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(3
): 196-201
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Potential impact of COVID-19 on colorectal disease management
#MMPMIDC7303621
Campos FG
; Fillmann HS
ä-/-ä 2020[Jul]; 40
(3
): 196-201
PMIDC7303621
show ga
The current recommendations for management of colorectal diseases are still
evolving, due to the limited experience on this issue. As the new coronavirus can
be transmitted through breath droplets, by contact and orofecally, there is no
consensus of how this fact may affect the investigation and treatment of
anorectal diseases. Thus, high-quality multicenter studies are urgently needed to
provide better information to both patients and the multiprofessional team, in
order to build an effective pandemic response plan in our specialty. As a greater
operative risk for infected patients has already been demonstrated, the next step
lies on the identification of new therapeutic strategies that could minimize this
effect on an individual basis. There is a present understanding that the COVID-19
pandemic should change some traditional practices. Therefore, the surgical
treatment of suspected or known COVID-19 case demands specific insights. This
article analyses potential influences regarding the treatment of patients with
Colorectal Cancer (CRC) and Inflammatory Bowel Diseases (IBD). At present,
elective surgery must be avoided, and the colorectal surgeon must carefully
evaluate the risks and benefits of such decision. Within this context, a change
toward nonsurgical and less aggressive modalities of CRC treatment may help to
postpone definitive treatment. We also discuss the concerns regarding the viral
infection among the population, the influence on clinical symptoms and the
proposed modifications on therapeutic schemes.