Insufficient etiological workup of COVID-19-associated acute pancreatitis: A systematic review.
World J Gastroenterol
; 26(40): 6270-6278, 2020 Oct 28.
Article
em En
| MEDLINE
| ID: mdl-33177799
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.Palavras-chave
Texto completo:
1
Coleções:
01-internacional
Base de dados:
MEDLINE
Assunto principal:
Pancreatite
/
Pneumonia Viral
/
Infecções por Coronavirus
/
Técnicas de Laboratório Clínico
/
Betacoronavirus
Tipo de estudo:
Diagnostic_studies
/
Etiology_studies
/
Guideline
/
Prognostic_studies
/
Risk_factors_studies
/
Systematic_reviews
Limite:
Humans
Idioma:
En
Revista:
World J Gastroenterol
Ano de publicação:
2020
Tipo de documento:
Article