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            <name>Title</name>
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                <text>Coronavirus</text>
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                <text>Dominio científico: Coronavirus</text>
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              <text>Covid-19 pandemic impact on colonoscopy service and suggestions for managing recovery</text>
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              <text>Helmut Neumann, Cesare Hassan, Toshio Kuwai, Chris J. J. Mulder, Noriya Uedo, Adolfo Parra Blanco, Felix W Leung, Pradeep Bhandari, Sauid Ishaq, Sergio Cadoni, Kenneth F. Binmoeller</text>
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              <text>Background and aim As 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.</text>
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              <text>2020</text>
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          <name>Identifier</name>
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              <text>DOI: 10.1055/a-1196-1711</text>
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              <text>Endoscopy International Open</text>
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              <text>Georg Thieme Verlag</text>
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              <text>Diseases of the digestive system. Gastroenterology</text>
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