Barw Barw Medical Journal 2960-1959 2024 09 13 Gastric Mucormycosis: A Systematic Review with Metadata 10.58742/bmj.v2i3.122 eng Ayman M. Mustafa Smart Health Tower, Madam Mitterrand, Sulaymaniyah, Iraq. Aymanmajid75@gmail.com Yousif M. Mahmood Smart Health Tower, Madam Mitterrand, Sulaymaniyah, Iraq. yousif.mahmood@gmail.com Ali H. Hasan Smart Health Tower, Madam Mitterrand, Sulaymaniyah, Iraq. ali.hasan@gmail.com Hoshmand R. Asaad Gastroenterology and Hepatology Teaching Hospital, Sulaymaniyah, Iraq . hoshmand.asaad@gmail.com Dana T. Gharib Gastroenterology and Hepatology Teaching Hospital, Sulaymaniyah, Iraq . dana.gharib@gmail.com Karokh F. Hama Hussein Gastroenterology and Hepatology Teaching Hospital, Sulaymaniyah, Iraq . karokh12@gmail.com Karzan M. Hasan Dr. Jamal Ahmad Rashid's Pediatric Teaching Hospital, Qanat Street, Sulaymaniyah, Iraq. karzan.hasan@gmail.com Deari A. Ismaeil Department of Surgery, College of Medicine, University of Sulaimani, Madam Mitterrand, Sulaymaniyah, Iraq. deari.ismaeil@univsul.edu.iq Dilan S. Hiwa Smart Health Tower, Madam Mitterrand, Sulaymaniyah, Iraq. dilan.sarmad.hiwa@gmail.com Rawa M. Ali Hospital for Treatment of Victims of Chemical Weapons, Halabja, Iraq . rawa.ali@gmail.com Khanda A. Anwar Department of Basic Medical Sciences, College of Medicine, University of Sulaimani, Madam Mitterrand Street, Sulaymaniyah, Iraq. khanda.anwar78@univsul.edu.iq Diyar A. Omar Medical Laboratory Technology, Shaqlawa Technical College, Erbil Polytechnic University, Erbil, Iraq. diyar.omar@gmail.com Mohammed Q. Mustafa Department of Medical Analysis, Tishk International University, Erbil, Iraq . mohammed111@gmail.com 2024 10 10 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.