Cargando…

Insufficient etiological workup of COVID-19-associated acute pancreatitis: A systematic review

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...

Descripción completa

Detalles Bibliográficos
Autores principales: Juhász, Márk Félix, Ocskay, Klementina, Kiss, Szabolcs, Hegyi, Péter, Párniczky, Andrea
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Baishideng Publishing Group Inc 2020
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7596641/
https://www.ncbi.nlm.nih.gov/pubmed/33177799
http://dx.doi.org/10.3748/wjg.v26.i40.6270
_version_ 1783602158453653504
author Juhász, Márk Félix
Ocskay, Klementina
Kiss, Szabolcs
Hegyi, Péter
Párniczky, Andrea
author_facet Juhász, Márk Félix
Ocskay, Klementina
Kiss, Szabolcs
Hegyi, Péter
Párniczky, Andrea
author_sort Juhász, Márk Félix
collection PubMed
description 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.
format Online
Article
Text
id pubmed-7596641
institution National Center for Biotechnology Information
language English
publishDate 2020
publisher Baishideng Publishing Group Inc
record_format MEDLINE/PubMed
spelling pubmed-75966412020-11-10 Insufficient etiological workup of COVID-19-associated acute pancreatitis: A systematic review Juhász, Márk Félix Ocskay, Klementina Kiss, Szabolcs Hegyi, Péter Párniczky, Andrea World J Gastroenterol Systematic Reviews 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. Baishideng Publishing Group Inc 2020-10-28 2020-10-28 /pmc/articles/PMC7596641/ /pubmed/33177799 http://dx.doi.org/10.3748/wjg.v26.i40.6270 Text en ©The Author(s) 2020. Published by Baishideng Publishing Group Inc. All rights reserved. http://creativecommons.org/licenses/by-nc/4.0/ This article is an open-access article which was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution Non Commercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial.
spellingShingle Systematic Reviews
Juhász, Márk Félix
Ocskay, Klementina
Kiss, Szabolcs
Hegyi, Péter
Párniczky, Andrea
Insufficient etiological workup of COVID-19-associated acute pancreatitis: A systematic review
title Insufficient etiological workup of COVID-19-associated acute pancreatitis: A systematic review
title_full Insufficient etiological workup of COVID-19-associated acute pancreatitis: A systematic review
title_fullStr Insufficient etiological workup of COVID-19-associated acute pancreatitis: A systematic review
title_full_unstemmed Insufficient etiological workup of COVID-19-associated acute pancreatitis: A systematic review
title_short Insufficient etiological workup of COVID-19-associated acute pancreatitis: A systematic review
title_sort insufficient etiological workup of covid-19-associated acute pancreatitis: a systematic review
topic Systematic Reviews
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7596641/
https://www.ncbi.nlm.nih.gov/pubmed/33177799
http://dx.doi.org/10.3748/wjg.v26.i40.6270
work_keys_str_mv AT juhaszmarkfelix insufficientetiologicalworkupofcovid19associatedacutepancreatitisasystematicreview
AT ocskayklementina insufficientetiologicalworkupofcovid19associatedacutepancreatitisasystematicreview
AT kissszabolcs insufficientetiologicalworkupofcovid19associatedacutepancreatitisasystematicreview
AT hegyipeter insufficientetiologicalworkupofcovid19associatedacutepancreatitisasystematicreview
AT parniczkyandrea insufficientetiologicalworkupofcovid19associatedacutepancreatitisasystematicreview