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Role of SARS-CoV2 Virus in the Etiology of Acute Pancreatitis

Year 2023, Volume: 5 Issue: Supplement (1) - Innovations in Medicine and Healthcare in the 100th Year of the Republic, 208 - 11, 19.10.2023
https://doi.org/10.37990/medr.1360850

Abstract

Aim: To investigate whether severe acute respiratory syndrome coronavirus is involved in the etiology of acute pancreatitis.
Material and Methods: This study was conducted in Çiğli Educational Hospital, Bakırçay Univesity. The study included 2060 patients with AP admitted to hospital between March, 2020 and August, 2023. The patients were assigned into 2 groups based on presence of COVID-19 infection. Ethiological factors for AP were determined in all patients.
Results: Gallstone was the etiological factor in 614 patients (32.9%) who were COVID (-) but it was the etiological reason in only 19 patients (19%) in COVID (+) group. No etiology was identified in 217 (11.6%) of COVID (-) patients who were diagnosed as idiopathic pancreatitis. Idiopathic pancreatitis was diagnosed in 107 cases (54%) in COVID (+) group. There was significant difference presence of the diagnosis, which was made according to etiological factor, between groups.
Conclusion: There was no definitive etiological link between COVID-19 and AP; however, the fact that same team diagnosed such a different idiopathic AP in the same hospital with same diagnostic facilities implies an etiological role for SARS-CoV-2 virus in AP.

Ethical Statement

Conflict of Interest: The authors declared no conflicts of interest with respect to the authorship and/or publication of this article. Funding: The authors received no financial support for the research and/or authorship of this article.

References

  • Alberca GGF, Cardoso NSS, Alberca RW. Could immune activation cause pancreatitis in COVID-19 patients?. Transl Gastroenterol Hepatol. 2022;7:45.
  • Juhász MF, Ocskay K, Kiss S, et al. Insufficient etiological workup of COVID-19-associated acute pancreatitis: a systematic review. World J Gastroenterol. 2020;26:6270-8.
  • Inamdar S, Benias PC, Liu Y, et al. Prevalence, risk factors, and outcomes of hospitalized patients with coronavirus disease 2019 presenting as acute pancreatitis. Gastroenterology. 2020;159:2226-8.e2.
  • Gadiparthi C, Mohapatra S, Kanna S, et al. Acute pancreatitis in a patient with COVID-19: a case report. Transl Gastroenterol Hepatol. 2021;6:65.
  • Foster BR, Jensen KK, Bakis G, et al. Revised Atlanta classification for acute pancreatitis: a pictorial essay.Radiographics. 2016;36:675-87. Erratum in: Radiographics. 2019;39:912.
  • Brisinda G, Chiarello MM, Tropeano G, et al. SARS-CoV-2 and the pancreas: What do we know about acute pancreatitis in COVID-19 positive patients?. World J Gastroenterol. 2022;28:5240-9.
  • Choden U, Yangzom S, Pradhan G, Wangchuk P. Acute pancreatitis following SARS-CoV-2 infection: a case report. SAGE Open Med Case Rep. 2023;11:2050313X231175288.
  • Kang D, Park SH, Oh C, et al. Prevalence and prognosis of acute pancreatitis in critically ill patients with COVID-19. Hepatobiliary Pancreat Dis Int. 2022;22:399-402.
  • Ebik B, Bacaksiz F, Ekin N. Does COVID-19 cause pancreatitis? Arq Gastroenterol. 2022;59:71-4.
  • Samanta J, Mahapatra SJ, Kumar N, et al. Virus related acute pancreatitis and virus superinfection in the 'Dual disease' model of acute pancreatitis and SARS-Co-V2 infection: a multicentre prospective study. Pancreatology. 2022;22:339-47.
Year 2023, Volume: 5 Issue: Supplement (1) - Innovations in Medicine and Healthcare in the 100th Year of the Republic, 208 - 11, 19.10.2023
https://doi.org/10.37990/medr.1360850

Abstract

References

  • Alberca GGF, Cardoso NSS, Alberca RW. Could immune activation cause pancreatitis in COVID-19 patients?. Transl Gastroenterol Hepatol. 2022;7:45.
  • Juhász MF, Ocskay K, Kiss S, et al. Insufficient etiological workup of COVID-19-associated acute pancreatitis: a systematic review. World J Gastroenterol. 2020;26:6270-8.
  • Inamdar S, Benias PC, Liu Y, et al. Prevalence, risk factors, and outcomes of hospitalized patients with coronavirus disease 2019 presenting as acute pancreatitis. Gastroenterology. 2020;159:2226-8.e2.
  • Gadiparthi C, Mohapatra S, Kanna S, et al. Acute pancreatitis in a patient with COVID-19: a case report. Transl Gastroenterol Hepatol. 2021;6:65.
  • Foster BR, Jensen KK, Bakis G, et al. Revised Atlanta classification for acute pancreatitis: a pictorial essay.Radiographics. 2016;36:675-87. Erratum in: Radiographics. 2019;39:912.
  • Brisinda G, Chiarello MM, Tropeano G, et al. SARS-CoV-2 and the pancreas: What do we know about acute pancreatitis in COVID-19 positive patients?. World J Gastroenterol. 2022;28:5240-9.
  • Choden U, Yangzom S, Pradhan G, Wangchuk P. Acute pancreatitis following SARS-CoV-2 infection: a case report. SAGE Open Med Case Rep. 2023;11:2050313X231175288.
  • Kang D, Park SH, Oh C, et al. Prevalence and prognosis of acute pancreatitis in critically ill patients with COVID-19. Hepatobiliary Pancreat Dis Int. 2022;22:399-402.
  • Ebik B, Bacaksiz F, Ekin N. Does COVID-19 cause pancreatitis? Arq Gastroenterol. 2022;59:71-4.
  • Samanta J, Mahapatra SJ, Kumar N, et al. Virus related acute pancreatitis and virus superinfection in the 'Dual disease' model of acute pancreatitis and SARS-Co-V2 infection: a multicentre prospective study. Pancreatology. 2022;22:339-47.
There are 10 citations in total.

Details

Primary Language English
Subjects General Surgery, Gastroenterology and Hepatology
Journal Section Original Articles
Authors

İlker Kızıloğlu 0000-0003-1204-7546

Didem Dereli Akdeniz 0000-0002-5363-6921

Funda Uğur Kantar 0000-0001-6061-4379

Publication Date October 19, 2023
Acceptance Date October 12, 2023
Published in Issue Year 2023 Volume: 5 Issue: Supplement (1) - Innovations in Medicine and Healthcare in the 100th Year of the Republic

Cite

AMA Kızıloğlu İ, Dereli Akdeniz D, Uğur Kantar F. Role of SARS-CoV2 Virus in the Etiology of Acute Pancreatitis. Med Records. October 2023;5(Supplement (1):208-11. doi:10.37990/medr.1360850

17741

Chief Editors

Assoc. Prof. Zülal Öner
Address: İzmir Bakırçay University, Department of Anatomy, İzmir, Türkiye

Assoc. Prof. Deniz Şenol
Address: Düzce University, Department of Anatomy, Düzce, Türkiye

E-mail: medrecsjournal@gmail.com

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Medical Records Association (Tıbbi Kayıtlar Derneği)
Address: Düzce / Türkiye

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