Indonesian Society of Digestive Surgeons, Jakarta, Indonesia.
Department of Surgery, Fatmawati Central General Hospital, Jakarta, Indonesia.
Asian J Endosc Surg. 2021 Jul;14(3):540-547. doi: 10.1111/ases.12913. Epub 2021 Jan 5.
During the coronavirus disease 2019 (COVID-19) pandemic, digestive surgery potentially exposes both health-care professionals and vulnerable patients to COVID-19. A survey was conducted with aim to determine the digestive surgery services provided during the COVID-19 pandemic, optimize safety for patients and clinicians, and safeguard health-care services.
An online survey was conceived and circulated to members of the Indonesian Society of Digestive Surgeons. The survey was conducted in two phases, in April 2020 and July 2020, to evaluate changes in response to the COVID-19 pandemic.
Early in the pandemic (April 2020), the median number of major digestive surgeries performed monthly declined from 20 cases (range. 3-100 cases) to 1 case (range. 0-10 cases) (P < .001; Wilcoxon signed-rank test). Most of the cases in April 2020 addressed emergency problems, but more definitive surgeries were performed during the later period of the survey. The importance of screening for COVID-19 with polymerase chain reaction has increased over time, and a more comprehensive screening methodology incorporating real-time polymerase chain reaction, chest CT, and rapid antibody test were evident in 31.37% of July 2020 responses.
Our survey has shown that surgeons adapted to the evolving pandemic and continue to do so only with appropriate safety assurances.
在 2019 年冠状病毒病（COVID-19）大流行期间，消化外科可能使医护人员和脆弱患者面临 COVID-19 感染的风险。本研究旨在调查 COVID-19 大流行期间开展的消化外科服务，为患者和临床医生优化安全性，并保障医疗服务。
我们设计了一项在线调查，并分两个阶段向印度尼西亚消化外科学会成员发放调查问卷。调查于 2020 年 4 月和 7 月进行，以评估对 COVID-19 大流行的应对措施变化。
在大流行早期（2020 年 4 月），每月进行的主要消化外科手术数量中位数从 20 例（范围 3-100 例）下降至 1 例（范围 0-10 例）（P<0.001；Wilcoxon 符号秩检验）。2020 年 4 月的大多数病例都是紧急问题，但在调查后期进行了更多的确定性手术。随着时间的推移，聚合酶链反应（PCR）筛查 COVID-19 的重要性有所增加，31.37%的 2020 年 7 月答复表明，更全面的筛查方法包括实时 PCR、胸部 CT 和快速抗体检测。
我们的调查表明，外科医生适应了不断变化的大流行情况，并且只有在适当的安全保障下才会继续这样做。
