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急性胰腺炎可能由司美格鲁肽引起。

Acute Pancreatitis Likely Due to Semaglutide.

作者信息

Hughes Katie, Sumaruth Yovan Ram Kurrun, Mohammed Elmahi, Sant Bakshsingh Vibhootee

机构信息

Medicine, North Manchester General Hospital, Manchester, GBR.

Internal Medicine, North Manchester General Hospital, Manchester, GBR.

出版信息

Cureus. 2024 Sep 21;16(9):e69844. doi: 10.7759/cureus.69844. eCollection 2024 Sep.

DOI:10.7759/cureus.69844
PMID:39308839
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11416045/
Abstract

Semaglutide is a glucagon-like peptide-1 receptor agonist (GLP-1RA) that has gained recent popularity in its effective management of type 2 diabetes mellitus (T2DM) and obesity. Minimal evidence has reported the link between Semaglutide use and acute pancreatitis. In this case report, we discuss the case of a 36-year-old female presenting to the Emergency Department with sudden-onset epigastric pain, subsequently diagnosed with acute pancreatitis. Moreover, she had recently started subcutaneous semaglutide injections for weight loss, which she had procured from one of her acquaintances without seeking medical advice. Semaglutide was thus stopped and her lipase levels normalized with significant improvement of her symptoms, making semaglutide the likely causative factor for her acute pancreatitis. Given the increased use of GLP-1RA, we aim to increase awareness among patients taking this medication whether prescribed or not and increase clinician awareness when prescribing this medication.

摘要

司美格鲁肽是一种胰高血糖素样肽-1受体激动剂(GLP-1RA),最近在有效管理2型糖尿病(T2DM)和肥胖症方面受到广泛关注。关于使用司美格鲁肽与急性胰腺炎之间的关联,目前报道的证据极少。在本病例报告中,我们讨论了一名36岁女性因突发上腹部疼痛就诊于急诊科,随后被诊断为急性胰腺炎的病例。此外,她最近开始自行从熟人处获取皮下注射司美格鲁肽用于减肥,未寻求医疗建议。因此停用了司美格鲁肽,她的脂肪酶水平恢复正常,症状也有显著改善,这使得司美格鲁肽成为她急性胰腺炎的可能病因。鉴于GLP-1RA的使用增多,我们旨在提高服用这种药物的患者(无论是否为处方用药)的认识,并提高临床医生在开具此药时的意识。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/32c7/11416045/1191c7dc0959/cureus-0016-00000069844-i01.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/32c7/11416045/1191c7dc0959/cureus-0016-00000069844-i01.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/32c7/11416045/1191c7dc0959/cureus-0016-00000069844-i01.jpg

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本文引用的文献

1
Risk of Gastrointestinal Adverse Events Associated With Glucagon-Like Peptide-1 Receptor Agonists for Weight Loss.胰高血糖素样肽-1受体激动剂用于减肥时胃肠道不良事件的风险
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Semaglutide and cancer: A systematic review and meta-analysis.司美格鲁肽与癌症:一项系统评价与荟萃分析。
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Association between different GLP-1 receptor agonists and gastrointestinal adverse reactions: A real-world disproportionality study based on FDA adverse event reporting system database.
不同 GLP-1 受体激动剂与胃肠道不良反应的关联性:基于 FDA 不良事件报告系统数据库的真实世界药物不良反应比例性研究。
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Safety of Semaglutide.司美格鲁肽的安全性。
Front Endocrinol (Lausanne). 2021 Jul 7;12:645563. doi: 10.3389/fendo.2021.645563. eCollection 2021.
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Clinical potential of treatment with semaglutide in type 2 diabetes patients.司美格鲁肽治疗2型糖尿病患者的临床潜力。
Drugs Context. 2019 Dec 2;8:212585. doi: 10.7573/dic.212585. eCollection 2019.
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Mechanisms of Action and Therapeutic Application of Glucagon-like Peptide-1.胰高血糖素样肽-1 的作用机制与治疗应用。
Cell Metab. 2018 Apr 3;27(4):740-756. doi: 10.1016/j.cmet.2018.03.001.
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Mirtazapine-Induced Pancreatitis-A Case Report.米氮平诱发胰腺炎——病例报告
J Pharm Pract. 2019 Oct;32(5):586-588. doi: 10.1177/0897190018760645. Epub 2018 Feb 27.
9
Glucagon-like peptide-1 receptor agonists and risk of acute pancreatitis in patients with type 2 diabetes.胰高血糖素样肽-1 受体激动剂与 2 型糖尿病患者急性胰腺炎风险的关系。
Diabetes Obes Metab. 2017 Jun;19(6):906-908. doi: 10.1111/dom.12885. Epub 2017 Mar 17.
10
Semaglutide and Cardiovascular Outcomes in Patients with Type 2 Diabetes.司美格鲁肽与 2 型糖尿病患者的心血管结局
N Engl J Med. 2016 Nov 10;375(19):1834-1844. doi: 10.1056/NEJMoa1607141. Epub 2016 Sep 15.