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How should be the Surgical Treatment Approach during the COVID-19 Pandemic in Patients with Gastrointestinal Cancer?
2020
Journal:  
Şişli Etfal Hastanesi Tıp Bülteni
Author:  
Abstract:

COVID-19 was first seen in China at the end of December 2019. COVID-19 is a novel type of coronavirus that is defined as SARS-CoV-2, which can be mild or severe in the lungs, causing acute respiratory infection. The disease was first presented in the literature as Coronavirus Disease 2019 (COVID-19) in February 2020. The disease spread rapidly and was declared as a pandemic by the World Health Organization (WHO) on March 11, 2020. There have been approximately 7734185 reported cases, and 412369 reported deaths to date (09/June/2020). As COVID-19 spread in the world and our country, hospitals struggling with this disease have also become risky areas for transmitting the disease. Health workers also have a high risk of viral contamination from direct contact of droplets and surfaces. Personal protective equipment (PPE), such as masks, coveralls, gloves, face shields and/or goggles, are mandatory. The aim is to spread the flow of cases requiring hospitalization over time, thereby preventing possible accumulation in hospitals. All non-urgent procedures, such as elective surgeries and diagnostic interventions, were significantly affected. The hospitalization procedures were mostly allocated to patients with COVID-19 infection, and surgical operations were postponed. Only urgent surgical cases and oncological surgeries that cannot be postponed were performed during this pandemic process. Patients followed by oncology are immunosuppressed both because of the disease itself and the side effects of chemotherapy and/or radiotherapy taken. This makes patients more susceptible to infections, and the prognosis of infections in these patients is worse and more destructive. Cancer patients are almost twice as likely to catch COVID-19 compared to the general population. The choice of surgical procedures and perioperative management of the patients with malignancy has become even more important in the COVID-19 pandemic. In this study, we analyzed the treatment processes of our patients with malignancy that underwent a surgical oncological procedure during this pandemic.

Keywords:

How should the COVID-19 pandemic approach be used for surgery in patients with gastrointestinal cancer?
2020
Author:  
Abstract:

COVID-19 was first seen in China at the end of December 2019. COVID-19 is a new type of coronavirus that may be mild or severe in the lungs and is defined as SARS-CoV-2 which leads to acute respiratory infection. The disease literature was first as Coronavirus Disease 2019 (COVID-19) in February 2020. The disease spread rapidly and was declared an epidemic by the World Health Organization (WHO) on March 11, 2020. So far, approximately 7734185 cases and up to 412369 deaths have been (09 / June / 2020). As COVID-19 spreads throughout the world and our country, hospitals fighting this disease have become dangerous areas for the transmission of the disease. The risk of viral contamination by the way of direct contact with the drops and surfaces of health workers is high. Personal protective equipment (KKEE) such as masks, clothes, gloves, faces and/or glasses is mandatory. The goal is to spread the flow of cases that require to go to the hospital over time, so that possible accumulation in hospitals is avoided. All non-urgent procedures such as elective surgeries and diagnostic interventions have been significantly affected. The hospitalization procedures were mostly assigned to patients with COVID-19 infection and the surgical operations were delayed. In this pandemic process, only emergency surgical events and uninterrupted oncological surgeries were performed. The immunity of oncological patients has been suppressed due to both the disease itself and the side effects of chemotherapy and/or radiotherapy taken. This condition makes patients more sensitive to infections and the forecast of infections in these patients is worse and devastating. The chances of getting COVID-19 in cancer patients are almost twice higher than in the general population. The selection of the surgical procedures and perioperative management of patients with malignity in the COVID-19 pandemic has become even more important. In our study, we analyzed the treatment processes of our patients with malignity during this pandemic and oncological surgery. (SETB-2020-06-089)

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2020
Author:  
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Şişli Etfal Hastanesi Tıp Bülteni

Field :   Sağlık Bilimleri

Journal Type :   Ulusal

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Şişli Etfal Hastanesi Tıp Bülteni