Gastrointestinal, hepatic and pancreatic manifestations of COVID-19 in children

Clin Res Hepatol Gastroenterol. 2022 Apr;46(4):101818. doi: 10.1016/j.clinre.2021.101818. Epub 2021 Oct 2.

Abstract

Severe acute respiratory syndrome coronavirus-2 (SARS-CoV-2) is a well-established respiratory tract pathogen. Recent studies in adults and children have shown an increasing number of patients reporting gastrointestinal manifestations of SARS-CoV-2 infection such as diarrhoea, nausea, vomiting and abdominal pain. SARS-CoV-2 RNA can be detected in faeces for an extended period, even after respiratory samples have tested negative and patients are asymptomatic. However, faecal-oral transmission has not yet been proven. In this article, the latest evidence on gastrointestinal, hepato-biliary, and pancreatic manifestations in children with coronavirus disease-19 and multisystem inflammatory syndrome will be analysed.

Keywords: Children; Coronavirus-19; Gastrointestinal; Liver; Pancreas.

Publication types

  • Review

MeSH terms

  • Adult
  • COVID-19* / complications
  • Child
  • Gastrointestinal Diseases* / etiology
  • Gastrointestinal Tract
  • Humans
  • RNA, Viral
  • SARS-CoV-2
  • Systemic Inflammatory Response Syndrome

Substances

  • RNA, Viral

Supplementary concepts

  • pediatric multisystem inflammatory disease, COVID-19 related