Hart Phil A, Bradley David, Conwell Darwin L, Dungan Kathleen, Krishna Somashekar G, Wyne Kathleen, Bellin Melena D, Yadav Dhiraj, Andersen Dana K, Serrano Jose, Papachristou Georgios I
Division of Gastroenterology, Hepatology, and Nutrition, The Ohio State University Wexner Medical Center, Columbus, OH, USA.
Division of Endocrinology, Diabetes, and Metabolism, The Ohio State University Wexner Medical Center, Columbus, OH, USA.
Lancet Gastroenterol Hepatol. 2021 Aug;6(8):668-675. doi: 10.1016/S2468-1253(21)00019-4. Epub 2021 Jun 3.
Diabetes represents a group of diseases involving persistent hyperglycaemia. Exocrine disorders of the pancreas are increasingly recognised to cause or precede the onset of diabetes, which in this context is referred to as pancreatogenic or type 3c diabetes. Diabetes, as a sequela of acute pancreatitis, is observed across the spectrum of severity in acute pancreatitis and can be associated with other clinical complications. The pathophysiology of acute pancreatitis-related diabetes is poorly understood, and observations suggest that it is probably multifactorial. In this Review, we discuss the epidemiology, pathophysiology, and management considerations of diabetes following acute pancreatitis, and highlight knowledge gaps in this topic.
糖尿病是一组涉及持续性高血糖的疾病。胰腺外分泌功能障碍越来越被认为会导致糖尿病的发生或在其发病之前出现,在这种情况下,糖尿病被称为胰腺源性糖尿病或3c型糖尿病。作为急性胰腺炎的后遗症,糖尿病在急性胰腺炎的整个严重程度范围内都有观察到,并且可能与其他临床并发症相关。急性胰腺炎相关性糖尿病的病理生理学尚不清楚,观察结果表明其可能是多因素的。在本综述中,我们讨论了急性胰腺炎后糖尿病的流行病学、病理生理学和管理方面的考虑因素,并强调了该主题中的知识空白。