What gastroenterologists should know about SARS-CoV 2 vaccine: World Endoscopy Organization perspective.

Cesare Hassan, Alessandro Repici, Gottumukkala S Raju, Fabian Emura, Pradeep Bhandari, Thomas Roesch, Prateek Sharma, Michael Wallace, Mark Pochapin, David Greenwald, Marco Spadaccini, Piera Alessia Galtieri, Gaia Pellegatta, Alessandro Fugazza, Silvia Carrara, Andrea Anderloni, Roberta Maselli, Ana Lleo, Alessio Aghemo, Lorenzo Canziani

Journal: United European gastroenterology journal 2022;9(7):787-796

PMID: 34102015

Abstract

BACKGROUND

The novel Coronavirus (SARS-CoV-2) has caused almost 2 million deaths worldwide. Both Food and Drug Administration and European Medicines Agency have recently approved the first COVID-19 vaccines, and a few more are going to be approved soon.

METHODS

Several different approaches have been used to stimulate the immune system in mounting a humoral response. As more traditional approaches are under investigation (inactivated virus vaccines, protein subunit vaccines, recombinant virus vaccines), more recent and innovative strategies have been tried (non-replicating viral vector vaccines, RNA based vaccines, DNA based vaccines).

RESULTS

Since vaccinations campaigns started in December 2020 in both the US and Europe, gastroenterologists will be one of the main sources of information regarding SARS-CoV 2 vaccination for patients in their practice, including vulnerable patients such as those with Inflammatory Bowel Disease (IBD), patients with chronic liver disease, and GI cancer patients.

CONCLUSIONS

Thus, we must ourselves be well educated and updated in order to provide unambiguous counseling to these categories of vulnerable patients. In this commentary, we aim to provide a comprehensive review of both approved COVID-19 vaccines and the ones still under development, and explore potential risks, benefits and prioritization of vaccination.

© 2021 The Authors. United European Gastroenterology Journal published by Wiley Periodicals LLC. on behalf of United European Gastroenterology.

Address: Department of Biomedical Sciences, Humanitas University, Rozzano, Italy.; Department of Gastroenterology, Endoscopy Unit, Humanitas Clinical and Research Center IRCCS, Rozzano, Italy.; Department of Internal Medicine, Humanitas Clinical and Research Center IRCCS, Rozzano, Italy.; Department of Gastroenterology, Division of Internal Medicine and Hepatology, Humanitas Clinical and Research Center IRCCS, Rozzano, Italy.; Digestive Endoscopy Unit, Nuovo Regina Margherita, Rome, Italy.; Division of Gastroenterology, Icahn School of Medicine at Mount Sinai, Mount Sinai Hospital, New York, New York, USA.; Division of Gastroenterology and Hepatology, NYU Langone Health, New York, New York, USA.; Division of Gastroenterology and Hepatology, Mayo Clinic, Jacksonville, Florida, USA.; Digestive Endoscopy Unit, Kansas City VA Medical Center, Kansas City, Missouri, USA.; Division of Gastroenterology & Hepatology, University Medical Center Hamburg - Eppendorf, Hamburg, Germany.; Division of Gastroenterology and Hepatology, Queen Alexandra Hospital, Portsmouth, UK.; Division of Gastroenterology, Universidad de La Sabana, Chía, Colombia.; Department of Gastroenterology, Hepatology, and Nutrition, The University of Texas, MD Anderson Cancer Center, Houston, Texas, USA.
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