Covid-19 has began infecting strong organs like liver, pancreas and gallbladder resulting in hepatitis, pancreatitis and cholecystitis. And, docs throughout the state are additionally seeing an increase in circumstances of intestinal gangrene, which is turning fatal. Doctors are reporting deaths resulting from this situation in aged comorbid sufferers and in these the place detections are late.
A larger variety of Covid-19 recovered sufferers are developing with gastrointestinal (GI) signs like stomach ache, nausea, bloating, acid reflux disorder, vomiting and diarrhoea.
“The virus enters through the epithelium of the intestine and infects hollow viscous and travels through bloodstream to infect liver, pancreas and gallbladder causing inflammation or swelling that leads to hepatitis, pancreatitis and cholecystitis,” mentioned Dr Nitin Patel, marketing consultant gastrointestinal surgeon at Parul Sevashram Hospital, Vadodara.
“We have observed clotting within major abdominal vessels leading to ischemic colitis and subsequent gangrene of the intestine. Delayed presentation with comorbidities, old age and use of steroids has high chances of mortality,” he mentioned.
Dr Pankaj Khandelwal, Vadodara-based gastrointestinal surgeon, “There were emergencies of pancreatitis, colitis and intestinal gangrene where we had to remove the gangrenous part of the intestine. Since, the numbers were more in second wave compared to the first wave, the cases were also more,” mentioned
“We had more patients with a lot of GI symptoms who were distressed by abdominal pain, significant acidity, stool disturbances, increased stool frequencies. It was a very huge number,” he mentioned.
Surgeon and advisor for Covid-19 in Vadodara Dr Sheetal Mistry mentioned that he had seen three circumstances of pancreatitis within the second wave.
“Two of these patients had pancreatitis as a post-covid complication. The third case came without any history of Covid treatment. He was complaining of pain in the abdomen. We got a Covid test done and it turned out positive,” he mentioned.
Cases of Covid-induced cholecystitis and pancreatitis have been reported in Surat as effectively. Doctors have additionally come throughout circumstances whereby a thrombosis develops in intestinal veins resulting in gangrene within the gut.
“There are many cases of pancreatitis as well as cholecystitis which doctors in Surat have treated. It increases the hospitalization period of the patients,” mentioned gastroenterologist Dr Pallav Parikh.
(With inputs from Jay Pachchigar in Surat, Sachin Sharma in Vadodara)