Research Article
Year 2023,
Volume: 9 Issue: 3, 555 - 560, 04.05.2023
Abstract
References
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- 7. Zhou Z, Zhao N, Shu Y, Han S, Chen B, Shu X. Effect of gastrointestinal symptoms in patients with COVID-19. Gastroenterology 2020;158:2294-7.
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- 11. Caccialanza R, Laviano A, Lobascio F, Montagna E, Bruno R, Ludovisi S, et al. Early nutritional supplementation in non-critically ill patients hospitalized for the 2019 novel coronavirus disease (COVID-19): rationale and feasibility of a shared prag-matic protocol. Nutrition 2020;74:110835.
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- 14. Gulen M, Satar S. Uncommon presentation of COVID-19: gastrointestinal bleeding. Clin Res Hepatol Gastroenterol 2020;44:e72-6.
- 15. Wahid N, Bhardwaj T, Borinsky C, Tavakkoli M, Wan D, Wong T, et al. Acute acalculous cholecystitis during severe COVID-19 hospitalizations. Am J Gastroenterol 2020;115:S794.
- 16. Dirweesh A, Li Y, Trikudanathan G, Mallery JS, Freeman ML, Amateau SK, et al. Clinical outcomes of acute pancreatitis in patients with coronavirus disease 2019. Gastroenterology 2020;159:1972-4.
- 17. Franco-Moreno A, Piniella-Ruiz E, Montoya-Adarraga J, Ballano-Franco C, Alvarez-Miguel F, Peinado-Martinez C, et al. Portal vein thrombosis in a patient with COVID-19. Thromb Res 2020;194:150-2.
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Year 2023,
Volume: 9 Issue: 3, 555 - 560, 04.05.2023
Abstract
Objectives: The aim of the study is to reveal the most common general surgery problems during the pandemic period in our center, where all departments only deal with COVID-19 patients.
Methods: In our study, general surgery consultations made between 1st November 2020 and 1st February 2021, when our center only served pandemic patients, were retrospectively examined. Demographic data of the patients, distribution of the departments where consultation was requested, reasons for consultation, pathology detection rate, treatment modalities, mortality rates and surgical procedures were included.
Results: A total of 70 patients, 33 female, and 37 male, were included in this study. The most common problems of the patients were gastrointestinal system (GIS) problems (46/70, 65.7%). The second most common problem was hepatopancreaticobiliary problems (12/70, 17.1%). This was followed by soft tissue disorders, hernia problems, and trauma cases, respectively. These were mostly treated medically, but surgical treatment was sometimes required (77.1% vs 22.9%).
Conclusions: As reported in the literature, the most common surgical pathologies in patients diagnosed with COVID-19 are usually related to the GIS. These pathologies can mostly be treated medically (73.9%). However, surgical treatment was more rarely required (26.1%). The highest rate of surgical treatment was for hernia patients (100%). In general, medical treatment was successful.
Keywords
References
- 1. American College of Surgeon COVID-19: Elective case triage guidelines for surgical care. https://www.facs.org/covid-19/clinical-guidance/elective-case.
- 2. COVIDSurg Collaborative. Global guidance for surgical care during the COVID-19 pandemic. Br J Surg 2020;107:1097-103.
- 3. Søreide K, Hallet J, Matthews JB, Schnitzbauer AA, Line PD, Lai PBS, et al. Immediate and long-term impact of the COVID-19 pandemic on delivery of surgical services. Br J Surg 2020;107:1250-61.
- 4. Di Saverio S, Pata F, Khan M, Ietto G, Zani E, Carcano G. Convert to open: the new paradigm for surgery during COVID-19? Br J Surg 2020;107:e194.
- 5. Alimoglu O, Erol CI, Kayali A, Acar M, Colapkulu N, Leblebici M, et al. Emergency surgery during COVID-19 pandemic; What has changed in practice? Br J Surg 2020;107:e581-2.
- 6. Gu J, Han B, Wang J. COVID-19: gastrointestinal manifestations and potential fecal-oral transmission. Gastroenterology 2020;158:1518-9.
- 7. Zhou Z, Zhao N, Shu Y, Han S, Chen B, Shu X. Effect of gastrointestinal symptoms in patients with COVID-19. Gastroenterology 2020;158:2294-7.
- 8. Huang C, Wang Y, Li X, Ren L, Zhao J, Hu Y, et al. Clinical features of patients infected with 2019 novel coronavirus in Wuhan, China. Lancet 2020;395:497-506.
- 9. Kaafarani HM, El Moheb M, Hwabejire JO, Naar L, Christensen MA, Breen K, et al. Gastrointestinal complications in critically ill patients with COVID-19. Ann Surg 2020;272:e61-2.
- 10. Nobel YR, Phipps M, Zucker J, Lebwohl B, Wang TC, Sobieszczyk ME, et al. Gastrointestinal symptoms and coronavirus disease 2019: a case-control study from the United States. Gastroenterology 2020;159:373-5.
- 11. Caccialanza R, Laviano A, Lobascio F, Montagna E, Bruno R, Ludovisi S, et al. Early nutritional supplementation in non-critically ill patients hospitalized for the 2019 novel coronavirus disease (COVID-19): rationale and feasibility of a shared prag-matic protocol. Nutrition 2020;74:110835.
- 12. Singer P, Rattanachaiwong S. To eat or to breathe? The answer is both! Nutritional management during noninvasive ventilation. Crit Care 2018;22:27.
- 13. Barazzoni R, Bischoff SC, Breda J, Wickramasinghe K, Krznaric Z, Nitzan D, et al. ESPEN expert statements and practical guidance for nutritional management of individuals with SARS-CoV-2 infection. Clin Nutr 2020;39:1631-8.
- 14. Gulen M, Satar S. Uncommon presentation of COVID-19: gastrointestinal bleeding. Clin Res Hepatol Gastroenterol 2020;44:e72-6.
- 15. Wahid N, Bhardwaj T, Borinsky C, Tavakkoli M, Wan D, Wong T, et al. Acute acalculous cholecystitis during severe COVID-19 hospitalizations. Am J Gastroenterol 2020;115:S794.
- 16. Dirweesh A, Li Y, Trikudanathan G, Mallery JS, Freeman ML, Amateau SK, et al. Clinical outcomes of acute pancreatitis in patients with coronavirus disease 2019. Gastroenterology 2020;159:1972-4.
- 17. Franco-Moreno A, Piniella-Ruiz E, Montoya-Adarraga J, Ballano-Franco C, Alvarez-Miguel F, Peinado-Martinez C, et al. Portal vein thrombosis in a patient with COVID-19. Thromb Res 2020;194:150-2.
- 18. Borazjani R, Seraj SR, Fallahi MJ, Rahmanian Z. Acute portal vein thrombosis secondary to COVID-19: a case report. BMC Gastroenterol 2020;20:386.
There are 18 citations in total.
Details
| Primary Language | English |
|---|---|
| Subjects | Surgery |
| Journal Section | Original Articles |
| Authors | |
| Publication Date | May 4, 2023 |
| Submission Date | June 7, 2022 |
| Acceptance Date | January 7, 2023 |
| Published in Issue | Year 2023 Volume: 9 Issue: 3 |
e-ISSN: 2149-3189
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