SARS-CoV-2 and the pancreas: What do we know about acute pancreatitis in COVID-19 positive patients?

Severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) can cause pancreatic damage, both directly to the pancreas via angiotensin-converting enzyme 2 receptors (the transmembrane proteins required for SARS-CoV-2 entry, which are highly expressed by pancreatic cells) and indirectly through loco...

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Bibliographic Details
Published in:World journal of gastroenterology : WJG Vol. 28; no. 36; pp. 5240 - 5249
Main Authors: Brisinda, Giuseppe, Chiarello, Maria Michela, Tropeano, Giuseppe, Altieri, Gaia, Puccioni, Caterina, Fransvea, Pietro, Bianchi, Valentina
Format: Journal Article
Language:English
Published: Baishideng Publishing Group Inc 28-09-2022
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Summary:Severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) can cause pancreatic damage, both directly to the pancreas via angiotensin-converting enzyme 2 receptors (the transmembrane proteins required for SARS-CoV-2 entry, which are highly expressed by pancreatic cells) and indirectly through locoregional vasculitis and thrombosis. Despite that, there is no clear evidence that SARS-CoV-2 is an etiological agent of acute pancreatitis. Acute pancreatitis in coronavirus disease 2019 (COVID-19) positive patients often recognizes biliary or alcoholic etiology. The prevalence of acute pancreatitis in COVID-19 positive patients is not exactly known. However, COVID-19 positive patients with acute pancreatitis have a higher mortality and an increased risk of intensive care unit admission and necrosis compared to COVID-19 negative patients. Acute respiratory distress syndrome is the most frequent cause of death in COVID-19 positive patients and concomitant acute pancreatitis. In this article, we reported recent evidence on the correlation between COVID-19 infection and acute pancreatitis.
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Author contributions: Brisinda G and Chiarello MM equally contributed to the drafting of the manuscript and must both be considered first author; Chiarello MM and Brisinda G conceived the original idea; Tropeano G, Alteri G, Puccioni C, Fransvea P and Bianchi V performed a comprehensive review of all available literature and summarized the data; Brisinda G and Chiarello MM meet the criteria for authorship established by the International Committee of Medical Journal Editors and verify the validity of the results reported; and all authors read and approved the final manuscript.
Corresponding author: Giuseppe Brisinda, MD, Professor, Surgeon, Department of Medical and Surgical Sciences, Fondazione Policlinico Universitario A Gemelli IRCCS, Largo Agostino Gemelli 8, Rome 00168, Italy. gbrisin@tin.it
ISSN:1007-9327
2219-2840
DOI:10.3748/wjg.v28.i36.5240