Long-lasting dyspeptic symptoms – another consequence of the COVID-19 pandemic?

Anna Nazarewska; Konrad Lewandowski; Magdalena Kaniewska; Edyta Tulewicz-Marti; Martyna Więcek; Paulina Szwarc; Mariusz Rosołowski; Wojciech Marlicz; Grażyna Rydzewska

doi:10.5114/pg.2023.129414

eISSN: 1897-4317
ISSN: 1895-5770

Gastroenterology Review/Przegląd Gastroenterologiczny

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2/2023
vol. 18

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abstract:

Research paper

Long-lasting dyspeptic symptoms – another consequence of the COVID-19 pandemic?

Anna Nazarewska

¹

,

Konrad Lewandowski

¹

,

Magdalena Kaniewska

¹

,

Edyta Tulewicz-Marti

¹

,

Martyna Więcek

¹

,

Paulina Szwarc

¹

,

Mariusz Rosołowski

^{2, 3}

,

Wojciech Marlicz

⁴

,

Grażyna Rydzewska

^{1, 5}

Clinical Department of Internal Medicine and Gastroenterology with Inflammatory Bowel Disease Unit, Central Clinical Hospital of the Ministry of Interior and Administration, Warsaw, Poland
Department of Internal Medicine and Hypertension, Medical University of Bialystok, Bialystok, Poland
Department of Hypertension, Gastroenterology, and Internal Medicine, Medical University of Bialystok Clinical Hospital, Bialystok, Poland
Department of Gastroenterology, Pomeranian Medical University, Szczecin, Poland
Collegium Medicum, Jan Kochanowski University, Kielce, Poland

Gastroenterology Rev 2023; 18 (2): 175–182

DOI: https://doi.org/10.5114/pg.2023.129414

Online publish date: 2023/07/27

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Introduction
It is known that the virus SARS-CoV-2 can attack the gastrointestinal (GI) tract and induce gastroenteritis. This can trigger a wide variety of disorders of gut-brain interaction (DGBIs) or functional gastrointestinal disorders (FGIDs), including post-infectious dyspepsia, which remains underestimated.

Aim
To estimate the prevalence of dyspeptic symptoms following COVID-19, immediately after discharge and 3, 6, and 9 months after hospitalization.

Material and methods
A prospective, single-centre evaluation of questions regarding functional dyspepsia (FD) as assessed by the Gastroduodenal Module of ROME IV Diagnostic Questionnaire for Adult FGIDs among 320 patients who had had COVID-19.

Results
The FD ROME IV criteria were met at the respective time-points by 0.0% (0), 4.8% (12), 3.2% (8), and 3.2% (8) of cases. However, the presence of GI symptoms that suggested FD but did not meet the timeframe ROME IV criteria for FD were found in 9.6% (24), 23.5% (59), 20.7% (52), and 20.7% (52) of cases, respectively.

Conclusions
The presence and persistence of gastrointestinal dyspeptic symptoms following COVID-19 is a significant problem. The timeframe of the Rome IV criteria may underestimate the number of patients with persistent dyspeptic symptoms following COVID-19 disease.

keywords:

Long-lasting dyspeptic symptoms – another consequence of the COVID-19 pandemic?

Anna Nazarewska 1 , Konrad Lewandowski 1 , Magdalena Kaniewska 1 , Edyta Tulewicz-Marti 1 , Martyna Więcek 1 , Paulina Szwarc 1 , Mariusz Rosołowski 2, 3 , Wojciech Marlicz 4 , Grażyna Rydzewska 1, 5

functional gastrointestinal disorders, disorders of gut-brain interaction, functional dyspepsia, coronavirus disease 2019, ROME IV criteria

Anna Nazarewska

¹

,

Konrad Lewandowski

¹

,

Magdalena Kaniewska

¹

,

Edyta Tulewicz-Marti

¹

,

Martyna Więcek

¹

,

Paulina Szwarc

¹

,

Mariusz Rosołowski

^{2, 3}

,

Wojciech Marlicz

⁴

,

Grażyna Rydzewska

^{1, 5}