Clinical Evaluation of Acute Pancreatitis Caused by SARS-CoV-2 Virus Infection

Introduction. Coronavirus 2019 disease (COVID-19), caused by the severe acute respiratory syndrome coronavirus-2 (SARS-CoV-2), has spread to more than 200 countries worldwide. We aimed to present acute pancreatitis (AP) cases caused by SARS-CoV-2 viral infection. Methods. The study was conducted ret...

Full description

Saved in:
Bibliographic Details
Main Authors: Hulya Vatansev, Mehmet Aykut Yıldırım, Serkan Kuccukturk, Mehmet Ali Karaselek, Cengiz Kadiyoran
Format: Article
Language:English
Published: Wiley 2021-01-01
Series:Gastroenterology Research and Practice
Online Access:http://dx.doi.org/10.1155/2021/5579795
Tags: Add Tag
No Tags, Be the first to tag this record!
_version_ 1832552803968483328
author Hulya Vatansev
Mehmet Aykut Yıldırım
Serkan Kuccukturk
Mehmet Ali Karaselek
Cengiz Kadiyoran
author_facet Hulya Vatansev
Mehmet Aykut Yıldırım
Serkan Kuccukturk
Mehmet Ali Karaselek
Cengiz Kadiyoran
author_sort Hulya Vatansev
collection DOAJ
description Introduction. Coronavirus 2019 disease (COVID-19), caused by the severe acute respiratory syndrome coronavirus-2 (SARS-CoV-2), has spread to more than 200 countries worldwide. We aimed to present acute pancreatitis (AP) cases caused by SARS-CoV-2 viral infection. Methods. The study was conducted retrospectively between April 2020 and June 2020 in Necmettin Erbakan University Meram, Medical Faculty Hospital, and 150 hospitalized patients diagnosed with COVID-19 were included. The degree of acute pancreatitis was determined according to the Atlanta classification. Organ failures of the patients were evaluated in terms of respiratory, cardiovascular, and nephrology according to the modified Marshall scoring (MMS) system, and CTSI (Balthazar score) and Imrie score were determined. Modified Marshall score≥2 was considered organ failure. Results. A total of 29 patients were diagnosed with acute pancreatitis. All 29 patients with pancreatitis had respiratory failure during hospitalization. After the diagnosis of pancreatitis, there was no change in respiratory failure. According to the Atlanta classification, 19 patients had mild AP and 10 patients had moderate AP. Patients with acute pancreatitis were scored according to the CTSI (Balthazar score), and there were no patients with ≥6 severe pancreatitis. The CTSI score of 4 patients was 3. In addition, the Imrie score of the patients was determined and 8 patients with Imrie score≥3 were identified. Conclusion. The rate of pancreatic damage in SARS-CoV-2 infection was found to be 19% (n=29) in our study. In our study, we highlight acute pancreatitis as a complication associated with COVID-19 and the importance of pancreatic evaluation in patients with COVID-19 and abdominal pain is demonstrated.
format Article
id doaj-art-b85df1537b0840ea96f1dcdb5deb62ec
institution Kabale University
issn 1687-6121
1687-630X
language English
publishDate 2021-01-01
publisher Wiley
record_format Article
series Gastroenterology Research and Practice
spelling doaj-art-b85df1537b0840ea96f1dcdb5deb62ec2025-02-03T05:57:51ZengWileyGastroenterology Research and Practice1687-61211687-630X2021-01-01202110.1155/2021/55797955579795Clinical Evaluation of Acute Pancreatitis Caused by SARS-CoV-2 Virus InfectionHulya Vatansev0Mehmet Aykut Yıldırım1Serkan Kuccukturk2Mehmet Ali Karaselek3Cengiz Kadiyoran4Pulmonary Diseases Department, Meram Faculty of Medicine, Necmettin Erbakan University, Konya, TurkeyDepartment of General Surgery, Meram Medicine Faculty, Necmettin Erbakan University, Konya, TurkeyDepartment of Medical Biology, Meram Faculty of Medicine, Necmettin Erbakan University, Konya, TurkeyDepartment of Hematology, Meram Faculty of Medicine, Necmettin Erbakan University, Konya, TurkeyRadiology Department, Meram Faculty of Medicine, Necmettin Erbakan University, Konya, TurkeyIntroduction. Coronavirus 2019 disease (COVID-19), caused by the severe acute respiratory syndrome coronavirus-2 (SARS-CoV-2), has spread to more than 200 countries worldwide. We aimed to present acute pancreatitis (AP) cases caused by SARS-CoV-2 viral infection. Methods. The study was conducted retrospectively between April 2020 and June 2020 in Necmettin Erbakan University Meram, Medical Faculty Hospital, and 150 hospitalized patients diagnosed with COVID-19 were included. The degree of acute pancreatitis was determined according to the Atlanta classification. Organ failures of the patients were evaluated in terms of respiratory, cardiovascular, and nephrology according to the modified Marshall scoring (MMS) system, and CTSI (Balthazar score) and Imrie score were determined. Modified Marshall score≥2 was considered organ failure. Results. A total of 29 patients were diagnosed with acute pancreatitis. All 29 patients with pancreatitis had respiratory failure during hospitalization. After the diagnosis of pancreatitis, there was no change in respiratory failure. According to the Atlanta classification, 19 patients had mild AP and 10 patients had moderate AP. Patients with acute pancreatitis were scored according to the CTSI (Balthazar score), and there were no patients with ≥6 severe pancreatitis. The CTSI score of 4 patients was 3. In addition, the Imrie score of the patients was determined and 8 patients with Imrie score≥3 were identified. Conclusion. The rate of pancreatic damage in SARS-CoV-2 infection was found to be 19% (n=29) in our study. In our study, we highlight acute pancreatitis as a complication associated with COVID-19 and the importance of pancreatic evaluation in patients with COVID-19 and abdominal pain is demonstrated.http://dx.doi.org/10.1155/2021/5579795
spellingShingle Hulya Vatansev
Mehmet Aykut Yıldırım
Serkan Kuccukturk
Mehmet Ali Karaselek
Cengiz Kadiyoran
Clinical Evaluation of Acute Pancreatitis Caused by SARS-CoV-2 Virus Infection
Gastroenterology Research and Practice
title Clinical Evaluation of Acute Pancreatitis Caused by SARS-CoV-2 Virus Infection
title_full Clinical Evaluation of Acute Pancreatitis Caused by SARS-CoV-2 Virus Infection
title_fullStr Clinical Evaluation of Acute Pancreatitis Caused by SARS-CoV-2 Virus Infection
title_full_unstemmed Clinical Evaluation of Acute Pancreatitis Caused by SARS-CoV-2 Virus Infection
title_short Clinical Evaluation of Acute Pancreatitis Caused by SARS-CoV-2 Virus Infection
title_sort clinical evaluation of acute pancreatitis caused by sars cov 2 virus infection
url http://dx.doi.org/10.1155/2021/5579795
work_keys_str_mv AT hulyavatansev clinicalevaluationofacutepancreatitiscausedbysarscov2virusinfection
AT mehmetaykutyıldırım clinicalevaluationofacutepancreatitiscausedbysarscov2virusinfection
AT serkankuccukturk clinicalevaluationofacutepancreatitiscausedbysarscov2virusinfection
AT mehmetalikaraselek clinicalevaluationofacutepancreatitiscausedbysarscov2virusinfection
AT cengizkadiyoran clinicalevaluationofacutepancreatitiscausedbysarscov2virusinfection