Evidence map›Paper›PMID 32241899›Full record

ArticleGut2020

Gastrointestinal symptoms of 95 cases with SARS-CoV-2 infection.

Lu Lin, Xiayang Jiang, Zhenling Zhang, Siwen Huang, Zhenyi Zhang, Zhaoxiong Fang, Zhiqiang Gu, Liangqing Gao, Honggang Shi, Lei Mai and 6 more

Open access · bronzeAbstract read
PubMed Publisher
In one paragraph

Article in Gut, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 537 papers, 8 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
537citing papers in PubMed, 8 pooled it
22.3field-weighted citation impact, top 1% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

537 citing papers in PubMed, 8 syntheses or guidelines pooled it, 954 citations in OpenAlex.

  1. Early versus late tracheostomy in critically ill COVID-19 patients.The Cochrane database of systematic reviews · 2023
    Pooled it
  2. Pooled it
  3. Pooled it
  4. Pooled it
  5. Gut distress and interventionFrontiers in public health · 2023
    Pooled it
  6. Pooled it
  7. Pooled it
  8. Pooled it
  9. Trial
  10. Review
  11. Review
  12. Review
  13. Review
  14. Article
  15. Article
  16. Molecular mechanisms of SARS-CoV-2 entry: implications for biomedical strategies.Microbiology and molecular biology reviews : MMBR · 2025
    Review
  17. Review
  18. Review
  19. Article
  20. Article

477 more citing papers are in PubMed but not listed here.

4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

16 authors at 1 institution in 1 country.

Lu Lin *Department of Gastroenterology, Fifth Affiliated Hospital of Sun Yat-sen University, Zhuhai, China.
Xiayang Jiang *Department of Gastroenterology, Fifth Affiliated Hospital of Sun Yat-sen University, Zhuhai, China.
Zhenling ZhangDepartment of Gastroenterology, Fifth Affiliated Hospital of Sun Yat-sen University, Zhuhai, China.
Siwen HuangDepartment of Gastroenterology, Fifth Affiliated Hospital of Sun Yat-sen University, Zhuhai, China.
Zhenyi ZhangDepartment of Gastroenterology, Fifth Affiliated Hospital of Sun Yat-sen University, Zhuhai, China.
Zhaoxiong FangDepartment of Gastroenterology, Fifth Affiliated Hospital of Sun Yat-sen University, Zhuhai, China.
Zhiqiang GuDepartment of Gastroenterology, Fifth Affiliated Hospital of Sun Yat-sen University, Zhuhai, China.
Liangqing GaoDepartment of Gastroenterology, Fifth Affiliated Hospital of Sun Yat-sen University, Zhuhai, China.
Honggang ShiDepartment of Gastroenterology, Fifth Affiliated Hospital of Sun Yat-sen University, Zhuhai, China.
Lei MaiDepartment of Gastroenterology, Fifth Affiliated Hospital of Sun Yat-sen University, Zhuhai, China.
Yuan LiuDepartment of Gastroenterology, Fifth Affiliated Hospital of Sun Yat-sen University, Zhuhai, China.
Xianqi LinDepartment of Gastroenterology, Fifth Affiliated Hospital of Sun Yat-sen University, Zhuhai, China.
Renxu LaiDepartment of Gastroenterology, Fifth Affiliated Hospital of Sun Yat-sen University, Zhuhai, China.
Zhixiang YanGuangdong Provincial Key Laboratory of Biomedical Imaging and Guangdong Provincial Engineering Research Center of Molecular Imaging, Fifth Affiliated Hospital of Sun Yat-sen University, Zhuhai, China shanhong@mail.sysu.edu.cn yanzhx3@mail.sysu.edu.cn zdwylxf@163.com.ORCID 0000-0001-9187-3023
Xiaofeng LiDepartment of Gastroenterology, Fifth Affiliated Hospital of Sun Yat-sen University, Zhuhai, China shanhong@mail.sysu.edu.cn yanzhx3@mail.sysu.edu.cn zdwylxf@163.com.
Hong ShanGuangdong Provincial Key Laboratory of Biomedical Imaging and Guangdong Provincial Engineering Research Center of Molecular Imaging, Fifth Affiliated Hospital of Sun Yat-sen University, Zhuhai, China shanhong@mail.sysu.edu.cn yanzhx3@mail.sysu.edu.cn zdwylxf@163.com.ORCID 0000-0001-6640-1390
Sun Yat-sen University · CN

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveTo study the GI symptoms in severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) infected patients.

designWe analysed epidemiological, demographic, clinical and laboratory data of 95 cases with SARS-CoV-2 caused coronavirus disease 2019. Real-time reverse transcriptase PCR was used to detect the presence of SARS-CoV-2 in faeces and GI tissues.

resultsAmong the 95 patients, 58 cases exhibited GI symptoms of which 11 (11.6%) occurred on admission and 47 (49.5%) developed during hospitalisation. Diarrhoea (24.2%), anorexia (17.9%) and nausea (17.9%) were the main symptoms with five (5.3%), five (5.3%) and three (3.2%) cases occurred on the illness onset, respectively. A substantial proportion of patients developed diarrhoea during hospitalisation, potentially aggravated by various drugs including antibiotics. Faecal samples of 65 hospitalised patients were tested for the presence of SARS-CoV-2, including 42 with and 23 without GI symptoms, of which 22 (52.4%) and 9 (39.1%) were positive, respectively. Six patients with GI symptoms were subjected to endoscopy, revealing oesophageal bleeding with erosions and ulcers in one severe patient. SARS-CoV-2 RNA was detected in oesophagus, stomach, duodenum and rectum specimens for both two severe patients. In contrast, only duodenum was positive in one of the four non-severe patients.

conclusionsGI tract may be a potential transmission route and target organ of SARS-CoV-2.

Indexed as

BetacoronavirusCoronavirus InfectionsGastrointestinal TractPandemicsPneumonia, ViralAdultCOVID-19FemaleHumansMaleMiddle AgedSARS-CoV-2gastric diseasesgastrointestinal pathologygastrointestinal tract

Identifiers

PMID32241899
OpenAlexW3014288757

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.