ISSN: 2960-1959
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Review Articles

Gastric Mucormycosis: A Systematic Review with Metadata

Ayman M. Mustafa
Smart Health Tower, Madam Mitterrand, Sulaymaniyah, Iraq
Yousif M. Mahmood
Smart Health Tower, Madam Mitterrand, Sulaymaniyah, Iraq
Ali H. Hasan
Smart Health Tower, Madam Mitterrand, Sulaymaniyah, Iraq
Hoshmand R. Asaad
Gastroenterology and Hepatology Teaching Hospital, Sulaymaniyah, Iraq
Dana T. Gharib
Gastroenterology and Hepatology Teaching Hospital, Sulaymaniyah, Iraq
Karokh F. Hama Hussein
Gastroenterology and Hepatology Teaching Hospital, Sulaymaniyah, Iraq
Karzan M. Hasan
Dr. Jamal Ahmad Rashid's Pediatric Teaching Hospital, Qanat Street, Sulaymaniyah, Iraq
Deari A. Ismaeil
Department of Surgery, College of Medicine, University of Sulaimani, Madam Mitterrand, Sulaymaniyah, Iraq
Dilan S. Hiwa
Smart Health Tower, Madam Mitterrand, Sulaymaniyah, Iraq
Rawa M. Ali
Hospital for Treatment of Victims of Chemical Weapons, Halabja, Iraq
Khanda A. Anwar
Department of Basic Medical Sciences, College of Medicine, University of Sulaimani, Madam Mitterrand Street, Sulaymaniyah, Iraq
Diyar A. Omar
Medical Laboratory Technology, Shaqlawa Technical College, Erbil Polytechnic University, Erbil, Iraq
Mohammed Q. Mustafa
Department of Medical Analysis, Tishk International University, Erbil, Iraq
Abstract
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42
Published: September 13, 2024
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Abstract

Introduction

Gastric mucormycosis is a highly lethal condition with nonspecific signs that have become increasingly underrecognized in the last decade. The current study aims to systematically review gastric mucormycosis, highlighting its presenting symptoms, risk factors, various management approaches, and their outcomes.

Methods

Scopus, PubMed, Web of Science, and Google Scholar were systematically searched for papers on gastric mucormycosis published up to June 1, 2024. The current study included papers documenting cases of gastric mucormycosis across all ages and genders, detailing diagnostic modalities and management approaches.

Results

A total of 106 studies were selected, including 115 patients, of whom 80 (69.4%) were male. The average age of the patients was 47.91 ± 17.01 years. The main presenting symptom was abdominal pain in 58 (50.4%) patients, followed by vomiting, fever, and melaena in 28 (24.3%), 25 (21.7%), and 18 (15.6%) patients, respectively. No identifiable risk factor was present in 33 (28.7%) patients. However, a history of organ transplantation, diabetes mellitus, or hematologic malignancy was reported in 26 (22.6%), 25 (21.7%), and 10 (8.7%) patients, respectively. The conservative management approach exhibited the highest survival rate among the various strategies, with 39 (66.1%) patients surviving, which was statistically significant (P-value <0.001).

Conclusion

Conservative management demonstrates higher survival rates than combined surgical and conservative approaches. However, this finding could be attributed to a more extensive disease in those requiring surgery. Therefore, an individualized assessment of each patient should be made on a case-by-case basis.

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