Abstract

PINILLA-MORALES, Raúl; CAYCEDO-MARULANDA, Antonio; CASTRO-BELTRAN, Jorge Mario  and  FUENTES-SANDOVAL, María Alejandra. Management of the colorectal cancer during SARS-CoV-2 pandemic. rev. colomb. cir. [online]. 2020, vol.35, n.2, pp.235-243. ISSN 2011-7582.  https://doi.org/10.30944/20117582.629.

The SARS-CoV-2 virus (Severe Respiratory Acute Syndrome by Coronavirus-2) is a beta-coronavirus, which is transmitted from person to person through aerosols generated by coughs or sneezes and by direct contact with contaminated hands through the mucosa, causing mainly respiratory compromise. It is considered that the virus originated in the city of Wuhan in China, and due to its high transmissibility, it went to become a worldwide pandemic, affecting a large percentage of the population, including health workers, with great morbidity and mortality. This has led healthcare organizations throughout, to implement strict measures aimed at providing adequate care of the infected population, establishing behavioral restrictions to prevent the spreading of the infection and management of contamination of uninfected patients who need to continue to be treated for other types of pathologies, such as this is the case of cancer patients.

In this work we intend to review the management of patients with colorectal cancer in light of the pandemic, the ideal time to be taken to surgery, the options of the surgical approach, the relevance of diagnostic and therapeutic colonoscopy, as well as the importance of the experience of the surgeon and the institution in the multidisciplinary management of colorectal pathology and the COVID-19 pandemic. Considering that the current literature is based on expert recommendations with a low degree of evidence, the intention is to present some motivated suggestions in the experience of our own institutions, guided by the available and constantly evolving literature.

Keywords : COVID-19; SARS virus; coronavirus; pandemics; colonic neoplasms; rectal neoplasms; colonoscopy.

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