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食物诱导的急性胰腺炎

Food-Induced Acute Pancreatitis.

作者信息

Manohar Murli, Verma Alok K, Upparahalli Venkateshaiah Sathisha, Goyal Hemant, Mishra Anil

机构信息

Department of Medicine, Section of Pulmonary Diseases, Tulane Eosinophilic Disorders Center, Tulane University School of Medicine, New Orleans, LA, 70112, USA.

Department of Internal Medicine, Mercer University School of Medicine, 707 Pine St., Macon, GA, 31201, USA.

出版信息

Dig Dis Sci. 2017 Dec;62(12):3287-3297. doi: 10.1007/s10620-017-4817-2. Epub 2017 Oct 30.

Abstract

Food allergy, a commonly increasing problem worldwide, defined as an adverse immune response to food. A variety of immune-related effector cells such as mast cells, eosinophils, neutrophils, and T cells are involved in food-related allergic responses categorized as IgE mediated, non-IgE mediated, and mixed (IgE and non-IgE) depending upon underlying immunological mechanisms. The dietary antigens mainly target the gastrointestinal tract including pancreas that gets inflamed due to food allergy and leads acute pancreatitis. Reports indicate several food proteins induce pancreatitis; however, detailed underlying mechanism of food-induced pancreatitis is unexplored. The aim of the review is to understand and update the current scenario of food-induced pancreatitis. A comprehensive literature search of relevant research articles has been performed through PubMed, and articles were chosen based on their relevance to food allergen-mediated pancreatitis. Several cases in the literature indicate that acute pancreatitis has been provoked after the consumption of mustard, milk, egg, banana, fish, and kiwi fruits. Food-induced pancreatitis is an ignored and unexplored area of research. The review highlights the significance of food in the development of pancreatitis and draws the attention of physicians and scientists to consider food allergies as a possible cause for initiation of pancreatitis pathogenesis.

摘要

食物过敏是全球范围内一个普遍日益增加的问题,定义为对食物的不良免疫反应。多种与免疫相关的效应细胞,如肥大细胞、嗜酸性粒细胞、中性粒细胞和T细胞,参与了与食物相关的过敏反应,根据潜在的免疫机制可分为IgE介导、非IgE介导和混合(IgE和非IgE)介导。饮食抗原主要靶向胃肠道,包括因食物过敏而发炎并导致急性胰腺炎的胰腺。报告表明几种食物蛋白会诱发胰腺炎;然而,食物诱发胰腺炎的详细潜在机制尚未得到探索。本综述的目的是了解并更新食物诱发胰腺炎的当前情况。通过PubMed对相关研究文章进行了全面的文献检索,并根据文章与食物过敏原介导的胰腺炎的相关性进行选择。文献中的几个病例表明,食用芥末、牛奶、鸡蛋、香蕉、鱼和猕猴桃后会引发急性胰腺炎。食物诱发的胰腺炎是一个被忽视且未被探索的研究领域。本综述强调了食物在胰腺炎发病中的重要性,并引起医生和科学家的注意,将食物过敏视为胰腺炎发病机制启动的一个可能原因。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/da0c/5718054/d6cb75ea6e69/nihms916674f1.jpg

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本文引用的文献

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Chronic Pancreatitis Associated Acute Respiratory Failure.慢性胰腺炎相关性急性呼吸衰竭
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4
Role of eosinophils in the initiation and progression of pancreatitis pathogenesis.嗜酸性粒细胞在胰腺炎发病机制中的启动和进展中的作用。
Am J Physiol Gastrointest Liver Physiol. 2018 Feb 1;314(2):G211-G222. doi: 10.1152/ajpgi.00210.2017. Epub 2017 Sep 21.
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Elements Involved In Promoting Eosinophilic Gastrointestinal Disorders.促进嗜酸性胃肠道疾病的相关因素。
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Non-IgE-mediated gastrointestinal food allergies in children.儿童非IgE介导的胃肠道食物过敏
Pediatr Allergy Immunol. 2017 Feb;28(1):6-17. doi: 10.1111/pai.12659. Epub 2016 Nov 3.
8
Dietary Factors Reduce Risk of Acute Pancreatitis in a Large Multiethnic Cohort.饮食因素可降低大型多民族队列中急性胰腺炎的风险。
Clin Gastroenterol Hepatol. 2017 Feb;15(2):257-265.e3. doi: 10.1016/j.cgh.2016.08.038. Epub 2016 Sep 5.
10
The Prevalence and Natural History of Food Allergy.食物过敏的流行状况和自然病史。
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