Relation of COVID-19 with acute ischemic bowel disease: A retrospective observational study

Introduction: COVID-19 is a serious respiratory disease caused by SARS-CoV-2, aside from the respiratory system, the gastrointestinal system is the most common site of SARS-COV-2 infection. The study aimed to assess relation between COVID and ischemic bowel disease by analysing length of hospital st...

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Main Authors: Takalkar YP, Bansod SB, Annabathina R, Shinde PH, Pramod S, Diwewar V, Chowdhary A, Rajesha K
Format: Article
Language:English
Published: KIMS Foundation and Research Center 2023-04-01
Series:Journal of Medical and Scientific Research
Subjects:
Online Access:http://jmsronline.com/archive-article/COVID-19-acute-ischemic-bowel-disease
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author Takalkar YP
Bansod SB
Annabathina R
Shinde PH
Pramod S
Diwewar V
Chowdhary A
Rajesha K
author_facet Takalkar YP
Bansod SB
Annabathina R
Shinde PH
Pramod S
Diwewar V
Chowdhary A
Rajesha K
author_sort Takalkar YP
collection DOAJ
description Introduction: COVID-19 is a serious respiratory disease caused by SARS-CoV-2, aside from the respiratory system, the gastrointestinal system is the most common site of SARS-COV-2 infection. The study aimed to assess relation between COVID and ischemic bowel disease by analysing length of hospital stay and mortality rates between COVID and non-COVID groups. Methods: The study was conducted from June 2020 to November 2021 in the surgical wards of Seth GS Medical College and KEM Hospital, Mumbai. Included patients presented to emergency room with acute abdomen which diagnosed as acute ischemic bowel disease during the period of study and then compared the outcomes between COVID and non-COVID groups. Results: Out of 40 patients, 16 had no history of COVID and remaining 24 had either previous history of COVID or diagnosed presently with COVID. In both COVID and non-COVID population, distribution of comorbidities were almost equal exception being stroke, where both the cases had previous history of COVID, diabetes was the most common comorbidity in both the groups followed by hypertension. Patients with active COVID infection had higher mortality of 75% (3 out of 4) followed by patients with past history of infection with mortality rate of 65% (13 out of 20) whereas the mortality rate in non-COVID patients were 37.5% (6 out of 16). Conclusion: Ischemic bowel disease among COVID-19 patients is rare, but its association with high mortality rates and prolonged length of stay necessitates clinical suspicion and prompt intervention.
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spelling doaj.art-f5fe4c8ef430411d82611aea752661f42023-06-27T06:17:25ZengKIMS Foundation and Research CenterJournal of Medical and Scientific Research2321-13262394-112X2023-04-0111210911310.17727/JMSR.2023/11-21Relation of COVID-19 with acute ischemic bowel disease: A retrospective observational studyTakalkar YP0Bansod SB1Annabathina R2Shinde PH3Pramod S4Diwewar V5Chowdhary A6Rajesha K7Department of General Surgery, Seth GS Medical College and KEM Hospital, Mumbai, Maharashtra-400012, India Department of General Surgery, Seth GS Medical College and KEM Hospital, Mumbai, Maharashtra-400012, India Department of General Surgery, Seth GS Medical College and KEM Hospital, Mumbai, Maharashtra-400012, India Department of General Surgery, Seth GS Medical College and KEM Hospital, Mumbai, Maharashtra-400012, India Department of General Surgery, Seth GS Medical College and KEM Hospital, Mumbai, Maharashtra-400012, India Department of General Surgery, Seth GS Medical College and KEM Hospital, Mumbai, Maharashtra-400012, India Department of General Surgery, Seth GS Medical College and KEM Hospital, Mumbai, Maharashtra-400012, India Department of General Surgery, Seth GS Medical College and KEM Hospital, Mumbai, Maharashtra-400012, India Introduction: COVID-19 is a serious respiratory disease caused by SARS-CoV-2, aside from the respiratory system, the gastrointestinal system is the most common site of SARS-COV-2 infection. The study aimed to assess relation between COVID and ischemic bowel disease by analysing length of hospital stay and mortality rates between COVID and non-COVID groups. Methods: The study was conducted from June 2020 to November 2021 in the surgical wards of Seth GS Medical College and KEM Hospital, Mumbai. Included patients presented to emergency room with acute abdomen which diagnosed as acute ischemic bowel disease during the period of study and then compared the outcomes between COVID and non-COVID groups. Results: Out of 40 patients, 16 had no history of COVID and remaining 24 had either previous history of COVID or diagnosed presently with COVID. In both COVID and non-COVID population, distribution of comorbidities were almost equal exception being stroke, where both the cases had previous history of COVID, diabetes was the most common comorbidity in both the groups followed by hypertension. Patients with active COVID infection had higher mortality of 75% (3 out of 4) followed by patients with past history of infection with mortality rate of 65% (13 out of 20) whereas the mortality rate in non-COVID patients were 37.5% (6 out of 16). Conclusion: Ischemic bowel disease among COVID-19 patients is rare, but its association with high mortality rates and prolonged length of stay necessitates clinical suspicion and prompt intervention. http://jmsronline.com/archive-article/COVID-19-acute-ischemic-bowel-diseasehyperbilirubinemiacord blood bilirubinphototherapynewborn
spellingShingle Takalkar YP
Bansod SB
Annabathina R
Shinde PH
Pramod S
Diwewar V
Chowdhary A
Rajesha K
Relation of COVID-19 with acute ischemic bowel disease: A retrospective observational study
Journal of Medical and Scientific Research
hyperbilirubinemia
cord blood bilirubin
phototherapy
newborn
title Relation of COVID-19 with acute ischemic bowel disease: A retrospective observational study
title_full Relation of COVID-19 with acute ischemic bowel disease: A retrospective observational study
title_fullStr Relation of COVID-19 with acute ischemic bowel disease: A retrospective observational study
title_full_unstemmed Relation of COVID-19 with acute ischemic bowel disease: A retrospective observational study
title_short Relation of COVID-19 with acute ischemic bowel disease: A retrospective observational study
title_sort relation of covid 19 with acute ischemic bowel disease a retrospective observational study
topic hyperbilirubinemia
cord blood bilirubin
phototherapy
newborn
url http://jmsronline.com/archive-article/COVID-19-acute-ischemic-bowel-disease
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