Emergency surgical gastrostomy in an esophageal cancer patient unable to receive COVID-19 treatment due to obstruction, and operating room measures as per pandemic guidelines: Case report.
Ulus Travma Acil Cerrahi Derg
; 28(3): 395-398, 2022 Mar.
Article
in English
| MEDLINE | ID: covidwho-926047
ABSTRACT
We present here a gastrostomy procedure performed on a patient diagnosed with COVID-19 with no oral intake due to esophageal cancer in order to permit the initiation of COVID-19 treatment, and the COVID-19 protocols followed as per the pandemic guidelines. A 55-year-old female patient diagnosed recently with esophageal squamous-cell carcinoma was consulted for a surgical gastrostomy in the absence of oral intake due to complete esophageal obstruction prior to neoadjuvant chemotherapy. The patient had a new-onset cough and elevated body temperature (38°C) on admission to our clinic, and so was tested for COVID-19, with the final diagnosis established with PCR. In order to initiate COVID-19 treatment, a surgical gastrostomy was performed under semi-emergency conditions, following COVID-19 infection prevention guidelines. COVID-19 treatment, nutrition, and supportive therapy were initiated through the gastrostomy catheter. The patient is clinically stable on day 7 of treatment. A COVID-19 patient may require emergency surgical intervention during the fight against pandemic. When a surgical procedure is performed, all guidelines defined to protect healthcare workers from COVID-19 infection should be followed.
Full text:
Available
Collection:
International databases
Database:
MEDLINE
Main subject:
Esophageal Neoplasms
/
COVID-19 Drug Treatment
Type of study:
Case report
/
Prognostic study
Limits:
Female
/
Humans
/
Middle aged
Language:
English
Journal:
Ulus Travma Acil Cerrahi Derg
Year:
2022
Document Type:
Article
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