Skip to main content
. 2020 Apr 22;36(2):121–131. doi: 10.5578/turkjsurg.4812

Table 8. Society of American Gastrointestinal and Endoscopic Surgeons Recommendations Regarding Surgical Management of Colorectal Cancer Patients During the Response to the COVID-19 Crisis (https://www.sages.org/recommendations-surgical-management-colorectal-cancer-covid-19/).

Clinical Situation  Phase I  Phase II  Phase III 
Large or suspicious polyps
Hereditary syndromes Dysplasia/Carcinoma in situ in biopsy spe- cimens,
Incomplete, questionable margins on polypectomy  For COVID-19 Phase I - III Hospitals surgery would be delayed until the pandemic abates and resources return 
Early cancer in resected polyp  Consider deferring surgery vs. resection  Defer Surgery 
Asymptomatic Cancer T1-2 N0  Resect  Resect vs. deferring surgery  Defer surgery 
Asymptomatic Cancer Colon T3-4, N0 and Tx N+  Resect  Resect vs. deferring surgery  Consider chemotherapy vs. transfer 
Rectal T3-4, N0 and Tx N+  Induction chemotherapy versus chemoradiation versus radiation, consider extended chemothe- rapy, also consider delaying surgery up to 12-16 weeks following completion of radiation 
Symptomatic cancers defined as bleed- ing requiring transfusion, obstructing or near-obstructing, impending perforation  Resect  Resect, consider stent vs. stoma  Stoma vs. stent, consider transfer