Surgical intervention for acute pancreatitis in the COVID-19 era

作     者：Yu-Jang Su Tse-Hao Chen 

作者机构：Toxicology DivisionEmergency DepartmentMacKay Memorial HospitalTaipei 10449Taiwan Department of MedicineMacKay Medical CollegeNew Taipei 252Taiwan Department of NursingYuanpei University of Medical TechnologyHsinChu 300Taiwan Department of NursingMacKay Junior College of MedicineNursingand ManagementNew Taipei 25245Taiwan Emergency MedicineMacKay Memorial HospitalTaipei 10449Taiwan 

出 版 物：《World Journal of Clinical Cases》 (世界临床病例杂志)

年 卷 期：2022年第10卷第31期

页      面：11292-11298页

核心收录：

学科分类：1002[医学-临床医学] 100210[医学-外科学(含：普外、骨外、泌尿外、胸心外、神外、整形、烧伤、野战外)] 10[医学] 

主　　题：2019-nCoV Complications COVID-19 Pancreatitis Surgery 

摘      要：Approximately 15%-19%of patients with severe acute respiratory syndrome coronavirus type 2(SARS-CoV-2)infections develop gastrointestinal *** pancreatitis(AP)has been reported in 0.1%of patients with coronavirus disease 2019(COVID-19).Biliary AP was most common(78.4%)before the COVID-19 pandemic;idiopathic AP is most common in patients with COVID-19(up to 57.1%).The number of emergency department presentations decreased by 23.3%during the pandemic and many governments made national recommendations to delay nonurgent endoscopic procedures,leading to decrements of 22%in combined esophagogastroduodenoscopy(EGD)and colonoscopy and 20%in EGD after the COVID-19 *** symptoms and signs of COVID-19-related AP are fever(63%),abdominal pain(58%),respiratory symptoms(40%),nausea and vomiting(39%),and headache(4%).Approximately 5-10%of patients develop necrotizing or hemorrhagic AP,and patients who required surgical intervention had a higher mortality *** to 2019,the rates of elective surgery decreased by 41.8%in 2020;including cholecystectomy(40.1%decrease)and pancreas(111.1%decrease).Surgical volumes also decreased by 18.7%in 2020;device-assisted laparoscopic and robot-assisted procedures reduced by 45.4%and 61.9%during the COVID-19 Lockdown in 2020.