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Updated: Apr 28, 2026

Sodium Taurocholate Induced Severe Acute Pancreatitis in C57BL/6 Mice
Published on: June 28, 2021
Saxagliptin-induced recurrent acute pancreatitis
Chien-Feng Lee1, Meng-Shun Sun, Yen-Kuang Tai
1Department of Internal Medicine, Yuan's General Hospital, Taiwan.
Dipeptidyl peptidase-4 (DPP-4) inhibitors like saxagliptin may trigger acute pancreatitis. This case report highlights the potential link between DPP-4 inhibitor use and pancreatitis development, even when other causes are absent.
Area of Science:
- Endocrinology
- Gastroenterology
- Pharmacology
Background:
- Dipeptidyl peptidase-4 (DPP-4) inhibitors are commonly prescribed for type 2 diabetes.
- The association between DPP-4 inhibitors and acute pancreatitis remains debated.
- Causality requires further investigation in clinical practice.
Observation:
- An 85-year-old woman developed acute pancreatitis after five months of saxagliptin therapy.
- Symptoms included epigastric pain, elevated serum lipase, and characteristic CT findings.
- Pancreatitis resolved upon drug discontinuation and recurred upon re-challenge.
Findings:
- The temporal relationship and recurrence strongly suggest saxagliptin as the causative agent.
- No other risk factors for pancreatitis were identified in this patient.
- This case supports a potential causal link between saxagliptin and acute pancreatitis.
Implications:
- Clinicians should consider DPP-4 inhibitors as a potential cause of acute pancreatitis.
- Further research is needed to establish the incidence and mechanisms of drug-induced pancreatitis.
- This finding may influence prescribing patterns and patient monitoring for DPP-4 inhibitor users.
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Dipeptidyl Peptidase 4 Inhibitors