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dc.creatorManzia, Tommaso Maria
dc.creatorAngelico, Roberta
dc.creatorParente, Alessandro
dc.creatorMuiesan, Paolo
dc.creatorTisone, Giuseppe
dc.creatorAl Alawy, Yousef
dc.creatorJabba Arif, Abdul
dc.creatorAttia, Magdy
dc.creatorBhati, Chandra
dc.creatorBattula R, Narendra
dc.creatorKunnath Bonney, Glenn
dc.creatorBrooke-Smith, Mark
dc.creatorDerosas, Carlos
dc.creatorDe Liguori Carino, Nicola
dc.creatorFerretti, Stefano
dc.creatorFiorani, Cristina
dc.creatorGherardi, Dario
dc.creatorHegab, Bassem
dc.creatorHussain, Zaki
dc.creatorIelpo, Benedetto
dc.creatorIesari, Samuele
dc.creatorLai, Quirino
dc.creatorLainas, Panagiotis
dc.creatorLauterio, Andrea
dc.creatorLazzaro, Alessandra
dc.creatorMarudanayagam, Ravi
dc.creatorNasralla, David
dc.creatorNicolini, Daniele
dc.creatorOrlando, Giuseppe
dc.creatorPatrono, Damiano
dc.creatorPitchaimuthu, Maheswaran
dc.creatorPolak, Wojciech
dc.creatorMarcacuzco Quinto, Alberto
dc.creatorRai, Rakesh
dc.creatorScalera, Irene
dc.creatorSchlegel, Andrea
dc.creatorShanmugam, Vivek
dc.creatorVitale, Alessandro
dc.creatorWidmer, Jeannette
dc.creatorYannick, Deswysen
dc.date.accessioned2020-09-22T16:56:22Z
dc.date.available2020-09-22T16:56:22Z
dc.date.created2020
dc.identifier.issn2049-0801spa
dc.identifier.otherhttps://doi.org/10.1016/j.amsu.2020.07.021spa
dc.identifier.urihttp://hdl.handle.net/20.500.12010/13580
dc.description.abstractBackground: Since the Coronavirus disease-19(COVID-19) pandemic, the healthcare systems are reallocating their medical resources, with consequent narrowed access to elective surgery for benign conditions such as gallstone disease(GD). This survey represents an overview of the current policies regarding the surgical management of patients with GD during the COVID-19 pandemic. Methods: A Web-based survey was conducted among 36 Hepato-Prancreato-Biliary surgeons from 14 Countries. Through a 17-item questionnaire, participants were asked about the local management of patients with GD since the start of the COVID-19 pandemic. Results: The majority (n = 26,72.2%) of surgeons reported an alarming decrease in the cholecystectomy rate for GD since the start of the pandemic, regardless of the Country: 19(52.7%) didn't operate any GD, 7(19.4%) reduced their surgical activity by 50–75%, 10(27.8%) by 25–50%, 1(2.8%) maintained regular activity. Currently, only patients with GD complications are operated. Thirty-two (88.9%) participants expect these changes to last for at least 3 months. In 15(41.6%) Centers, patients are currently being screened for SARS-CoV-2 infection before cholecystectomy [in 10(27.8%) Centers only in the presence of suspected infection, in 5(13.9%) routinely]. The majority of surgeons (n = 29,80.6%) have adopted a laparoscopic approach as standard surgery, 5(13.9%) perform open cholecystectomy in patients with known/suspected SARS-CoV-2 infection, and 2(5.6%) in all patients. Conclusion: In the ongoing COVID-19 emergency, the surgical treatment of GD is postponed, resulting in a huge number of untreated patients who could develop severe morbidity. Updated guidelines and dedicated pathways for patients with benign disease awaiting elective surgery are mandatory to prevent further aggravation of the overloaded healthcare systems.spa
dc.format.extent8 páginasspa
dc.format.mimetypeapplication/pdfspa
dc.language.isoengspa
dc.publisherAnnals of Medicine and Surgeryspa
dc.sourcereponame:Expeditio Repositorio Institucional UJTLspa
dc.sourceinstname:Universidad de Bogotá Jorge Tadeo Lozanospa
dc.subjectGallstone diseasespa
dc.subjectCholecystectomyspa
dc.subjectElective surgeryspa
dc.subjectCOVID-19 pandemicspa
dc.subjectSARS-CoV-2spa
dc.titleGlobal management of a common, underrated surgical task during the COVID-19 pandemic: Gallstone disease - An international surveryspa
dc.type.localArtículospa
dc.subject.lembSíndrome respiratorio agudo gravespa
dc.subject.lembCOVID-19spa
dc.subject.lembSARS-CoV-2spa
dc.subject.lembCoronavirusspa
dc.rights.accessrightsinfo:eu-repo/semantics/openAccessspa
dc.type.hasversioninfo:eu-repo/semantics/acceptedVersionspa
dc.rights.localAbierto (Texto Completo)spa
dc.identifier.doihttps://doi.org/10.1016/j.amsu.2020.07.021spa
dc.type.coarhttp://purl.org/coar/resource_type/c_2df8fbb1spa


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