[Impact of COVID-19 on oncological surgery of the upper gastrointestinal tract].

{"article_title":"[Impact of COVID-19 on oncological surgery of the upper gastrointestinal tract].","author":"Babic B, Datta RR, Schr\u00f6der W, Schiffmann LM, Schmidt T, Bruns CJ, Fuchs HF","journal_title":"Der Chirurg; Zeitschrift fur alle Gebiete der operativen Medizen","issn":"1433-0385","isbn":"","publication_date":"2020 May","volume":"92","issue":"10","first_page":"929","page_count":"","accession_number":"34448904","doi":"10.1007\/s00104-021-01489-4","publisher":"Springer Verlag","doctype":"Journal Article","subjects":"COVID-19; Esophageal Neoplasms surgery; Esophageal Squamous Cell Carcinoma; Upper Gastrointestinal Tract; COVID-19 Testing; Communicable Disease Control; Humans; SARS-CoV-2","interest_area":["Endocrinology"," Internal Medicine"," Urology & Nephrology"],"abstract":"Background: The outbreak of the coronavirus disease 2019 (COVID-19) pandemic imposed limitations for elective surgery, impacting the associated hospital standards worldwide. As certain treatment windows must be adhered to in oncological surgery, the limited intensive care unit (ICU) capacity had to be critically distributed in order to do justice to both acutely ill and oncology patients. This manuscript summarizes the impact of COVID-19 on the management of oncological surgery of the upper gastrointestinal tract and particularly esophageal surgery in German medical centers. Material and Methods: A survey of German centers for esophageal surgery was performed on the impact of COVID-19 on operative management for esophageal surgery during the first lockdown. After inspection, assessment, critical analysis and interpretation, the results were compared to the international literature. Results and Discussion: Initial recommendations of international societies warned for caution and restraint regarding interventions of the upper gastrointestinal tract that were not absolutely necessary. Oncological surgery should be performed under strict restrictions, especially only after negative testing for COVID-19 and only with sufficiently available personal protective equipment for the personnel. Furthermore, minimally invasive procedures were preferably not recommended. In diseases with alternative treatment options, such as definitive chemoradiotherapy of esophageal squamous cell carcinoma, these should be given priority when possible. In the further development of the pandemic, it was shown that due to a high standardization of preoperative management, postoperative results comparable to pre-pandemic times could be achieved particularly with respect to the diagnostics of infections. \u00a9 2021. Springer Medizin Verlag GmbH, ein Teil von Springer Nature.","url":"https:\/\/search.ebscohost.com\/login.aspx?direct=true&db=mdl&AN=34448904&authtype=shib&custid=ns346513&group=main&profile=eds","isPdfLink":true,"isSAML":false,"additionalInfo":{"Authored_By":"Babic B, Datta RR, Schr\u00f6der W, Schiffmann LM, Schmidt T, Bruns CJ, Fuchs HF","Journal_Info":"Publisher: Springer Verlag Country of Publication: Germany NLM ID: 16140410R Publication Model: Print-Electronic Cited Medium: Internet ISSN: 1433-0385 (Electronic) Linking ISSN: 00094722 NLM ISO Abbreviation: Chirurg Subsets: MEDLINE","Publication_Type":"Journal Article; Practice Guideline; Review","Published_Date":"2021-10-01","Source":"Der Chirurg; Zeitschrift fur alle Gebiete der operativen Medizen [Chirurg] 2021 Oct; Vol. 92 (10), pp. 929-935. Date of Electronic Publication: 2021 Aug 27.","Languages":"German","Electronic_ISSN":"1433-0385","MeSH_Terms":"COVID-19* , Esophageal Neoplasms*\/surgery , Esophageal Squamous Cell Carcinoma* , Upper Gastrointestinal Tract*, COVID-19 Testing ; Communicable Disease Control ; Humans ; SARS-CoV-2","Subjects":"COVID-19 Testing, Communicable Disease Control, Humans, SARS-CoV-2, COVID-19, Esophageal Neoplasms surgery, Esophageal Squamous Cell Carcinoma, Upper Gastrointestinal Tract","Title_Abbreviations":"Der Chirurg; Zeitschrift fur alle Gebiete der operativen Medizen","Volume":"92"},"header":{"DbId":"mdl","DbLabel":"MEDLINE Ultimate","An":"34448904","RelevancyScore":"898","PubType":"Academic Journal","PubTypeId":"academicJournal","PreciseRelevancyScore":"897.524475097656"},"plink":"https:\/\/search.ebscohost.com\/login.aspx?direct=true&site=eds-live&db=mdl&AN=34448904&authtype=shib&custid=ns346513&group=main&profile=eds","upload_link":"https:\/\/search.ebscohost.com\/login.aspx?direct=true&site=eds-live&db=mdl&AN=34448904&authtype=shib&custid=ns346513&group=main&profile=eds"}