id author title date pages extension mime words sentences flesch summary cache txt cord-344765-agt60ksx Bhogal, R.H. Approach to upper GastroIntestinal cancer surgery during the COVID-19 pandemic – Experience from a UK cancer centre 2020-05-30 .txt text/plain 663 39 30 Patients presenting with bleeding gastric tumours or gastric outlet obstruction not amenable to endoscopic/interventional radiological control were considered for surgical intervention. Oesophageal cancer emergencies (bleeding/perforation) were deemed for endoscopic/radiological intervention during the pandemic period given the poor prognosis associated with this presentation and the need for prolonged Level 3 care when surgery is undertaken. All T1a & T1b oesophageal/gastric tumours were evaluated by a specialist Upper GI gastroenterologist and considered for endoscopic resection. Patients with stable Gastrointestinal Stromal Tumours (GIST) continued on imatinib treatment or surgery was deferred until all priority 2 cases had been completed. With limited endoscopy resources, patients presenting with painless jaundice, radiological evidence of both pancreatic and biliary duct obstruction and associated pancreatic mass were prioritised for resection. Patients presenting with a pancreatic mass and gastric outlet obstruction not amenable to endoscopic stenting were also considered for surgery. ./cache/cord-344765-agt60ksx.txt ./txt/cord-344765-agt60ksx.txt