Analysis of COVID-19 as a predisposing factor for acute pancreatitis: an integrative literature review

Authors

DOI:

https://doi.org/10.33448/rsd-v12i6.40662

Keywords:

Acute pancreatitis; COVID-19; SARS-CoV-2

Abstract

Objectives: The main objective of this study is to analyze the pathophysiological mechanisms present in patients with COVID-19 who developed acute pancreatitis. Secondarily, we seek to assess its clinical status and understand the current epidemiology of this pathology in a post-COVID-19 scenario. Methods: This study is an integrative literature review, in which the keywords “pancreatite aguda” and “COVID-19”, their variants and combinations in English in the PubMed and SciELO databases were used. As inclusion criteria, randomized clinical trial, case-control, cohort and cross-sectional studies were selected. Researches with patients of all ages, with publication period from 2020 and in Portuguese, English and Spanish were selected. Results: Nine articles were selected for this integrative review, 44% of which were cross-sectional (n = 4) and 66% were cohort (n = 5). Discussion: It is believed that pancreatic damage parallels disease severity in patients with COVID-19. This may be due to mechanisms of the virus itself, the host response or drugs used to treat COVID-19. Still, most patients present with a severe clinical picture and altered laboratory tests. Conclusion: The patients in the analyzed articles presented laboratory findings compatible with the picture of acute pancreatitis, in addition to the characteristic clinical picture and variable evolution. More primary studies are needed with larger and more homogeneous populations to understand how the relationship between the two diseases actually occurs.

References

Almeida, A. B. de, Abrão, J. S., Luz, T. N., Delmoro, A. C. L., Camilo, F. F., Oliveira, C. H. S., Souza, F., Terra, M. C., Oliveira, C. M. de, & Salles, B. C. C. (2021). Marcadores bioquímicos na COVID-19: Uma revisão na literatura. Research, Society and Development, 10(3), e6310313045. https://doi.org/10.33448/rsd-v10i3.13045

Brandão, S. C. S., Godoi, E. T. A. M., Cordeiro, L. H. de O., Lima, D. N. de, Medeiros, C. de H., Albuquerque, J. P. V. e S. de, Ramos, M. E. L. A., Albêlo, R. C. C., Matos, M. F. P., & Sarinho, E. S. C. (2021). Papel do imunometabolismo, receptores Toll-Like e ECA 2 na COVID-19. Arquivos de Asma, Alergia E Imunologia, 5(1), 66–78. https://doi.org/10.5935/2526-5393.20210012

Bulthuis, M. C., Boxhoorn, L., Beudel, M., Elbers, P. W. G., Kop, M. P. M., van Wanrooij, R. L. J., Besselink, M. G., & Voermans, R. P. (2021). Acute pancreatitis in COVID-19 patients: true risk? Scandinavian Journal of Gastroenterology, 56(5), 585–587. https://doi.org/10.1080/00365521.2021.1896776

EBiK, B., Bacaksiz, F., & EKiN, N. (2022). Does covid-19 cause pancreatitis? Arquivos de Gastroenterologia, 59, 71–74. https://doi.org/10.1590/S0004-2803.202200001-13

Guadarrama, L. H., Durán, J. A., Pastrana, J. E. N., & Arteaga, R. A. S. (2022). Pancreatitis aguda asociada a COVID-19. Acta Médica Grupo Ángeles, 20(1). https://doi.org/10.35366/103550

Karaali, R., & Topal, F. (2021). Evaluating the effect of SARS-Cov-2 infection on prognosis and mortality in patients with acute pancreatitis. The American Journal of Emergency Medicine, 49, 378–384. https://doi.org/10.1016/j.ajem.2021.06.045

Kiriyama, S., Gabata, T., Takada, T., Hirata, K., Yoshida, M., Mayumi, T., Hirota, M., Kadoya, M., Yamanouchi, E., Hattori, T., Takeda, K., Kimura, Y., Amano, H., Wada, K., Sekimoto, M., Arata, S., Yokoe, M., & Hirota, M. (2009). New diagnostic criteria of acute pancreatitis. Journal of Hepato-Biliary-Pancreatic Sciences, 17(1), 24–36. https://doi.org/10.1007/s00534-009-0214-3

Mao, R., Qiu, Y., He, J.-S., Tan, J.-Y., Li, X.-H., Liang, J., Shen, J., Zhu, L.-R., Chen, Y., Iacucci, M., Ng, S. C., Ghosh, S., & Chen, M.-H. (2020). Manifestations and prognosis of gastrointestinal and liver involvement in patients with COVID-19: a systematic review and meta-analysis. The Lancet Gastroenterology & Hepatology, 5(7). https://doi.org/10.1016/s2468-1253(20)30126-6

