Article Text

Adherence to recommendations for endoscopy practice during COVID-19 pandemic in Latin America: how are we doing it?
  1. Enrique Murcio-Pérez1,
  2. Raúl Antonio Zamarripa-Mottú1,
  3. Gustavo Andrade-DePaulo2,
  4. Octavio Aguilar-Nájera3,
  5. Jorge Asadur Tchekmedyian4,
  6. Gerardo Blanco-Velasco1,
  7. Omar Michel Solórzano-Pineda1,
  8. Oscar Victor Hernández-Mondragón1,
  9. Felix Tellez-Avila3
  1. 1Endoscopy Department, Hospital de Especialidades, Centro Médico Nacional Siglo XXI, Mexican Social Security Institute, Mexico City, Mexico
  2. 2Endoscopy Department, Hospital Israelita Albert Einstein, São Paulo, Brazil
  3. 3Gastrointestinal Endoscopy Department, National Institute of Medical Sciences and Nutrition Salvador Zubiran, Tlalpan, Mexico
  4. 4Digestive Endoscopy Department, Spanish First Health Association, Montevideo, Uruguay
  1. Correspondence to Dr Enrique Murcio-Pérez; murcio{at}; Dr Felix Tellez-Avila; felixtelleza{at}


Background and aims Digestive endoscopy is considered a high-risk procedure for COVID-19. Recommendations have been made for its practice during the pandemic. This study was conducted to determine adherence to recommendations for endoscopy practice during the COVID-19 pandemic in Latin America (LA).

Methods A survey was conducted of endoscopists from LA consisting of 43 questions for the evaluation of four items: general and sociodemographic features, and preprocedure, intraprocedure and postprocedure aspects.

Results A response was obtained from 338 endoscopists (response rate 34.5%) across 15 countries in LA. In preprocedure aspects (hand washing, use of face masks for patients, respiratory triage area, training for the placement/removal of personal protective equipment (PPE) and availability of specific area for the placement/removal of PPE), there was adherence in <75%. Regarding postprocedure aspects, 77% (261/338) had reused PPE, mainly the N95 respirator or higher, and this was with a standardised decontamination procedure only in 32% (108/338) of the time. Postprocedure room decontamination was carried out by 47% on >75% of occasions. In relationship to intraprocedure aspects (knowledge of risk and type of endoscopic procedures, use of PPE, airway management in patients and infrastructure), there was adherence in >75% for all the parameters and 78% of endoscopists only performed emergencies or time-sensitive procedures.

Conclusions Adherence to the recommendations for endoscopy practice during the COVID-19 pandemic is adequate in the intraprocedure aspect. However, it is deficient in the preprocedure and postprocedure aspects.

  • endoscopy
  • general practice
  • gastrointestinal endoscopy

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  • Contributors EM-P—conceptualisation, methodology, investigation, formal analysis, writing (original draft), and visualisation. FT-A—conceptualisation, methodology, formal analysis, writing (original draft), supervision, and project administration. RAZ-M—investigation, resources, and visualisation. OA-N—investigation and writing (review and editing). GB-V—writing (review and editing). OMS-P—writing (review and editing). OVH-M—writing (review and editing). GA-DP—resources and writing (review and editing). JAT—resources and writing (review and editing).

  • Funding The authors have not declared a specific grant for this research from any funding agency in the public, commercial or not-for-profit sectors.

  • Map disclaimer The depiction of boundaries on this map does not imply the expression of any opinion whatsoever on the part of BMJ (or any member of its group) concerning the legal status of any country, territory, jurisdiction or area or of its authorities. This map is provided without any warranty of any kind, either express or implied.

  • Competing interests None declared.

  • Patient consent for publication Not required.

  • Data availability statement Data are available in a public, open access repository. Data are available upon reasonable request. All data relevant to the study are included in the article or uploaded as supplemental information.

  • Supplemental material This content has been supplied by the author(s). It has not been vetted by BMJ Publishing Group Limited (BMJ) and may not have been peer-reviewed. Any opinions or recommendations discussed are solely those of the author(s) and are not endorsed by BMJ. BMJ disclaims all liability and responsibility arising from any reliance placed on the content. Where the content includes any translated material, BMJ does not warrant the accuracy and reliability of the translations (including but not limited to local regulations, clinical guidelines, terminology, drug names and drug dosages), and is not responsible for any error and/or omissions arising from translation and adaptation or otherwise.

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