摘要
Novel coronavirus disease-2019(COVID-19),caused by severe acute respiratory syndrome coronavirus 2(SARS-CoV-2),is an ongoing public-health pandemic worldwide.Although SARS-CoV-2 has been known to spread primarily through respiratory droplets,recent evidence also supports fecal/oral as an additional route of transmission,raising concerns over gastrointestinal(GI)transmission of the infection.Herein,we,as the front-line Chinese GI surgeons,would like to share our experience and lessons in the combat against COVID-19.It is essential to create science-based,rational,and practical strategies during the outbreak of COVID-19.Here,we provide multi-institutional consensus on minimizing disease transmission while continuing to provide care from all aspects for patients in GI surgery,including outpatient clinics,inpatient units,gastrointestinal endoscopy centers,and adjustments in perioperative care.Our experiences and recommendations are worth sharing and may help to establish specific infection-control and outcome measures.
由严重急性呼吸综合征冠状病毒2(SARS-CoV-2)引起的COVID-19正在全球暴发。尽管SARS-CoV-2被认为主要是通过呼吸道飞沫传播,但最新研究发现其也可以通过粪/口途径传播,这也引起了大家对胃肠道病毒传播的担忧。因此,作为抗疫一线的中国胃肠外科医师,我们愿意分享一些抗疫期间的经验和教训。在疫情期间建立一个科学、合理的应对策略是非常必要的。本文中,我们就如何在继续提供胃肠外科医疗服务的同时尽可能从各个方面减少病毒传播,取得了中国多家机构的共识,包括胃肠外科门诊防护、胃肠外科病房防护、胃肠内镜中心防护以及围手术期管理模式的优化。我们的经验分享和诊治推荐或有助于全球仍处于疫区的胃肠外科建立自己的病毒防控策略。
