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对犬胰腺炎的病因、危险因素和发病机制的新认识:对临床实践的潜在影响。

New insights into the etiology, risk factors, and pathogenesis of pancreatitis in dogs: Potential impacts on clinical practice.

机构信息

Department of Small Animal Clinical Sciences, College of Veterinary Medicine, Michigan State University, East Lansing, Michigan, USA.

Gastrointestinal Laboratory, Department of Small Animal Clinical Sciences, College of Veterinary Medicine and Biomedical Sciences, Texas A&M University, Texas, USA.

出版信息

J Vet Intern Med. 2022 May;36(3):847-864. doi: 10.1111/jvim.16437. Epub 2022 May 12.

Abstract

While most cases of pancreatitis in dogs are thought to be idiopathic, potential risk factors are identified. In this article we provide a state-of-the-art overview of suspected risk factors for pancreatitis in dogs, allowing for improved awareness and detection of potential dog-specific risk factors, which might guide the development of disease prevention strategies. Additionally, we review important advances in our understanding of the pathophysiology of pancreatitis and potential areas for therapeutic manipulation based thereof. The outcome of pathophysiologic mechanisms and the development of clinical disease is dependent on the balance between stressors and protective mechanisms, which can be evaluated using the critical threshold theory.

摘要

虽然大多数犬胰腺炎病例被认为是特发性的,但仍确定了一些潜在的危险因素。本文提供了犬胰腺炎疑似危险因素的最新概述,有助于提高对潜在犬特异性危险因素的认识和检测,从而可能指导疾病预防策略的制定。此外,我们还回顾了对胰腺炎病理生理学和潜在治疗干预靶点理解的重要进展。病理生理机制的结果和临床疾病的发展取决于应激因素和保护机制之间的平衡,可以使用关键阈值理论进行评估。

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