Rabbinu Rangga Pribadi, Ahmad Fariz Malvi Zamzam Zein, Raisa Wibowo, Achmad Fauzi, Abdul Aziz Rani, Marcellus Simadibrata, Dadang Makmun, Murdani Abdullah, Ari Fahrial Syam, Muhammad Miftahussurur, Agasjtya Wisjnu Wardhana, Amanda Pitarini Utari, Andi Muhammad Luthfi Parewangi, Arles Arles, Arnelis Arnelis, Bradley Jimmy Waleleng, Bogi Pratomo Wibowo, Fauzi Yusuf, Hasan Maulahela, Hery Djagat Purnomo, I Dewa Nyoman Wibawa, Ignatia Sinta Murti, Indra Marki, Kaka Renaldi, Masrul Lubis, Muhammad Begawan Bestari, Muhammad Firhat Idrus, Pieter Saragih, Putut Bayupurnama, Ruswhandi Ruswhandi, Saskia Aziza Nursyirwan, Suyata Suyata, Titong Sugihartono, Triyanta Yuli Pramana, Virly Nanda Muzellina, Yustar Mulyadi
The emergence of Mpox as a significant zoonotic viral threat presents new challenges in gastrointestinal endoscopy. This article out-lines the risk of Mpox transmission during gastrointestinal endoscopy, particularly through respiratory droplets and contact with the mucosal surfaces. Gastrointestinal endoscopy may also facilitate transmission by fomites, as the Mpox virus can persist on medical in-struments and surfaces for long periods. Nosocomial Mpox transmission is a significant concern in both endemic and non-endemic regions. This highlights the necessity for enhanced infection control measures in gastrointestinal endoscopy, including pre-endoscopic assessment, proper use of personal protective equipment, and rigorous post-procedural disinfection. Additionally, vaccination of healthcare workers frequently exposed to high-risk situations is emphasized. Ongoing surveillance and monitoring of healthcare workers are key components in minimizing the transmission risk. Although no direct cases of Mpox transmission via gastrointestinal endoscopy have been reported, these recommendations mitigate the potential risks associated with such procedures and necessitate strict adherence to infection control protocols. By adhering to these protocols and adapting to current practices, gastrointestinal endoscopy can be safely performed during the Mpox upsurge, ensuring the protection of both patients and healthcare workers. © 2025 Korean Society of Gastrointestinal Endoscopy.
Division of Gastroenterology, Pancreatobiliary and Digestive Endoscopy, Department of Internal Medicine, Cipto Mangunkusumo National Central General Hospital, Faculty of Medicine Universitas Indonesia, Jakarta, Indonesia; Department of Internal Medicine, Fatmawati Central General Hospital, Faculty of Medicine Universitas Swadaya Gunung Jati, Jakarta, Indonesia; Division of Gastroenterohepatology, Department of Internal Medicine, Soetomo General Hospital, Faculty of Medicine, Universitas Airlangga, Surabaya, Indonesia; Department of Internal Medicine, Bunda General Hospital, Jakarta, Indonesia; Division of Gastroenterohepatology, Department of Internal Medicine, Wahidin Sudirohusodo Central General Hospital, Faculty of Medicine Universitas Hasanuddin, Makassar, Indonesia; Department of Internal Medicine, Awal Bros Hospital, Pekanbaru, Indonesia; Division of Gastroenterohepatology, Department of Internal Medicine, Mohammad Djamil Central General Hospital, Faculty of Medicine Universitas Andalas, Padang, Indonesia; Division of Gastroenterohepatology, Department of Internal Medicine, Prof. R. D. Kandou Central General Hospital, Faculty of Medicine Universitas Sam Ratulangi, Manado, Indonesia; Division of Gastroenterohepatology, Department of Internal Medicine, Saiful Anwar General Hospital, Faculty of Medicine Universitas Brawijaya, Malang, Indonesia; Division of Gastroenterohepatology, Department of Internal Medicine, Zainoel Abidin General Hospital, Faculty of Medicine Universitas Syiah Kuala, Banda Aceh, Indonesia; Division of Gastroenterohepatology, Department of Internal Medicine, Kariadi Central General Hospital, Faculty of Medicine Universitas Diponegoro, Semarang, Indonesia; Department of Internal Medicine and Endoscopic Unit, BaliMed Hospital, Denpasar, Indonesia; Department of Internal Medicine, Abdul Wahab Sjahranie General Hospital, Faculty of Medicine Universitas Mulawarman, Samarinda, Indonesia; Department of Internal Medicine, Mitra Keluarga Kelapa Gading Hospital, Jakarta, Indonesia; Division of Gastroenterohepatology, Department of Internal Medicine, Adam Malik Central General Hospital, Faculty of Medicine Universitas Sumatera Utara, Medan, Indonesia; Division of Gastroenterohepatology, Department of Internal Medicine, Hasan Sadikin Central General Hospital, Faculty of Medicine Universitas Padjadjaran, Bandung, Indonesia; Division of Gastroenterohepatology, Department of Internal Medicine, Abdoel Moeloek General Hospital, Bandar Lampung, Indonesia; Division of Gastroenterohepatology, Department of Internal Medicine, Sardjito Central General Hospital, Faculty of Medicine, Universitas Gadjah Mada, Yogyakarta, Indonesia; Division of Gastroenterohepatology, Department of Internal Medicine, Gatot Subroto Army Central Hospital, Jakarta, Indonesia; Division of Gastroenterohepatology, Department of Internal Medicine, Mohammad Hoesin Central General Hospital, Moewardi General Hospital, Faculty of Medicine Universitas Sriwijaya, Palembang, Indonesia; Division of Gastroenterohepatology, Department of Internal Medicine, Faculty of Medicine Universitas Sebelas Maret, Surakarta, Indonesia; Department of Internal Medicine, Soedarso General Hospital, Pontianak, Indonesia
