Publication: Coronavirus disease 2019 gastrointestinal and liver manifestations in adults: A review
Issued Date
2021-11-01
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ISSN
23979070
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2-s2.0-85118113475
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Mahidol University
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SCOPUS
Bibliographic Citation
JGH Open. Vol.5, No.11 (2021), 1257-1265
Suggested Citation
Apichet Sirinawasatien, Tanyaporn Chantarojanasiri, Sirina Ekpanyapong, Naris Tivatunsakul, Viravarn Luvira Coronavirus disease 2019 gastrointestinal and liver manifestations in adults: A review. JGH Open. Vol.5, No.11 (2021), 1257-1265. doi:10.1002/jgh3.12671 Retrieved from: https://repository.li.mahidol.ac.th/handle/20.500.14594/77714
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Title
Coronavirus disease 2019 gastrointestinal and liver manifestations in adults: A review
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Abstract
Coronavirus disease 2019 (COVID-19) is an important health problem that has a serious adverse impact on the global economy and healthcare systems. The virus is not only involved in the respiratory system, but also causes other systemic effects as well as several gastrointestinal and liver issues. Evidence has shown direct viral invasion into the gastrointestinal tissue and supporting vascular network, causing various manifestations such as diarrhea, nausea, gastrointestinal bleeding, and abnormal liver function tests. The degree of gastrointestinal injury, especially in terms of liver involvement, is correlated with disease severity. There is no specific treatment for gastrointestinal involvement, and the symptoms can be managed with supportive therapy. Moreover, increased liver decompensation and mortality can be found in COVID-19-infected patients with coexisting liver disease. As the virus can be identified in gastrointestinal contents, endoscopic procedures during the pandemic should be carefully selected and proper protection strategies should be encouraged to prevent viral transmission.