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

United European Gastroenterol J. 2021 Sep;9(7):787-796. doi: 10.1002/ueg2.12103. Epub 2021 Jun 8.

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.

Keywords: Coronavirus; endoscopy; prevention; public health; vaccine.

Publication types

  • Review

MeSH terms

  • 2019-nCoV Vaccine mRNA-1273
  • Ad26COVS1 / therapeutic use
  • BNT162 Vaccine / therapeutic use
  • COVID-19 / prevention & control*
  • COVID-19 Vaccines / therapeutic use*
  • ChAdOx1 nCoV-19 / therapeutic use
  • Gastroenterology
  • Gastrointestinal Neoplasms / therapy
  • Humans
  • Inflammatory Bowel Diseases / therapy
  • Liver Diseases / therapy
  • SARS-CoV-2

Substances

  • Ad26COVS1
  • COVID-19 Vaccines
  • NVX-CoV2373 adjuvated lipid nanoparticle
  • ChAdOx1 nCoV-19
  • 2019-nCoV Vaccine mRNA-1273
  • BNT162 Vaccine