Tariq Hassan, Nayudu Suresh, Akella Sai, Glandt Mariela, Chilimuri Sridhar
Bronx Lebanon Hospital Center, Department of Medicine, 1650 Selwyn Ave., Suite #10C, Bronx, NY 10457, USA.
Gastroenterology Res. 2016 Dec;9(6):87-91. doi: 10.14740/gr731w. Epub 2016 Dec 23.
There is an epidemic of obesity worldwide. The prevalence of obesity has doubled over the last three decades. Obesity, especially abdominal obesity is associated with insulin resistance that can lead to pancreatic steatosis and non-alcoholic fatty pancreatic disease (NAFPD). NAFPD describes a phenotype entity ranging from deposition of fat in the pancreas to pancreatic inflammation, and resultant fibrosis, which is similar to that of non-alcoholic fatty liver disease (NAFLD). NAFPD may represent a meaningful manifestation of metabolic syndrome. Pancreatic steatosis can be diagnosed on ultrasound, computed tomography (CT) scan or magnetic resonance imaging (MRI). In addition to a correlation between pancreatic steatosis and metabolic syndrome, pancreatic steatosis may lead to a worse outcome in pancreatitis and may be an etiological factor in pancreatic cancer, but we need further research to examine the associations, pathophysiology, and the impact of pancreatic steatosis and NAFPD on the human health.
全球肥胖现象盛行。在过去三十年中,肥胖患病率翻了一番。肥胖,尤其是腹型肥胖,与胰岛素抵抗相关,胰岛素抵抗可导致胰腺脂肪变性和非酒精性脂肪性胰腺疾病(NAFPD)。NAFPD描述了一个表型实体,范围从胰腺脂肪沉积到胰腺炎症,以及由此产生的纤维化,这与非酒精性脂肪性肝病(NAFLD)相似。NAFPD可能是代谢综合征的一种有意义的表现。胰腺脂肪变性可通过超声、计算机断层扫描(CT)或磁共振成像(MRI)进行诊断。除了胰腺脂肪变性与代谢综合征之间的关联外,胰腺脂肪变性可能导致胰腺炎预后更差,并且可能是胰腺癌的一个病因,但我们需要进一步研究来探讨胰腺脂肪变性和NAFPD之间的关联、病理生理学以及它们对人类健康的影响。