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Insufficient etiological workup of COVID-19-associated acute pancreatitis: A systematic review.
Juhász, Márk Félix; Ocskay, Klementina; Kiss, Szabolcs; Hegyi, Péter; Párniczky, Andrea.
  • Juhász MF; Institute for Translational Medicine, University of Pécs, Medical School, Pécs 7624, Hungary.
  • Ocskay K; Institute for Translational Medicine, University of Pécs, Medical School, Pécs 7624, Hungary.
  • Kiss S; Doctoral School of Clinical Medicine, University of Szeged, Szeged 6720, Hungary.
  • Hegyi P; Institute for Translational Medicine, Medical School, University of Pécs, Pécs 7624, Hungary.
  • Párniczky A; Institute for Translational Medicine, University of Pécs, Medical School, Pécs 7624, Hungary.
World J Gastroenterol ; 26(40): 6270-6278, 2020 Oct 28.
Article in English | MEDLINE | ID: covidwho-921239
ABSTRACT

BACKGROUND:

Severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) infection, mostly causing respiratory symptoms, is also known to affect the gastrointestinal tract. Several case reports hypothesize that SARS-CoV-2 could be an etiological factor in acute pancreatitis (AP).

AIM:

To assess all the available evidence in the literature relating to coronavirus disease 2019 (COVID-19) and AP.

METHODS:

We performed a systematic review of the available literature on the topic. The systematic search was conducted on 15 May 2020 on MEDLINE, EMBASE, CENTRAL, Web of Science and Scopus with a search key using the terms "amylase," "lipase," "pancr*," "COVID-19" and synonyms. Due to the low quality and poor comparability of the studies, a meta-analysis was not performed.

RESULTS:

Six case reports and two retrospective cohorts were included, containing data on eleven COVID-19 patients with AP. Five patients had AP according to the Atlanta classification. Other publications did not provide sufficient information on the diagnostic criteria. Most cases were considered SARS-CoV-2-induced, while several established etiological factors were not investigated. We were able to identify other possible causes in most of them.

CONCLUSION:

We strongly highlight the need for adherence to the guidelines during a diagnostic and etiological workup, which could alter therapy.
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Full text: Available Collection: International databases Database: MEDLINE Main subject: Pancreatitis / Pneumonia, Viral / Coronavirus Infections / Clinical Laboratory Techniques / Betacoronavirus Type of study: Cohort study / Diagnostic study / Etiology study / Observational study / Prognostic study / Reviews / Systematic review/Meta Analysis Topics: Long Covid Limits: Humans Language: English Journal: World J Gastroenterol Journal subject: Gastroenterology Year: 2020 Document Type: Article Affiliation country: Wjg.v26.i40.6270

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Full text: Available Collection: International databases Database: MEDLINE Main subject: Pancreatitis / Pneumonia, Viral / Coronavirus Infections / Clinical Laboratory Techniques / Betacoronavirus Type of study: Cohort study / Diagnostic study / Etiology study / Observational study / Prognostic study / Reviews / Systematic review/Meta Analysis Topics: Long Covid Limits: Humans Language: English Journal: World J Gastroenterol Journal subject: Gastroenterology Year: 2020 Document Type: Article Affiliation country: Wjg.v26.i40.6270