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生酮饮食相关的急性胰腺炎:一例报告

Acute Pancreatitis Associated With Ketogenic Diet: A Case Report.

作者信息

Shanti Ibrahim, Samardali Malik, Alhusari Leena

机构信息

Internal Medicine, Marshall University Joan C. Edwards School of Medicine, Huntington, USA.

出版信息

Cureus. 2024 Apr 3;16(4):e57547. doi: 10.7759/cureus.57547. eCollection 2024 Apr.

DOI:10.7759/cureus.57547
PMID:38707014
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11068285/
Abstract

This case study explores the relationship between acute pancreatitis and the ketogenic diet, a dietary approach characterized by low carbohydrate and high fat intake. The report details the experience of a 47-year-old woman who developed intense abdominal pain and vomiting following her self-prescribed ketogenic diet for weight loss. The patient had a medical history of hypertension, depression, and hypothyroidism. Laboratory findings indicated elevated levels of lipase and amylase, confirming the diagnosis of acute pancreatitis. Imaging procedures, including CT scans, further substantiated the diagnosis. The case underscores the potential association between the ketogenic diet and the onset of acute pancreatitis, emphasizing the necessity for healthcare professionals to consider dietary elements in the assessment and treatment of such cases. Additionally, the discussion explores the mechanisms, causes, and complications of acute pancreatitis, shedding light on the increasing interest in the ketogenic diet for weight management and its potential implications for pancreatic health. The study advocates for heightened awareness among healthcare practitioners concerning the risks linked to low-carbohydrate, high-fat diets, urging careful consideration and supervision for individuals contemplating their adoption.

摘要

本案例研究探讨了急性胰腺炎与生酮饮食之间的关系,生酮饮食是一种以低碳水化合物和高脂肪摄入为特点的饮食方式。该报告详细介绍了一名47岁女性的经历,她在自行采用生酮饮食减肥后出现了剧烈腹痛和呕吐症状。该患者有高血压、抑郁症和甲状腺功能减退的病史。实验室检查结果显示脂肪酶和淀粉酶水平升高,确诊为急性胰腺炎。包括CT扫描在内的影像学检查进一步证实了诊断。该案例强调了生酮饮食与急性胰腺炎发病之间的潜在关联,强调了医疗保健专业人员在评估和治疗此类病例时考虑饮食因素的必要性。此外,讨论还探讨了急性胰腺炎的发病机制、病因和并发症,揭示了人们对生酮饮食用于体重管理的兴趣日益增加及其对胰腺健康的潜在影响。该研究主张提高医疗从业者对低碳水化合物、高脂肪饮食相关风险的认识,敦促对考虑采用此类饮食的个体进行仔细考虑和监督。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/44e6/11068285/4957ad7d8dbd/cureus-0016-00000057547-i01.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/44e6/11068285/4957ad7d8dbd/cureus-0016-00000057547-i01.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/44e6/11068285/4957ad7d8dbd/cureus-0016-00000057547-i01.jpg

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本文引用的文献

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The role of proteomics in acute pancreatitis: new and old knowledge.蛋白质组学在急性胰腺炎中的作用:新的和旧的知识。
Expert Rev Proteomics. 2024 Jan-Mar;21(1-3):115-123. doi: 10.1080/14789450.2024.2320810. Epub 2024 Feb 23.
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Severe Hypertriglyceridemia-Induced Necrotizing Pancreatitis Associated With Ketogenic Diet in a Well-Controlled Patient With Type 2 Diabetes Mellitus.
在一名血糖控制良好的2型糖尿病患者中,严重高甘油三酯血症诱发的坏死性胰腺炎与生酮饮食相关。
Cureus. 2022 Jan 2;14(1):e20879. doi: 10.7759/cureus.20879. eCollection 2022 Jan.
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Recurrent acute pancreatitis during a ketogenic diet-a case report and literature review.生酮饮食期间复发性急性胰腺炎——病例报告及文献综述
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