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2020 ; 54
(2
): 136-141
Nephropedia Template TP
gab.com Text
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Twit Text #
English Wikipedia
How should be the Surgical Treatment Approach during the COVID-19 Pandemic in
Patients with Gastrointestinal Cancer?
#MMPMID32617050
Celayir MF
; Aygun N
; Tanal M
; Koksal HM
; Besler E
; Uludag M
Sisli Etfal Hastan Tıp Bul
2020[]; 54
(2
): 136-141
PMID32617050
show ga
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.