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[Severe bowel complications in SARS-CoV-2 patients receiving protocolized care]. / Complicaciones intestinales graves en pacientes SARS-CoV-2 recibiendo manejo protocolizado.
Estevez-Cerda, S C; Saldaña-Rodríguez, J A; Alam-Gidi, A G; Riojas-Garza, A; Rodarte-Shade, M; Velazco-de la Garza, J; Leyva-Alvizo, A; Gonzalez-Ruvalcaba, R; Martinez-Resendez, M F; Ortiz de Elguea-Lizarraga, J I.
Afiliação
  • Estevez-Cerda SC; Departamento de Cirugía General, Tecnológico de Monterrey, Escuela de Medicina y Ciencias de la Salud, Monterrey, México.
  • Saldaña-Rodríguez JA; Departamento de Cirugía General, Tecnológico de Monterrey, Escuela de Medicina y Ciencias de la Salud, Monterrey, México.
  • Alam-Gidi AG; Departamento de Cirugía General, Tecnológico de Monterrey, Escuela de Medicina y Ciencias de la Salud, Monterrey, México.
  • Riojas-Garza A; Departamento de Cirugía General, Tecnológico de Monterrey, Escuela de Medicina y Ciencias de la Salud, Monterrey, México.
  • Rodarte-Shade M; Departamento de Cirugía General, Tecnológico de Monterrey, Escuela de Medicina y Ciencias de la Salud, Monterrey, México.
  • Velazco-de la Garza J; Departamento de Cirugía General, Tecnológico de Monterrey, Escuela de Medicina y Ciencias de la Salud, Monterrey, México.
  • Leyva-Alvizo A; Departamento de Cirugía General, Tecnológico de Monterrey, Escuela de Medicina y Ciencias de la Salud, Monterrey, México.
  • Gonzalez-Ruvalcaba R; Departamento de Cirugía General, Tecnológico de Monterrey, Escuela de Medicina y Ciencias de la Salud, Monterrey, México.
  • Martinez-Resendez MF; Departamento de Enfermedades Infecciosas, Tecnológico de Monterrey, Escuela de Medicina y Ciencias de la Salud, Monterrey, México.
  • Ortiz de Elguea-Lizarraga JI; Departamento de Cirugía General, Tecnológico de Monterrey, Escuela de Medicina y Ciencias de la Salud, Monterrey, México.
Rev Gastroenterol Mex ; 86(4): 378-386, 2021.
Article em Es | MEDLINE | ID: mdl-38620671
ABSTRACT
Introduction and

aims:

A case series of ten patients that received protocolized care for SARS-CoV-2 infection and developed severe gastrointestinal complications, is presented. The aim of our study was to contribute to the ongoing discussion regarding gastrointestinal complications related to SARS-CoV-2 infection. After reviewing the current literature, ours appears to be the first detailed case series on the topic. Materials and

methods:

A retrospective filtered search of all patients admitted to our hospital for SARS-CoV-2 infection, who developed severe gastrointestinal complications, was performed. All relevant data on hospital patient management, before and after surgery, were collected from the medical records.

Results:

Of the 905 patients admitted to our hospital due to SARS-CoV-2 infection, as of August 26, 2020, ten of them developed severe gastrointestinal complications. Seven of those patients were men. There were four cases of perforation of the proximal jejunum, three cases of perforations of the ascending colon, one case of concomitant perforation of the sigmoid colon and terminal ileum, one case of massive intestinal necrosis, and one preoperative death. Three right colectomies, four intestinal resections, one Hartmann's procedure with bowel resection, and one primary repair of the small bowel were performed. The mortality rate of the patients analyzed was 50%.

Conclusion:

Spontaneous bowel perforations and acute mesenteric ischemia are emerging as severe, life-threatening complications in hospitalized SARS-CoV-2 patients. More evidence is needed to identify risk factors, establish preventive measures, and analyze possible adverse effects of the current treatment protocols.
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Texto completo: 1 Coleções: 01-internacional Base de dados: MEDLINE Idioma: Es Revista: Rev Gastroenterol Mex Ano de publicação: 2021 Tipo de documento: Article País de publicação: México
Texto completo
Adicionar na Minha BVS
Imprimir
XML
PubMed Links
Buscar no Google

Texto completo: 1 Coleções: 01-internacional Base de dados: MEDLINE Idioma: Es Revista: Rev Gastroenterol Mex Ano de publicação: 2021 Tipo de documento: Article País de publicação: México