiva.https:\/\/fismad.it\/. Accessed May 24th 2020."},{"key":"e_1_2_15_15_1","unstructured":"Recommandations du GFNG pour la r\u00e9alization des explorations fonctionelles digestives au cours de la pand\u00e9mie Covid.https:\/\/www.gfng.fr\/. Accessed May 24th 2020."},{"key":"e_1_2_15_16_1","doi-asserted-by":"crossref","unstructured":"BakerJR MoshireeB RaoS et al.American Neurogastroenterology and Motility Society (ANMS) Task Force Recommendations for Resumption of Motility Laboratory Operations During the COVID\u201019 Pandemic.https:\/\/motilitysociety.org\/pdf\/ANMS_Task_Force_COVID_Recommendations_May_2020.pdf. Accessed May 24th 2020.","DOI":"10.14309\/ajg.0000000000000823"},{"key":"e_1_2_15_17_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jaut.2020.102433"},{"key":"e_1_2_15_18_1","doi-asserted-by":"publisher","DOI":"10.1053\/j.gastro.2016.03.035"},{"key":"e_1_2_15_19_1","doi-asserted-by":"publisher","DOI":"10.1038\/nrgastro.2016.50"},{"key":"e_1_2_15_20_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.bpg.2007.01.002"},{"key":"e_1_2_15_21_1","article-title":"European Society for Neurogastroenterology and Motility (ESNM) Recommendations for the use of High Resolution Manometry of the esophagus","author":"Tack J","year":"2020","journal-title":"NMO"},{"key":"e_1_2_15_22_1","doi-asserted-by":"publisher","DOI":"10.1038\/nrgastro.2018.32"},{"key":"e_1_2_15_23_1","doi-asserted-by":"publisher","DOI":"10.1038\/nrgastro.2018.7"},{"key":"e_1_2_15_24_1","doi-asserted-by":"publisher","DOI":"10.1053\/j.gastro.2016.02.012"},{"key":"e_1_2_15_25_1","doi-asserted-by":"publisher","DOI":"10.1007\/s11605-019-04171-7"},{"key":"e_1_2_15_26_1","doi-asserted-by":"publisher","DOI":"10.1111\/nmo.13679"},{"key":"e_1_2_15_27_1","doi-asserted-by":"publisher","DOI":"10.3201\/eid2607.201595"},{"key":"e_1_2_15_28_1","doi-asserted-by":"publisher","DOI":"10.1016\/S2468-1253(20)30126-6"},{"key":"e_1_2_15_29_1","doi-asserted-by":"publisher","DOI":"10.1136\/gutjnl-2020-321434"},{"key":"e_1_2_15_30_1","first-page":"45","article-title":"Implications of gastrointestinal manifestations of COVID\u201019","volume":"9","author":"Yang L","year":"2020","journal-title":"Lancet Gastroenterol Hepatol"},{"key":"e_1_2_15_31_1","doi-asserted-by":"publisher","DOI":"10.1186\/s40249-020-00662-x"},{"key":"e_1_2_15_32_1","doi-asserted-by":"publisher","DOI":"10.1111\/apt.15731"},{"key":"e_1_2_15_33_1","doi-asserted-by":"publisher","DOI":"10.14309\/ajg.0000000000000667"},{"key":"e_1_2_15_34_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jcv.2020.104346"},{"key":"e_1_2_15_35_1","doi-asserted-by":"publisher","DOI":"10.1093\/cid\/ciaa460"},{"key":"e_1_2_15_36_1","doi-asserted-by":"publisher","DOI":"10.1080\/22221751.2020.1750307"},{"key":"e_1_2_15_37_1","doi-asserted-by":"publisher","DOI":"10.1016\/S1473-3099(20)30241-3"},{"key":"e_1_2_15_38_1","doi-asserted-by":"publisher","DOI":"10.2214\/AJR.20.23202"},{"key":"e_1_2_15_39_1","doi-asserted-by":"publisher","DOI":"10.1080\/22221751.2020.1745095"},{"key":"e_1_2_15_40_1","doi-asserted-by":"publisher","DOI":"10.1093\/cid\/ciaa629"},{"key":"e_1_2_15_41_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.cmi.2020.04.040"},{"key":"e_1_2_15_42_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.gie.2020.04.049"},{"key":"e_1_2_15_43_1","unstructured":"PenmanI EdwardsC McKinlayA.BSG Guidance on recommencing GI Endoscopy in the deceleration & early recovery phases of the COVID\u201019 pandemic.https:\/\/www.bsg.org.uk\/covid-19-advice\/bsg-guidance-on-recommencing-gi-endoscopy-in-the-deceleration-early-recovery-phases-of-the-covid-19-pandemic(epub ahead of print)."},{"key":"e_1_2_15_44_1","doi-asserted-by":"publisher","DOI":"10.1001\/jama.2020.6170"},{"key":"e_1_2_15_45_1","first-page":"2020","article-title":"Low risk of covid\u201019 transmission in GI endoscopy","volume":"22","author":"Repici A","year":"2020","journal-title":"Gut"},{"key":"e_1_2_15_46_1","doi-asserted-by":"publisher","DOI":"10.1111\/irv.12745"}],"container-title":["Neurogastroenterology &amp; Motility"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/api.wiley.com\/onlinelibrary\/tdm\/v1\/articles\/10.1111%2Fnmo.13930","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1111\/nmo.13930","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/full-xml\/10.1111\/nmo.13930","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1111\/nmo.13930","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2023,9,5]],"date-time":"2023-09-05T10:35:18Z","timestamp":1693910118000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1111\/nmo.13930"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2020,6,25]]},"references-count":45,"journal-issue":{"issue":"7","published-print":{"date-parts":[[2020,7]]}},"alternative-id":["10.1111\/nmo.13930"],"URL":"https:\/\/doi.org\/10.1111\/nmo.13930","archive":["Portico"],"relation":{},"ISSN":["1350-1925","1365-2982"],"issn-type":[{"value":"1350-1925","type":"print"},{"value":"1365-2982","type":"electronic"}],"subject":[],"published":{"date-parts":[[2020,6,25]]},"assertion":[{"value":"2020-06-04","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2020-06-08","order":1,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2020-06-25","order":2,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}],"article-number":"e13930"}}