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新冠病毒感染后出现肠易激综合征:被低估的 SARS-CoV-2 感染后果。

Irritable bowel syndrome following COVID-19: an underestimated consequence of SARS-CoV-2 infection.

机构信息

Clinical Department of Internal Medicine and Gastroenterology with Inflammatory Bowel Disease Unit, Central Clinical Hospital of the Ministry of Interior and Administration, Warsaw, Poland

Clinical Department of Internal Medicine and Gastroenterology with Inflammatory Bowel Disease Unit, Central Clinical Hospital of the Ministry of Interior and Administration, Warsaw, Poland.

出版信息

Pol Arch Intern Med. 2022 Nov 25;132(11). doi: 10.20452/pamw.16323. Epub 2022 Aug 23.


DOI:10.20452/pamw.16323
PMID:35997145
Abstract

INTRODUCTION: Gastrointestinal (GI) symptoms are a common manifestation of COVID‑19. OBJECTIVES: We aimed to investigate whether GI symptoms persist in patients previously infected with SARS‑CoV‑2 in the form of post‑infection irritable bowel syndrome (PI‑IBS). PATIENTS AND METHODS: A prospective, single‑center evaluation of questions regarding IBS was conducted using the Rome IV Adult Diagnostic Questionnaire among 257 patients previously hospitalized for COVID‑19. RESULTS: GI symptoms (abdominal pain with diarrhea or constipation) were reported at the following time points: at discharge from the hospital, and after 3 and 6 months of follow‑up. GI symptoms not meeting the full Rome IV diagnostic criteria for IBS due to too short symptom duration were reported by 28 individuals (10.6%) at hospital discharge, 58 (22.3%) after 3 months, and 70 (26.9%) after 6 months. The full Rome IV criteria for IBS were not met at discharge by any of the participants, but they were met after 3 and 6 months of follow‑up in 14 (5.4%) and 15 individuals (5.8%), respectively. CONCLUSION: Persistent GI symptoms following COVID‑19 are frequent and deserve significant and growing attention of gastroenterologists and other health care practitioners. The Rome IV criteria may be too strict to address the full spectrum of GI symptoms following COVID‑19.

摘要

简介:胃肠道(GI)症状是 COVID-19 的常见表现。

目的:我们旨在研究先前感染 SARS-CoV-2 的患者是否会以感染后肠易激综合征(PI-IBS)的形式持续出现 GI 症状。

患者和方法:在 257 名因 COVID-19 住院的患者中,使用罗马 IV 成人诊断问卷对 IBS 相关问题进行前瞻性、单中心评估。

结果:在出院时、出院后 3 个月和 6 个月的随访中,报告了以下时间点的 GI 症状(腹泻或便秘伴腹痛):GI 症状未达到完整的罗马 IV IBS 诊断标准,因为症状持续时间太短,在出院时报告了 28 名患者(10.6%),在出院后 3 个月报告了 58 名(22.3%),在出院后 6 个月报告了 70 名(26.9%)。出院时没有任何参与者符合完整的罗马 IV IBS 标准,但在 3 个月和 6 个月的随访中,分别有 14 名(5.4%)和 15 名(5.8%)参与者符合标准。

结论:COVID-19 后持续存在的 GI 症状很常见,值得胃肠病学家和其他医疗保健从业者给予高度关注。罗马 IV 标准可能过于严格,无法解决 COVID-19 后出现的全部 GI 症状。

相似文献

[1]
Irritable bowel syndrome following COVID-19: an underestimated consequence of SARS-CoV-2 infection.

Pol Arch Intern Med. 2022-11-25

[2]
Persisting gastrointestinal symptoms and post-infectious irritable bowel syndrome following SARS-CoV-2 infection: results from the Arizona CoVHORT.

Epidemiol Infect. 2022-7-8

[3]
Characterization of symptoms in irritable bowel syndrome with mixed bowel habit pattern.

Neurogastroenterol Motil. 2013-8-29

[4]
Development of functional diarrhea, constipation, irritable bowel syndrome, and dyspepsia during and after traveling outside the USA.

Dig Dis Sci. 2008-1

[5]
Epidemiological, Clinical, and Psychological Characteristics of Individuals with Self-reported Irritable Bowel Syndrome Based on the Rome IV vs Rome III Criteria.

Clin Gastroenterol Hepatol. 2020-2

[6]
Latent class analysis does not support the existence of Rome IV functional bowel disorders as discrete entities.

Neurogastroenterol Motil. 2022-11

[7]
Characteristics of, and natural history among, individuals with Rome IV functional bowel disorders.

Neurogastroenterol Motil. 2022-5

[8]
Increased psychological distress and somatization in patients with irritable bowel syndrome compared with functional diarrhea or functional constipation, based on Rome IV criteria.

Neurogastroenterol Motil. 2021-10

[9]
Diagnostic Yield of Colonoscopy in Patients With Symptoms Compatible With Rome IV Functional Bowel Disorders.

Clin Gastroenterol Hepatol. 2022-2

[10]
Examination of competing diagnostic models of functional gastrointestinal disorders related to pain in children.

Neurogastroenterol Motil. 2017-6-28

引用本文的文献

[1]
Digestive Manifestations of Post-COVID-19: A Focus on Therapeutic Strategies.

Pathogens. 2025-6-3

[2]
Untargeted Metabolomic Profiling of Colonic Mucosa in Individuals with Irritable Bowel Syndrome.

Biomedicines. 2025-3-5

[3]
The burden of irritable bowel syndrome and functional dyspepsia in Poland: a cross-sectional study from West Pomeranian Voivodship.

BMC Gastroenterol. 2025-1-9

[4]
Possible application of in stress management.

Microbiome Res Rep. 2024-9-10

[5]
Post-COVID syndrome and type 2 diabetes mellitus in Kazakhstan: clinical manifestations and vaccine efficacy.

Ann Pediatr Endocrinol Metab. 2024-10

[6]
Post-infection irritable bowel syndrome following Coronavirus disease-19: A systematic review and meta-analysis.

Indian J Gastroenterol. 2024-6

[7]
Post-COVID-19 and Irritable Bowel Syndrome: A Literature Review.

Medicina (Kaunas). 2023-11-6

[8]
Post-COVID-19 irritable bowel syndrome: an integrative review.

Rev Col Bras Cir. 2023

[9]
Long-lasting dyspeptic symptoms - another consequence of the COVID-19 pandemic?

Prz Gastroenterol. 2023

[10]
The Prevalence of Irritable Bowel Syndrome after Severe Acute Respiratory Syndrome Coronavirus 2 Infection and Their Association: A Systematic Review and Meta-Analysis of Observational Studies.

J Clin Med. 2023-2-27

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