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糖尿病是急性胰腺炎的结果
Ericka Charley1, Brett Dinner2, Kimberly Pham2
1Department of Gastroenterology, Creighton University - St. Joseph's Hospital and Medical Center Phoenix, AZ 85013, United States. erickaziggycharley@gmail.com.
World journal of gastroenterology
|September 4, 2023
概括
急性胰腺炎 (AP) 越来越多地与一种独特的糖尿病类型有关,即外分胰腺糖尿病 (DEP). 本综述澄清了AP与糖尿病的联系,为更好的患者护理提供了诊断指南.
科学领域:
- 内分泌学 在内分泌学.
- 胃肠病学 胃肠病学
- 代谢疾病 代谢疾病
背景情况:
- 糖尿病类别传统上包括1型,2型和妊娠期糖尿病.
- 急性胰腺炎 (AP) 发病率的上升凸显出一种不太被认可的形式,即外分胰腺糖尿病 (DEP).
- 关于导致糖尿病的胰腺外分功能障碍的现有知识对于慢性胰腺炎比AP更为成熟.
研究的目的:
- 综合审查AP相关糖尿病的流行,流行病学和病理生理学.
- 确定未来的AP相关糖尿病研究方向.
- 为管理患有AP相关糖尿病的临床医生提出查和诊断算法.
主要方法:
- 文献综述专注于急性胰腺炎和糖尿病之间的关系.
- 对流行病学数据和病理生理机制的分析.
- 基于当前证据的临床算法的开发.
主要成果:
- 急性胰腺炎是糖尿病的新兴原因,与传统类型不同.
- 目前关于AP导致糖尿病的后果的数据有限.
- 该审查综合了现有知识,并确定了了解AP相关糖尿病的差距.
结论:
- 由于急性胰腺炎的次要原因,外分胰腺糖尿病需要更大的临床认可.
- 需要进一步的研究来充分阐明病理生理学和长期结果.
- 建议采用标准化查和诊断方法来改善患者管理.
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