Evidence map›Paper›PMID 32807535›Full record

ReviewDisease-a-month : DM2020

COVID-19 extrapulmonary illness - special gastrointestinal and hepatic considerations.

Abhilash Perisetti, Mahesh Gajendran, Rupinder Mann, Sherif Elhanafi, Hemant Goyal

Open access · greenAbstract readReview
In one paragraph

Review in Disease-a-month : DM, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 29 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
29citing papers in PubMed, 2 pooled it
1.6field-weighted citation impact, top 9% 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

29 citing papers in PubMed, 2 syntheses or guidelines pooled it, 64 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. Article
  4. Gastrointestinal Bleeding in COVID-19-Infected Patients.Gastroenterology clinics of North America · 2023
    Review
  5. Review
  6. Prevalence of Gastrointestinal Symptoms and Clinical Outcomes in Hospitalized Coronavirus Disease 2019 Patients: A Single-Center Study from Turkey.The Turkish journal of gastroenterology : the official journal of Turkish Society of Gastroenterology · 2022
    Article
  7. Article
  8. Article
  9. Possible Role of Matrix Metalloproteinases and TGF-β in COVID-19 Severity and Sequelae.Journal of interferon & cytokine research : the official journal of the International Society for Interferon and Cytokine Research · 2022
    Review
  10. Article
  11. Review
  12. The COVID-19 Patient in the Surgical Intensive Care Unit.The Surgical clinics of North America · 2022
    Review
  13. Article
  14. Article
  15. Article
  16. Article
  17. Review
  18. Gastrointestinal manifestations of human immunodeficiency virus and coronavirus disease 2019: Understanding the intersecting regions between the two epidemics.Arab journal of gastroenterology : the official publication of the Pan-Arab Association of Gastroenterology · 2021
    Review
  19. Circulating Calprotectin as a Biomarker of COVID-19 Severity.Expert review of clinical immunology · 2021
    Review
  20. Review
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

5 authors at 4 institutions in 1 country.

Abhilash PerisettiDepartment of Internal Medicine, Division of Gastroenterology and Hepatology, University of Arkansas for Medical Sciences, Little Rock, Arkansas, USA. Electronic address: abhilash.perisetti@gmail.com.
Mahesh GajendranDepartment of Internal Medicine, Texas Tech University, Paul L Foster School of Medicine, El Paso, Texas 79905, USA. Electronic address: mahesh.gajendran@ttuhsc.edu.
Rupinder MannDepartment of Internal Medicine, Saint Agnes Medical Center, 1303 E Herndon Ave, Fresno, CA 93730, USA. Electronic address: rupindrmann@yahoo.com.
Sherif ElhanafiDivision of Gastroenterology and Hepatology, Texas Tech University, Paul L Foster School of Medicine, El Paso, Texas 79905, USA. Electronic address: Sherif.Elhanafi@ttuhsc.edu.
Hemant GoyalDepartment of Internal Medicine, Division of Gastroenterology and Hepatology, The Wright Center of Graduate Medical Education, Scranton, Pennsylvania, USA. Electronic address: doc.hemant@yahoo.com.
Texas Tech University · USSaint Agnes Medical Center · USThe Wright Center for Graduate Medical Education · USUniversity of Arkansas for Medical Sciences · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Coronaviruses have caused three global outbreaks in the last 20 years, which include Severe Acute Respiratory Syndrome (SARS) caused by SARS-CoV (SARS-CoV-1), Middle East Respiratory Syndrome (MERS) by MERS-CoV and Coronavirus Disease-2019 (COVID-19) due to SARS-CoV-2. These outbreaks share many similarities, including clinical presentation, transmission, and management. Although respiratory manifestations are responsible for most of the morbidity and mortality in these conditions, extra-pulmonary manifestations such as gastrointestinal symptoms are also increasingly recognized as important symptoms. Important gastrointestinal symptoms include nausea, vomiting, anorexia, diarrhea, and abdominal pain. Hepatic manifestations such as abnormal aminotransferases are also noted in these patients. Early identification of GI symptoms is crucial as some patients can present only with GI manifestations in the absence of pulmonary symptoms. Furthermore, patients with diarrhea have tested positive for viral RNA in the stool. This has been reported even after the resolution of respiratory symptoms and can extend up to many days from the onset of symptoms. Because of this phenomenon, there is a theoretical risk of fecal-oral transmission and the potential spread of the disease. Though GI symptoms are frequently observed, understanding the pathogenesis of these symptoms is crucial, as it can not only of public health importance but could also identify infected patients early in the spread. Understanding the different GI and hepatic manifestations with underlying mechanisms of symptoms can assist in the therapeutic management of these patients. In this article, we summarize various GI and hepatic manifestations with their prevalence, underlying pathophysiology with emphasis on stool positivity.

Indexed as

COVID-19COVID-19 TestingGastrointestinal DiseasesHumansLiver DiseasesSARS-CoV-2Abdominal painAnorexiaCoronavirus disease-2019CoronavirusesCOVID-19DiarrheaGastrointestinal manifestationsHepatic manifestationsMERS-CoVMiddle east respiratory syndromeNauseaSARS-CoV-1SARS-CoV-2Severe acute respiratory syndromeVomiting

Identifiers

PMID32807535
PMCPMC7386425
OpenAlexW3046124216

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.