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Journal of Case Reports
Gastroparesis and Gastrointestinal Dysmotility following COVID-19 Infection
Luma B. Rustom, Talar Telvizian, Sara Haddad, David A. Cohen
Department of Internal Medicine, Lankenau Medical Center, Wynnewood, PA, USA.
Corresponding Author:
Dr Talar Telvizian
Email: talar.tel@gmail.com
Received: 30-MAY-2021 Accepted: 11-OCT-2021 Published Online: 05-NOV-2021
DOI: http://dx.doi.org/10.17659/01.2021.0059
Background: Coronavirus disease 2019 (COVID-19) caused by SARS-CoV-2 is primarily a respiratory illness but can affect different organ systems. Short-term and long-term effects related to the gastrointestinal tract are emerging as the pandemic continues. Case Report: We report the case of a 71-year-old woman who presented with persistent nausea, epigastric pain, early satiety, constipation, and weight loss one month after recovering from COVID-19 infection. Computed tomography of the abdomen and pelvis revealed no abnormalities. Barium swallow showed severe dysmotility, but esophagogastroduodenoscopy with biopsy was non-revealing. She could not tolerate a gastric emptying study due to the severity of symptoms. She did not improve with traditional antiemetics and proton-pump inhibitors but reported significant improvement in symptoms after adding metoclopramide to her regimen. Conclusion: Post-viral gastroparesis is associated with a number of viral infections. To our knowledge, this is the first case to identify COVID-19 as a potential etiology for post-infectious gastroparesis and gastric dysmotility.
Keywords : COVID-19, Esophageal Dysmotility, Functional Gastrointestinal Disorders, Gastrointestinal Tract, Gastroparesis.
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