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The Association between The Digestive System and Liver Injury in Covid-19 Patients

Mustapha Ismael Muhmmed(1), Aliaa Saadon Abdul-Razaq(2), Saad Mukhlif Mahdi(3),


(1) University of Baghdad
(2) University of Baghdad
(3) Anbar University
Corresponding Author

Abstract


The increasing number of cases infected with COVID-19 present not only respiratory symptoms but also diarrhea, vomiting, nausea, or abdominal discomfort. Patients who exhibit these symptoms should not be disregarded, and the absence of respiratory manifestations must not rule out COVID-19 infection. We tend to investigate the complications of the digestive system and liver injury for Iraqi patients infected with the COVID-19 virus. We compared the clinical data with two main groups of patients infected. One of them with digestive problems and the other without digestive problems. Several parameters were analyzed: Body Mass Index (BMI), Glutamic Pyruvic Transaminase (GPT), Glutamic-Oxaloacetic Transaminase (GOT), Total Serum Bilirubin (TSB), Anaplastic Lymphoma Kinase (ALK), and Immunoglobulin M (IgM). We classified into several types of patients: G1 (patients without digestive problems who were infected with COVID-19) and G2 (patients with digestive problems while infected with the COVID-19 virus). Each group was compared with two control groups of non-infected individuals. A total of 237 patients were included in the study. The control groups were divided according to obesity by measuring the BMI. The two main groups were compared with two control groups. The study of a patient with different BMI levels shows that most infected patients with high BMI come with gastrointestinal symptoms stronger than respiratory symptoms.

Keywords


Body mass index, COVID-19, IgG, IgM, Liver enzymes

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