Gastrointestinal Cancer Surgeries in COVID-19 Pandemic, Pir Abdul Qadir Shah Gelani (GIMS), Hospital, Gambat

Gastrointestinal Cancer Surgeries in COVID-19

Abstract

The turnover of gastrointestinal carcinoma is high and mostly undergoes surgery / excision. Coronavirus disease, shortly named as COVID-19, as it started during 2019. It was declared as a pandemic by the World Health Organization in March, 2020. During this period, there are many patients who had delay in surgeries due to the high risk of contamination of patient of surgeon with COVID-19 and this would increase the risk of complications. Objective: To find the frequency of gastrointestinal cancer surgery in Pir Abdul Qadir Shah Gelani (GIMS), Hospital, Gambat. Methods: This descriptive cross sectional study was conducted from 14th March 2020 to 31 December 2021 in the surgery department of Pir Abdul Qadur Shah Gelani (GIMS) Hospital, Gambat. Total patients with both genders presenting with age 35 to 75 years and histopathological diagnosed with gastric cancer disease were included in this study. Meanwhile patients with age less than 35 years or more than 75 years those with renal failure and liver failure were excluded from study. Data were entered in SPSS version 21.0. Age, were presented ad mean and standard deviation. Categorical data like gender, upper GI, lower GI, operated cases were presented as frequencies & percentage, with histopathological findings were presented in diagram. Results: In our study, total 63 patients enrolled. The tumor was upper GI diagnosed in 38 patients and the lower GI diagnosed in 25 patients, 30 cases operated successfully and 17 cases in upper GI and 13 cases in lower GI. In 38 upper GI tumors, 11 were located in esophagus, 15 were in stomach, 8 were in pancreas, 2 were in per ampula and 2 were duodenum. Conclusion: It has been concluded that during COVID-19 pandemic, there is a need for clear guidelines in every surgical unit to ensure both patient and staff safety.