Institute for Biomedical Research on Retroviruses and AIDS, Faculty of Medical Sciences, National Scientific and Technical Research Council-University of Buenos Aires, Buenos Aires 1121, Argentina.
World J Gastroenterol. 2022 Dec 28;28(48):6875-6887. doi: 10.3748/wjg.v28.i48.6875.
The coronavirus disease 2019 (COVID-19) pandemic is caused by severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2). Hepatic involvement is common in SARS-CoV-2-infected individuals. It is currently accepted that the direct and indirect hepatic effects of SARS-CoV-2 infection play a significant role in COVID-19. In individuals with pre-existing infectious and non-infectious liver disease, who are at a remarkably higher risk of developing severe COVID-19 and death, this pathology is most medically relevant. This review emphasizes the current pathways regarded as contributing to the gastrointestinal and hepatic ailments linked to COVID-19-infected patients due to an imbalanced interaction among the liver, systemic inflammation, disrupted coagulation, and the lung.
2019 年冠状病毒病(COVID-19)大流行是由严重急性呼吸系统综合征冠状病毒 2(SARS-CoV-2)引起的。肝受累在 SARS-CoV-2 感染个体中很常见。目前认为,SARS-CoV-2 感染的直接和间接肝作用在 COVID-19 中起重要作用。在患有先前存在的感染性和非传染性肝病的个体中,由于肝脏、全身炎症、凝血紊乱和肺部之间的失衡相互作用,他们患严重 COVID-19 和死亡的风险显著增加,这种病理与 COVID-19 感染患者相关的胃肠道和肝脏疾病最为相关。本综述强调了目前认为与 COVID-19 感染患者相关的胃肠道和肝脏疾病有关的途径,因为肝脏、全身炎症、凝血紊乱和肺部之间的失衡相互作用。