id author title date pages extension mime words sentences flesch summary cache txt cord-273314-p1dlzoh1 Gadiparthi, Chiranjeevi Gastrointestinal Bleeding in Patients with Severe SARS-CoV-2 2020-06-04 .txt text/plain 1464 88 45 Gastrointestinal symptoms are common and frequently reported in Coronavirus Disease-2019 (COVID-19), which is caused by severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2). Nevertheless, GIB in COVID-19 patients poses unique challenges to patients due to high-risk of concomitant respiratory failure and to endoscopy personnel due to risk of airborne transmission during endoscopic procedures. GI bleeding (GIB) in patients with SARS-CoV-2 poses unique challenges, especially for endoscopists and other procedural staff because of the potential for aerosol spread. In this article, we report 3 hospitalized patients with SARS-CoV-2 infection with GIB and acute blood loss anemia with focus on management strategies. She tested positive for SARS-CoV-2 by RT-PCR assay and developed acute hypoxic respiratory failure requiring supplemental oxygen of 15 L per minute via a nonrebreather mask. On hospital day 5, the patient developed recurrent GIB with a large amount of melena and bright red blood per rectum with hemodynamic instability requiting intensive care unit (ICU) transfer. ./cache/cord-273314-p1dlzoh1.txt ./txt/cord-273314-p1dlzoh1.txt