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Impact of the Coronavirus Disease-2019 Pandemic on Pancreaticobiliary Disease Detection and Treatment

The emergency declaration (ED) associated with the coronavirus disease-2019 (COVID-19) pandemic in Japan had a major effect on the management of gastrointestinal endoscopy. We retrospectively compared the number of pancreaticobiliary endoscopies and newly diagnosed pancreaticobiliary cancers before...

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Autores principales: Ikemura, Muneo, Tomishima, Ko, Ushio, Mako, Takahashi, Sho, Yamagata, Wataru, Takasaki, Yusuke, Suzuki, Akinori, Ito, Koichi, Ochiai, Kazushige, Ishii, Shigeto, Saito, Hiroaki, Fujisawa, Toshio, Nagahara, Akihito, Isayama, Hiroyuki
Formato: Online Artículo Texto
Lenguaje:English
Publicado: MDPI 2021
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8470255/
https://www.ncbi.nlm.nih.gov/pubmed/34575288
http://dx.doi.org/10.3390/jcm10184177
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author Ikemura, Muneo
Tomishima, Ko
Ushio, Mako
Takahashi, Sho
Yamagata, Wataru
Takasaki, Yusuke
Suzuki, Akinori
Ito, Koichi
Ochiai, Kazushige
Ishii, Shigeto
Saito, Hiroaki
Fujisawa, Toshio
Nagahara, Akihito
Isayama, Hiroyuki
author_facet Ikemura, Muneo
Tomishima, Ko
Ushio, Mako
Takahashi, Sho
Yamagata, Wataru
Takasaki, Yusuke
Suzuki, Akinori
Ito, Koichi
Ochiai, Kazushige
Ishii, Shigeto
Saito, Hiroaki
Fujisawa, Toshio
Nagahara, Akihito
Isayama, Hiroyuki
author_sort Ikemura, Muneo
collection PubMed
description The emergency declaration (ED) associated with the coronavirus disease-2019 (COVID-19) pandemic in Japan had a major effect on the management of gastrointestinal endoscopy. We retrospectively compared the number of pancreaticobiliary endoscopies and newly diagnosed pancreaticobiliary cancers before (1 April 2018 to 6 April 2020), during (7 April to 25 May 2020), and after the ED (26 May to 31 July). Multiple comparisons of the three groups were performed with respect to the presence or absence of symptoms and clinical disease stage. There were no significant differences among the three groups (Before/During/After the ED) in the mean number of diagnoses of pancreatic cancer and biliary cancer per month in each period (8.0/7.5/7.5 cases, p = 0.5, and 4.0/3.5/3.0 cases, p = 0.9, respectively). There were no significant differences among the three groups in the number of pancreaticobiliary endoscopies (EUS: endoscopic ultrasonography/ERCP: endoscopic retrograde cholangiopancreatography) per month (67.8/62.5/69.0 cases, p = 0.7 and 89.8/51.5/86.0 cases, p = 0.06, respectively), whereas the number of EUS cases decreased by 42.7% between before and during the ED. There were no significant differences among the three groups in the presence or absence of symptoms at diagnosis or clinical disease stage. There was no significant reduction in the newly diagnosed pancreaticobiliary cancer, even during the ED. The number of ERCP cases was not significantly reduced as a result of urgent procedures, but the number of EUS cases was significantly reduced.
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spelling pubmed-84702552021-09-27 Impact of the Coronavirus Disease-2019 Pandemic on Pancreaticobiliary Disease Detection and Treatment Ikemura, Muneo Tomishima, Ko Ushio, Mako Takahashi, Sho Yamagata, Wataru Takasaki, Yusuke Suzuki, Akinori Ito, Koichi Ochiai, Kazushige Ishii, Shigeto Saito, Hiroaki Fujisawa, Toshio Nagahara, Akihito Isayama, Hiroyuki J Clin Med Article The emergency declaration (ED) associated with the coronavirus disease-2019 (COVID-19) pandemic in Japan had a major effect on the management of gastrointestinal endoscopy. We retrospectively compared the number of pancreaticobiliary endoscopies and newly diagnosed pancreaticobiliary cancers before (1 April 2018 to 6 April 2020), during (7 April to 25 May 2020), and after the ED (26 May to 31 July). Multiple comparisons of the three groups were performed with respect to the presence or absence of symptoms and clinical disease stage. There were no significant differences among the three groups (Before/During/After the ED) in the mean number of diagnoses of pancreatic cancer and biliary cancer per month in each period (8.0/7.5/7.5 cases, p = 0.5, and 4.0/3.5/3.0 cases, p = 0.9, respectively). There were no significant differences among the three groups in the number of pancreaticobiliary endoscopies (EUS: endoscopic ultrasonography/ERCP: endoscopic retrograde cholangiopancreatography) per month (67.8/62.5/69.0 cases, p = 0.7 and 89.8/51.5/86.0 cases, p = 0.06, respectively), whereas the number of EUS cases decreased by 42.7% between before and during the ED. There were no significant differences among the three groups in the presence or absence of symptoms at diagnosis or clinical disease stage. There was no significant reduction in the newly diagnosed pancreaticobiliary cancer, even during the ED. The number of ERCP cases was not significantly reduced as a result of urgent procedures, but the number of EUS cases was significantly reduced. MDPI 2021-09-16 /pmc/articles/PMC8470255/ /pubmed/34575288 http://dx.doi.org/10.3390/jcm10184177 Text en © 2021 by the authors. https://creativecommons.org/licenses/by/4.0/Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (https://creativecommons.org/licenses/by/4.0/).
spellingShingle Article
Ikemura, Muneo
Tomishima, Ko
Ushio, Mako
Takahashi, Sho
Yamagata, Wataru
Takasaki, Yusuke
Suzuki, Akinori
Ito, Koichi
Ochiai, Kazushige
Ishii, Shigeto
Saito, Hiroaki
Fujisawa, Toshio
Nagahara, Akihito
Isayama, Hiroyuki
Impact of the Coronavirus Disease-2019 Pandemic on Pancreaticobiliary Disease Detection and Treatment
title Impact of the Coronavirus Disease-2019 Pandemic on Pancreaticobiliary Disease Detection and Treatment
title_full Impact of the Coronavirus Disease-2019 Pandemic on Pancreaticobiliary Disease Detection and Treatment
title_fullStr Impact of the Coronavirus Disease-2019 Pandemic on Pancreaticobiliary Disease Detection and Treatment
title_full_unstemmed Impact of the Coronavirus Disease-2019 Pandemic on Pancreaticobiliary Disease Detection and Treatment
title_short Impact of the Coronavirus Disease-2019 Pandemic on Pancreaticobiliary Disease Detection and Treatment
title_sort impact of the coronavirus disease-2019 pandemic on pancreaticobiliary disease detection and treatment
topic Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8470255/
https://www.ncbi.nlm.nih.gov/pubmed/34575288
http://dx.doi.org/10.3390/jcm10184177
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