Beware: Gastrointestinal symptoms can be a manifestation of COVID-19

There is an increasing number of reports on the presentation of gastrointestinal symptoms in cases of COVID-19. To review the studies reporting gastrointestinal symptoms in COVID-19. Fifteen articles (2,800 patients) were identified. Gastrointestinal symptom frequency varied from 3.0% to 39.6% and i...

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Veröffentlicht in:Revista de Gastroenterología de México (English Edition) 2020-07, Vol.85 (3), p.282-287
Hauptverfasser: Schmulson, M, Dávalos, M F, Berumen, J
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creator Schmulson, M
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Berumen, J
description There is an increasing number of reports on the presentation of gastrointestinal symptoms in cases of COVID-19. To review the studies reporting gastrointestinal symptoms in COVID-19. Fifteen articles (2,800 patients) were identified. Gastrointestinal symptom frequency varied from 3.0% to 39.6% and included diarrhea (7.5%), náusea (4.5%), anorexia (4.4%), vomiting (1.3%), abdominal pain (0.5%), and belching/reflux (0.3%). Those symptoms can be the first manifestation of COVID-19, but whether they reflect a better or worse prognosis, is controversial. The potential relation of the angiotensin converting enzyme 2 receptor in the digestive tract as an entry route for the virus is discussed. Gastrointestinal symptoms may be common in COVID-19, in some cases appearing as the first manifestation, even before fever and respiratory symptoms. Therefore, clinicians and gastroenterologists must be aware of those atypical cases during the current pandemic, as well as of the fecal-oral route and corresponding preventive measures.
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subjects Coronavirus Infections - complications
Coronavirus Infections - therapy
COVID-19
Gastroenterologists
Gastrointestinal Diseases - diagnosis
Gastrointestinal Diseases - etiology
Gastrointestinal Diseases - therapy
Humans
Pandemics
Pneumonia, Viral - complications
Pneumonia, Viral - therapy
title Beware: Gastrointestinal symptoms can be a manifestation of COVID-19
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