Clinical presentation, management, screening and surveillance for colorectal cancer during the COVID-19 pandemic

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dc.authoridAkbulut, Sami/0000-0002-6864-7711
dc.authoridGARZALI, IBRAHIM UMAR/0000-0002-9797-851X
dc.authoridÇOLAK, CEMİL/0000-0001-5406-098X
dc.authoridaloun, ali/0000-0002-3548-6536
dc.authorwosidAkbulut, Sami/L-9568-2014
dc.authorwosidHargura, Abdirahman Sakulen/GQQ-8646-2022
dc.authorwosidGARZALI, IBRAHIM UMAR/ITU-1475-2023
dc.authorwosidÇOLAK, CEMİL/ABI-3261-2020
dc.contributor.authorAkbulut, Sami
dc.contributor.authorHargura, Abdirahman Sakulen
dc.contributor.authorGarzali, Ibrahim Umar
dc.contributor.authorAloun, Ali
dc.contributor.authorColak, Cemil
dc.date.accessioned2024-08-04T20:52:18Z
dc.date.available2024-08-04T20:52:18Z
dc.date.issued2022
dc.departmentİnönü Üniversitesien_US
dc.description.abstractManagement of colorectal cancer (CRC) was severely affected by the changes implemented during the pandemic, and this resulted in delayed elective presentation, increased emergency presentation, reduced screening and delayed definitive therapy. This review was conducted to analyze the impact of the coronavirus disease 2019 (COVID-19) pandemic on management of CRC and to identify the changes made in order to adapt to the pandemic. We performed a literature search in PubMed, Medline, Index Medicus, EMBASE, SCOPUS, Reference Citation Analysis (https://www.referencecitationanalysis.com/) and Google Scholar using the following keywords in various combinations: Colorectal cancer, elective surgery, emergency surgery, stage upgrading, screening, surveillance and the COVID-19 pandemic. Only studies published in English were included. To curtail the spread of COVID-19 infection, there were modifications made in the management of CRC. Screening was limited to high risk individuals, and the screening tests of choice during the pandemic were fecal occult blood test, fecal immunochemical test and stool DNA testing. The use of capsule colonoscopy and open access colonoscopy was also encouraged. Blood-based tests like serum methylated septin 9 were also encouraged for screening of CRC during the pandemic. The presentation of CRC was also affected by the pandemic with more patients presenting with emergencies like obstruction and perforation. Stage migration was also observed during the pandemic with more patients presenting with more advanced tumors. The operative therapy of CRC was altered by the pandemic as more emergencies surgeries were done, which may require exteriorization by stoma. This was to reduce the morbidity associated with anastomosis and encourage early discharge from the hospital. There was also an initial reduction in laparoscopic surgical procedures due to the fear of aerosols and COVID-19 infection. As we gradually come out of the pandemic, we should remember the lessons learned and continue to apply them even after the pandemic passes.en_US
dc.identifier.doi10.12998/wjcc.v10.i26.9228
dc.identifier.endpage9240en_US
dc.identifier.issn2307-8960
dc.identifier.issue26en_US
dc.identifier.pmid36159422en_US
dc.identifier.scopus2-s2.0-85137652580en_US
dc.identifier.scopusqualityN/Aen_US
dc.identifier.startpage9228en_US
dc.identifier.urihttps://doi.org/10.12998/wjcc.v10.i26.9228
dc.identifier.urihttps://hdl.handle.net/11616/100882
dc.identifier.volume10en_US
dc.identifier.wosWOS:000866218600005en_US
dc.identifier.wosqualityQ4en_US
dc.indekslendigikaynakWeb of Scienceen_US
dc.indekslendigikaynakScopusen_US
dc.indekslendigikaynakPubMeden_US
dc.language.isoenen_US
dc.publisherBaishideng Publishing Group Incen_US
dc.relation.ispartofWorld Journal of Clinical Casesen_US
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanıen_US
dc.rightsinfo:eu-repo/semantics/openAccessen_US
dc.subjectCOVID-19 pandemicen_US
dc.subjectColorectal canceren_US
dc.subjectScreeningen_US
dc.subjectSurveillanceen_US
dc.subjectStage upgradingen_US
dc.subjectElective surgeryen_US
dc.subjectEmergency surgeryen_US
dc.titleClinical presentation, management, screening and surveillance for colorectal cancer during the COVID-19 pandemicen_US
dc.typeReview Articleen_US

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