COVID-19 and Alimentary Tract: Current Evidence and Recent Recommendations

  • Walid Ibrahim Yousif alexandria university , internal medicine department
Keywords: COVID -19, bowel pathology, gut microbiota, inflammatory bowel disease, endoscopy

Abstract

The pandemic of coronavirus disease 2019 (COVID-19), first reported in China, in December 2019 and since then the digestive tract involvement of  COVID-19 has been progressively described. In this review, I summed recent studies, which have addressed the pathophysiology of COVID-19-induced gastrointestinal symptoms, their prevalence, and bowel pathological and radiological findings of infected patients. The effects of gut microbiota on SARS-CoV-2 and the challenges of nutritional therapy of the infected patients are depicted.  Moreover, I provide a concise summary of the recommendations on the management of inflammatory bowel disease, colorectal cancer, and performing endoscopy in the COVID era. Finally, the COVID pancreatic relation was explored. Conclusions: digestive symptoms in COVID-19 patients can be the only manifestation and they may be correlated with worse clinical outcomes. The likelihood of fecal-oral transmission of COVID-19 has significant consequences and requires further research. A clear link may exist between the gut microbiome and COVID-19 progression and it may have a therapeutic and prognostic value. No evidence for an increased frequency of covid-19 cases in IBD and stopping immunosuppressive medications is not advised. Triage and risk assessment of patients with suspected or confirmed COVID-19 before endoscopy is essential; deferral of elective endoscopies should be considered.

Published
2021-08-30
How to Cite
Yousif, W. (2021). COVID-19 and Alimentary Tract: Current Evidence and Recent Recommendations. AL-Kindy College Medical Journal, 17(2), 62-72. https://doi.org/10.47723/kcmj.v17i2.311