Meric, S., Aktokmakyan, T. V., Tokocin, M., Aktimur, Y. E., Hacim, N. A., & Yavuz, E. (2021). COVID-19 and acute biliary pancreatitis: comparative analysis between the normal period and COVID-19 pandemic. Annali Italiani Di Chirurgia, 92, 728–731. https://pubmed.ncbi.nlm.nih.gov/35166231/

Miyazaki, K., Yoshimura, Y., Miyata, N., Sasaki, H., Shiba, A., Aga, M., Hamakawa, Y., Taniguchi, Y., Misumi, Y., Agemi, Y., Shimokawa, T., Okamoto, H., & Tachikawa, N. (2022). Acute pancreatitis or severe increase in pancreatic enzyme levels following remdesivir administration in COVID-19 patients: an observational study. Scientific Reports, 12(1), 5323. https://doi.org/10.1038/s41598-022-09170-4

Pandanaboyana, S., Moir, J., Leeds, J. S., Oppong, K., Kanwar, A., Marzouk, A., Belgaumkar, A., Gupta, A., Siriwardena, A. K., Haque, A. R., Awan, A., Balakrishnan, A., Rawashdeh, A., Ivanov, B., Parmar, C., M Halloran, C., Caruana, C., Borg, C.-M., Gomez, D., & Damaskos, D. (2021). SARS-CoV-2 infection in acute pancreatitis increases disease severity and 30-day mortality: COVID PAN collaborative study. Gut, 70(6), 1061–1069. https://doi.org/10.1136/gutjnl-2020-323364

Petrov, M. S., & Yadav, D. (2018). Global epidemiology and holistic prevention of pancreatitis. Nature Reviews Gastroenterology & Hepatology, 16(3), 175–184. https://doi.org/10.1038/s41575-018-0087-5

PRISMA. (2021). PRISMA. Www.prisma-Statement.org. https://www.prisma-statement.org/

Sá, K., Cruz, G., Flores, I., Araújo, L., Estebez, E., Holanda, I., Silva, G., Martins, U., Martins, M., & Dedivits, R. (2021). Pancreatite posterior a infecção por SARS-CoV-2 em paciente pediátrico indígena da tribo Paranapuã. Residência Pediátrica, 11(2), 1–3. https://doi.org/10.25060/residpediatr-2021.v11n2-692

Saleh, N. Y., Aboelghar, H. M., Salem, S. S., Ibrahem, R. A., Khalil, F. O., Abdelgawad, A. S., & Mahmoud, A. A. (2021). The severity and atypical presentations of COVID-19 infection in pediatrics. BMC Pediatrics, 21(1). https://doi.org/10.1186/s12887-021-02614-2

Soares, C. B., Hoga, L. A. K., Peduzzi, M., Sangaleti, C., Yonekura, T., & Silva, D. R. A. D. (2014). Integrative Review: Concepts And Methods Used In Nursing. Revista Da Escola de Enfermagem Da USP, 48(2), 335–345. https://doi.org/10.1590/s0080-6234201400002000020

Weinberg, G. G., Peixoto, D. V. G., Queiroz, T. R. C. de , Uchôa, E. P. de A. D., & Silva, T. de P. S. da . (2022). Repercussões pancreáticas entre pacientes com COVID-19: revisão integrativa da literatura. Brazilian Journal of Development, 8(11), 76014–76026. https://doi.org/10.34117/bjdv8n11-351

Weiss, F. U., Laemmerhirt, F., & Lerch, M. M. (2021). Acute Pancreatitis: Genetic Risk and Clinical Implications. Journal of Clinical Medicine, 10(2), 190. https://doi.org/10.3390/jcm10020190

Zheng, Z., Ding, Y.-X., Qu, Y.-X., Cao, F., & Li, F. (2021). A narrative review of acute pancreatitis and its diagnosis, pathogenetic mechanism, and management. Annals of Translational Medicine, 9(1). https://doi.org/10.21037/atm-20-4802

Zippi, M., Hong, W., Traversa, G., Maccioni, F., De Biase, D., Gallo, C., & Fiorino, S. (2020). Involvement of the exocrine pancreas during COVID-19 infection and possible pathogenetic hypothesis: a concise review. Le Infezioni in Medicina, 28(4), 507–515. https://pubmed.ncbi.nlm.nih.gov/33257624/

Published

02/07/2023

How to Cite

AZEVEDO, J. F. de; FONSECA , D. F. R. .; RASERA JUNIOR , I. . Analysis of COVID-19 as a predisposing factor for acute pancreatitis: an integrative literature review. Research, Society and Development, [S. l.], v. 12, n. 6, p. e27712640662, 2023. DOI: 10.33448/rsd-v12i6.40662. Disponível em: https://rsdjournal.org/index.php/rsd/article/view/40662. Acesso em: 23 nov. 2024.

Issue

Section

Health Sciences