British Society of Gastroenterology guidance for management of inflammatory bowel disease during the COVID-19 pandemic

被引：196

作者：

Kennedy, Nicholas A. ^{[1
,2
]}

Jones, Gareth-Rhys ^{[3
,4
]}

Lamb, Christopher A. ^{[5
,6
]}

Appleby, Richard ^{[7
]}

Arnott, Ian ^{[4
]}

Beattie, R. Mark ^{[8
]}

Bloom, Stuart ^{[9
]}

Brooks, Alenka J. ^{[10
]}

Cooney, Rachel ^{[11
,12
]}

Dart, Robin J. ^{[13
,14
]}

Edwards, Cathryn ^{[15
]}

Fraser, Aileen ^{[16
]}

Gaya, Daniel R. ^{[17
,18
]}

Ghosh, Subrata ^{[11
,12
]}

Greveson, Kay ^{[14
]}

Hansen, Richard ^{[18
,19
]}

Hart, Ailsa ^{[20
,21
]}

Hawthorne, A. Barney ^{[22
]}

Hayee, Bu'Hussain ^{[13
,23
]}

Limdi, Jimmy K. ^{[24
,25
]}

Murray, Charles D. ^{[14
]}

Parkes, Gareth C. ^{[26
,27
]}

Parkes, Miles ^{[28
]}

Patel, Kamal ^{[29
]}

Pollok, Richard C. ^{[29
,30
]}

Powell, Nick ^{[21
,31
]}

Probert, Chris S. ^{[32
,33
]}

Raine, Tim ^{[28
]}

Sebastian, Shaji ^{[34
]}

Selinger, Christian ^{[35
]}

Smith, Philip J. ^{[32
]}

Stansfield, Catherine ^{[36
]}

Younge, Lisa ^{[37
]}

Lindsay, James O. ^{[26
,27
]}

Irving, Peter M. ^{[13
,38
]}

Lees, Charlie W. ^{[3
,4
]}

机构：

[1] Royal Devon & Exeter NHS Fdn Trust, Exeter, Devon, England

[2] Univ Exeter, Exeter, Devon, England

[3] Univ Edinburgh, Edinburgh, Midlothian, Scotland

[4] Western Gen Hosp, Edinburgh, Midlothian, Scotland

[5] Newcastle Univ, Newcastle Upon Tyne, Tyne & Wear, England

[6] Newcastle Tyne Hosp NHS Fdn Trust, Newcastle Upon Tyne, Tyne & Wear, England

[7] Chelsea & Westminster Hosp NHS Fdn Trust, London, England

[8] Univ Hosp Southampton NHS Fdn Trust, Southampton Childrens Hosp, Southampton, Hants, England

[9] Univ Coll London Hosp NHS Fdn Trust, London, England

[10] Sheffield Teaching Hosp NHS Fdn Trust, Sheffield, S Yorkshire, England

[11] Queen Elizabeth Hosp Birmingham NHS Fdn Trust, Birmingham, W Midlands, England

[12] Univ Birmingham, Birmingham, W Midlands, England

[13] Kings Coll London, London, England

[14] Royal Free Hosp, London, England

[15] Torbay & South Devon NHS Fdn Trust, Torquay, England

[16] Univ Hosp Bristol NHS Fdn Trust, Bristol, Avon, England

[17] Glasgow Royal Infirm, Glasgow, Lanark, Scotland

[18] Univ Glasgow, Glasgow, Lanark, Scotland

[19] Royal Hosp Children, Glasgow, Lanark, Scotland

[20] St Marks Hosp, London, England

[21] Imperial Coll London, London, England

[22] Univ Hosp Wales, Cardiff, Wales

[23] Kings Coll Hosp NHS Fdn Trust, London, England

[24] Pennine Acute Hosp NHS Trust, Manchester, Lancs, England

[25] Univ Manchester, Manchester, Lancs, England

[26] Barts & London Queen Marys Sch Med & Dent, London, England

[27] Barts Hlth NHS Trust, Royal London Hosp, London, England

[28] Cambridge Univ Hosp NHS Fdn Trust, Cambridge, England

[29] St Georges Univ Hosp NHS Fdn Trust, London, England

[30] St Georges Univ London, London, England

[31] Imperial Coll Healthcare NHS Trust, London, England

[32] Liverpool Univ Hosp NHS Fdn Trusts, Liverpool, Merseyside, England

[33] Univ Liverpool, Liverpool, Merseyside, England

[34] Hull Univ Teaching Hosp NHS Trust, Kingston Upon Hull, N Humberside, England

[35] Leeds Teaching Hosp NHS Trust, Leeds, W Yorkshire, England

[36] Salford Royal NHS Fdn Trust, Salford, Lancs, England

[37] Crohns & Colitis UK, St Albans, Herts, England

[38] Guys & St Thomas NHS Fdn Trust, London, England

来源：

GUT | 2020年 / 69卷 / 06期

关键词：

crohn's colitis; crohn's disease; ulcerative colitis;

D O I：

10.1136/gutjnl-2020-321244

中图分类号：

R57 [消化系及腹部疾病];

学科分类号：

摘要：

The COVID-19 pandemic is putting unprecedented pressures on healthcare systems globally. Early insights have been made possible by rapid sharing of data from China and Italy. In the UK, we have rapidly mobilised inflammatory bowel disease (IBD) centres in order that preparations can be made to protect our patients and the clinical services they rely on. This is a novel coronavirus; much is unknown as to how it will affect people with IBD. We also lack information about the impact of different immunosuppressive medications. To address this uncertainty, the British Society of Gastroenterology (BSG) COVID-19 IBD Working Group has used the best available data and expert opinion to generate a risk grid that groups patients into highest, moderate and lowest risk categories. This grid allows patients to be instructed to follow the UK government's advice for shielding, stringent and standard advice regarding social distancing, respectively. Further considerations are given to service provision, medical and surgical therapy, endoscopy, imaging and clinical trials.

引用

页码：984 / 990

页数：7

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