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