Clinic for Gastroenterology and Hepatology, Clinical Center of Serbia, Belgrade, Serbia.
School of Medicine, University of Belgrade, Belgrade, Serbia.
Postgrad Med J. 2017 Apr;93(1098):226-230. doi: 10.1136/postgradmedj-2016-134546. Epub 2017 Jan 9.
Obesity is a growing problem worldwide and disorders associated with excess body fat including the metabolic syndrome, type 2 diabetes mellitus (T2DM), cardiovascular disease and malignant neoplasms are becoming a major cause of morbidity and mortality. Over the past decade, a vast amount of research has furthered our understanding of non-alcoholic fatty liver disease; however, only recently pancreatic fat infiltration is coming to the forefront of investigation. Termed non-alcoholic fatty pancreas disease (NAFPD), it is becoming evident that it has important associations with other diseases of obesity. It appears to arise as obesity progresses and after an initial phase of pancreatic hypertrophy and hyperplasia, fatty infiltration becomes apparent. Various studies have demonstrated that NAFPD may exacerbate the severity of acute pancreatitis, promote pancreatic dysfunction associated with insulin resistance and T2DM, and even have links to the development of pancreatic carcinoma, and therefore, it must be investigated in further detail.
肥胖是一个全球性的日益严重的问题,与过多体脂相关的疾病,包括代谢综合征、2 型糖尿病(T2DM)、心血管疾病和恶性肿瘤,正成为发病率和死亡率的主要原因。在过去的十年中,大量的研究进一步加深了我们对非酒精性脂肪性肝病的理解;然而,直到最近,胰腺脂肪浸润才成为研究的焦点。这种被称为非酒精性脂肪性胰腺病(NAFPD)的疾病,与肥胖相关的其他疾病有着重要的关联,这一点变得越来越明显。它似乎随着肥胖的发展而出现,在经历了最初的胰腺肥大和增生阶段后,脂肪浸润变得明显。多项研究表明,NAFPD 可能会加重急性胰腺炎的严重程度,促进与胰岛素抵抗和 T2DM 相关的胰腺功能障碍,甚至与胰腺癌的发展有关,因此,需要进一步详细研究。