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Digestive system involvement of novel coronavirus infection: Prevention and control infection from a gastroenterology perspective
Authors:Lian Yong Li  Wei Wu  Sheng Chen  Jian Wen Gu  Xin Lou Li  Hai Jing Song  Feng Du  Gang Wang  Chang Qing Zhong  Xiao Ying Wang  Yan Chen  Rushikesh Shah  He Ming Yang  Qiang Cai
Abstract:An epidemic of an acute respiratory syndrome caused by severe acute respiratory syndrome coronavirus 2 (SARS‐CoV‐2) in Wuhan, China, now known as coronavirus disease 2019 (COVID‐19), beginning in December 2019, has attracted an intense amount of attention worldwide. As the natural history and variety of clinical presentations of this disease unfolds, extrapulmonary symptoms of COVID‐19 have emerged, especially in the digestive system. While the respiratory mode of transmission is well known and is probably the principal mode of transmission of this disease, a possibility of the fecal‐oral route of transmission has also emerged in various case series and clinical scenarios. In this review article, we summarize four different aspects in published studies to date: (a) gastrointestinal manifestations of COVID‐19; (b) microbiological and virological investigations; (c) the role of fecal‐oral transmission; and (d) prevention and control of SARS‐CoV‐2 infection in the digestive endoscopy room. A timely understanding of the relationship between the disease and the digestive system and implementing effective preventive measures are of great importance for a favorable outcome of the disease and can help climnicians to mitigate further transmission by taking appropriate measures.
Keywords:COVID‐19  digestive system  prevention and control  severe acute respiratory syndrome coronavirus 2
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