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糖尿病性肠神经病:对胃肠道功能的影响。

Enteric neuropathy in diabetes: Implications for gastrointestinal function.

机构信息

Department of Human Biology, School of Medicine, International Medical University, Bukit Jalil 57000, Kuala Lumpur, Malaysia.

出版信息

World J Gastroenterol. 2024 Jun 14;30(22):2852-2865. doi: 10.3748/wjg.v30.i22.2852.

Abstract

Diabetes, commonly known for its metabolic effects, also critically affects the enteric nervous system (ENS), which is essential in regulating gastrointestinal (GI) motility, secretion, and absorption. The development of diabetes-induced enteric neuropathy can lead to various GI dysfunctions, such as gastroparesis and irregular bowel habits, primarily due to disruptions in the function of neuronal and glial cells within the ENS, as well as oxidative stress and inflammation. This editorial explores the pathophysiological mechanisms underlying the development of enteric neuropathy in diabetic patients. Additionally, it discusses the latest advances in diagnostic approaches, emphasizing the need for early detection and intervention to mitigate GI complications in diabetic individuals. The editorial also reviews current and emerging therapeutic strategies, focusing on pharmacological treatments, dietary management, and potential neuromodulatory interventions. Ultimately, this editorial highlights the necessity of a multidisciplinary approach in managing enteric neuropathy in diabetes, aiming to enhance patient quality of life and address a frequently overlooked complication of this widespread disease.

摘要

糖尿病通常以其代谢影响而闻名,也会严重影响肠神经系统(ENS),ENS 对于调节胃肠道(GI)运动、分泌和吸收至关重要。糖尿病引起的肠神经病的发展会导致各种胃肠道功能障碍,如胃轻瘫和不规则的排便习惯,主要是由于 ENS 中的神经元和神经胶质细胞的功能障碍,以及氧化应激和炎症。本社论探讨了糖尿病患者肠神经病发展的病理生理机制。此外,它还讨论了诊断方法的最新进展,强调需要早期发现和干预,以减轻糖尿病个体的胃肠道并发症。社论还回顾了当前和新兴的治疗策略,重点是药物治疗、饮食管理和潜在的神经调节干预。最终,本社论强调了在糖尿病中管理肠神经病需要多学科方法,旨在提高患者的生活质量,并解决这种广泛疾病中经常被忽视的并发症。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f3f6/11212710/9234d1dd4b53/WJG-30-2852-g001.jpg

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