Coronavirus disease 2019 and gastrointestinal disorders in children

During the past 3 years, the coronavirus disease 2019 (COVID-19) pandemic has had a great impact on people all over the world. However, it has become evident that disease manifestations and severity differ across age groups. Most children have a milder disease course than adults but possibly more pr...

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Main Authors: Anna Röckert Tjernberg, Petter Malmborg, Karl Mårild
Format: Article
Language:English
Published: SAGE Publishing 2023-06-01
Series:Therapeutic Advances in Gastroenterology
Online Access:https://doi.org/10.1177/17562848231177612
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author Anna Röckert Tjernberg
Petter Malmborg
Karl Mårild
author_facet Anna Röckert Tjernberg
Petter Malmborg
Karl Mårild
author_sort Anna Röckert Tjernberg
collection DOAJ
description During the past 3 years, the coronavirus disease 2019 (COVID-19) pandemic has had a great impact on people all over the world. However, it has become evident that disease manifestations and severity differ across age groups. Most children have a milder disease course than adults but possibly more pronounced gastrointestinal (GI) symptoms. Given the child’s developing immune system, the impact of COVID-19 on disease development may differ compared to adults. This study reviews the potential bi-directional relationship between COVID-19 and GI diseases in children, focusing on common pediatric conditions such as functional GI disorders (FGID), celiac disease (CeD), and inflammatory bowel disease (IBD). Children with GI diseases, in general, and CeD and IBD, in particular, do not seem to have an increased risk of severe COVID-19, including risks of hospitalization, critical care need, and death. While infections are considered candidate environmental factors in both CeD and IBD pathogenesis, and specific infectious agents are known triggers for FGID, there is still not sufficient evidence to implicate COVID-19 in the development of either of these diseases. However, given the scarcity of data and the possible latency period between environmental triggers and disease development, future investigations in this field are warranted.
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spelling doaj.art-dcbf8023011b4617b45b2332b444142d2023-06-05T14:03:25ZengSAGE PublishingTherapeutic Advances in Gastroenterology1756-28482023-06-011610.1177/17562848231177612Coronavirus disease 2019 and gastrointestinal disorders in childrenAnna Röckert TjernbergPetter MalmborgKarl MårildDuring the past 3 years, the coronavirus disease 2019 (COVID-19) pandemic has had a great impact on people all over the world. However, it has become evident that disease manifestations and severity differ across age groups. Most children have a milder disease course than adults but possibly more pronounced gastrointestinal (GI) symptoms. Given the child’s developing immune system, the impact of COVID-19 on disease development may differ compared to adults. This study reviews the potential bi-directional relationship between COVID-19 and GI diseases in children, focusing on common pediatric conditions such as functional GI disorders (FGID), celiac disease (CeD), and inflammatory bowel disease (IBD). Children with GI diseases, in general, and CeD and IBD, in particular, do not seem to have an increased risk of severe COVID-19, including risks of hospitalization, critical care need, and death. While infections are considered candidate environmental factors in both CeD and IBD pathogenesis, and specific infectious agents are known triggers for FGID, there is still not sufficient evidence to implicate COVID-19 in the development of either of these diseases. However, given the scarcity of data and the possible latency period between environmental triggers and disease development, future investigations in this field are warranted.https://doi.org/10.1177/17562848231177612
spellingShingle Anna Röckert Tjernberg
Petter Malmborg
Karl Mårild
Coronavirus disease 2019 and gastrointestinal disorders in children
Therapeutic Advances in Gastroenterology
title Coronavirus disease 2019 and gastrointestinal disorders in children
title_full Coronavirus disease 2019 and gastrointestinal disorders in children
title_fullStr Coronavirus disease 2019 and gastrointestinal disorders in children
title_full_unstemmed Coronavirus disease 2019 and gastrointestinal disorders in children
title_short Coronavirus disease 2019 and gastrointestinal disorders in children
title_sort coronavirus disease 2019 and gastrointestinal disorders in children
url https://doi.org/10.1177/17562848231177612
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