Petrov Maxim S
Department of Surgery, University of Auckland, Auckland, New Zealand.
Pancreatology. 2017 Jul-Aug;17(4):523-526. doi: 10.1016/j.pan.2017.06.007. Epub 2017 Jun 19.
Multidisciplinary teams, including gastroenterologists, endocrinologists, surgeons, dietitians, primary care physicians, and other health professionals, are involved in management of individuals with diabetes of the exocrine pancreas (DEP). This necessitates introduction of a uniform terminology to ensure proper communication and reporting. Because DEP is a form of secondary diabetes mellitus, it makes sense to align the evolving DEP lexicon with nomenclature and diagnostic standards advocated by a world leading professional body in the field of diabetes such as the American Diabetes Association. This Editorial offers a historical excursus on the terms used and proposes a new concise nomenclature and diagnostic criteria. This new taxonomy of DEP, compliant with the American Diabetes Association standards of diagnosis and care for patients with diabetes mellitus, will ensure standardisation of reporting in future clinical studies on DEP and enable a dynamic incorporation of glucose dysregulation mechanisms related specifically to diseases of the exocrine pancreas as new evidence emerges.
多学科团队，包括胃肠病学家、内分泌学家、外科医生、营养师、初级保健医生和其他健康专业人员，参与外分泌胰腺糖尿病（DEP）患者的管理。这就需要引入统一的术语，以确保准确的沟通和报告。由于DEP是继发性糖尿病的一种形式，因此将不断发展的DEP词汇与糖尿病领域的世界领先专业机构（如美国糖尿病协会）所倡导的命名法和诊断标准保持一致是有意义的。本社论对所使用的术语进行了历史回顾，并提出了一种新的简洁命名法和诊断标准。这种新的DEP分类法符合美国糖尿病协会对糖尿病患者的诊断和护理标准，将确保未来DEP临床研究报告的标准化，并能随着新证据的出现，动态纳入与外分泌胰腺疾病相关的葡萄糖调节异常机制。
