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Gastrointestinal involvement in paediatric COVID-19 - from pathogenesis to clinical management: A comprehensive review.
Calitri, Carmelina; Fumi, Ilaria; Ignaccolo, Maria Giovanna; Banino, Elena; Benetti, Stefania; Lupica, Maria Maddalena; Fantone, Francesca; Pace, Mariella; Garofalo, Franco.
  • Calitri C; Department of Paediatrics, Infermi Hospital, ASLTO3, Rivoli 10098, Italy. carmelina_calitri@libero.it.
  • Fumi I; Department of Paediatrics, Infermi Hospital, ASLTO3, Rivoli 10098, Italy.
  • Ignaccolo MG; Department of Paediatrics, Infermi Hospital, ASLTO3, Rivoli 10098, Italy.
  • Banino E; Department of Paediatrics, Infermi Hospital, ASLTO3, Rivoli 10098, Italy.
  • Benetti S; Department of Paediatrics, Infermi Hospital, ASLTO3, Rivoli 10098, Italy.
  • Lupica MM; Department of Paediatrics, Infermi Hospital, ASLTO3, Rivoli 10098, Italy.
  • Fantone F; Department of Paediatrics, Infermi Hospital, ASLTO3, Rivoli 10098, Italy.
  • Pace M; Department of Paediatrics, Infermi Hospital, ASLTO3, Rivoli 10098, Italy.
  • Garofalo F; Department of Paediatrics, Infermi Hospital, ASLTO3, Rivoli 10098, Italy.
World J Gastroenterol ; 27(23): 3303-3316, 2021 Jun 21.
Article in English | MEDLINE | ID: covidwho-1282666
ABSTRACT
Severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2), the causative agent of coronavirus disease 2019 (COVID-19), is responsible for the first pandemic of the 21st century. As found in adults, signs and symptoms related to the disease mainly involve the respiratory tract in the paediatric population. However, a considerable number of children present with gastrointestinal symptoms such as vomiting, abdominal pain, and diarrhea. The purpose of this review is an accurate description, from pathogenesis to clinical presentation, diagnosis and treatment, of COVID-19 effects on the gastrointestinal system at a paediatric age. SARS-CoV-2 can be identified in stool specimens of affected children by real-time polymerase chain reaction techniques. Positivity can last for several weeks after the end of the symptomatic phase. Gastrointestinal signs and symptoms are generally self-limited, can correlate with blood tests and imaging alterations, and may require supportive treatment such as hydration. However, they can precede severe disease manifestations such as the COVID-19-related multisystem inflammatory syndrome. Children belonging to risk categories such as those affected by celiac disease, inflammatory bowel disease, and hepatic disease seem to not have a more severe course than the others, even if they are undergoing immunosuppressant treatment. Medical follow-ups of patients with chronic diseases need to be revised during the pandemic period in order to postpone unnecessary tests, mainly endoscopic ones.
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Full text: Available Collection: International databases Database: MEDLINE Main subject: Gastrointestinal Diseases / COVID-19 Type of study: Diagnostic study / Observational study / Prognostic study Limits: Adult / Child / Humans Language: English Journal: World J Gastroenterol Journal subject: Gastroenterology Year: 2021 Document Type: Article Affiliation country: Wjg.v27.i23.3303

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Full text: Available Collection: International databases Database: MEDLINE Main subject: Gastrointestinal Diseases / COVID-19 Type of study: Diagnostic study / Observational study / Prognostic study Limits: Adult / Child / Humans Language: English Journal: World J Gastroenterol Journal subject: Gastroenterology Year: 2021 Document Type: Article Affiliation country: Wjg.v27.i23.3303