Background: Numerous observational studies have shown that the loss of follow-up rate during the most recent COVID-19 pandemic has been rising since early 2020, particularly in instances of gastrointestinal cancer. In addition to the patient aspect, there aren't enough medical facilities to continue treating these patients with many medical modalities. During this pandemic, early detection instances have also decreased, which may increase the number of gastrointestinal cancer patients who appear in an emergency and require immediate diagnosis and treatment. According to recent data, the number of emergency patients increased during the pandemic's final year, and emergency treatment was associated with rising post-operative morbidity and mortality. Methods: From March through August 2020, a single centre hospital will undertake an observational research to analyse patients with gastrointestinal cancer who have already been diagnosed but have not previously undergone surgery due to a pandemic. We will report both elective and urgent instances of gastrointestinal cancer patients during this study period, and the postoperative morbidity will also be assessed. The case of gastrointestinal cancer returning serves as the exclusion criterion. Results: 48 cases of gastrointestinal cancer patients were included in this observational study during the course of a 5-month evaluation. The most frequent type of GI cancer to be identified by a histopatology examination is colorectal adenocarcinoma; of the 33 patients, 28 had a major bowel obstruction, and these patients underwent emergency surgery for their obstructive colorectal cancer. The other is malignant biliary blockage brought on by advanced peri ampullary tumours, which in 15 cases included pancreas head adenocarcinoma, distal and proximal cholangi carcinoma, and cholangitis-like signs and symptoms. Both of the four colorectal cancer patients who did not survive had closed loop perforations of the large bowel. Vol. 11 of Current Practice in Medical Science An Observational Study on the Effect of SARS-CoV-2 Pandemi on the Unfavorable Clinical Outcome of Patients with Gastrointestinal Tract Cancer who Have 28 Obstruction Before Untreatable Sepsis. Palliative surgery was performed in both cases of peri ampullary malignancy; however, delayed biliary blockage and severe cholangitis were discovered in 2 patients, and both had unsatisfactory surgical outcomes. Conclusion: The COVID-19 pandemic significantly affects patients with gastrointestinal cancer who present late or delayedly and may result in increased post-operative morbidity. Particularly in this pandemic period, better informed permission should be obtained from the patient during treatment.
Author(s) Details:
Budhi Ida Bagus,
Department of Surgery, Sebelas Maret University, Indonesia.
Please see the link here: https://stm.bookpi.org/CPMS-V11/article/view/8027
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