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了解妊娠期间原发性甲状旁腺功能亢进症所致急性胰腺炎的诊断-治疗算法的重要性。

Importance of understanding a diagnostic-treatment algorithm for primary hyperparathyroidism-induced acute pancreatitis during pregnancy.

作者信息

Kamimura Kenya, Terai Shuji

机构信息

Department of General Medicine, Niigata University, Niigata 9518510, Japan.

Division of Gastroenterology and Hepatology, Graduate School of Medical and Dental Sciences, Niigata University, Niigata 9518510, Japan.

出版信息

World J Gastroenterol. 2025 May 14;31(18):105866. doi: 10.3748/wjg.v31.i18.105866.

Abstract

In this article, we have commented on the article by Augustin . The authors presented a systematic review of the diagnosis, treatment, and outcomes of primary hyperparathyroidism-induced acute pancreatitis in pregnant women. Since acute pancreatitis during pregnancy could cause maternal as well as fetal adverse outcomes, understanding this pathology is essential. Although there are various etiologies of acute pancreatitis during pregnancy, primary hyperparathyroidism is one of the causes that complicate hypercalcemia. Along with conventional treatment for acute pancreatitis, parathyroidectomy can effectively normalize calcium levels and improve acute pancreatitis. Augustin have provided vital information that can enable physicians to understand and treat hyperparathyroidism-induced acute pancreatitis in pregnant women, which could contribute to better maternal and fetal outcomes. In addition, since primary hyperparathyroidism is associated with multiple endocrine neoplasia, further consideration regarding screening for multiple endocrine neoplasia might lead to better prognoses.

摘要

在本文中,我们对奥古斯丁的文章进行了评论。作者对孕妇原发性甲状旁腺功能亢进症所致急性胰腺炎的诊断、治疗及转归进行了系统综述。由于孕期急性胰腺炎可导致母体及胎儿不良结局,了解这一病理情况至关重要。尽管孕期急性胰腺炎有多种病因,但原发性甲状旁腺功能亢进症是导致高钙血症的病因之一。除了对急性胰腺炎的常规治疗外,甲状旁腺切除术可有效使血钙水平正常化并改善急性胰腺炎。奥古斯丁提供了重要信息,使医生能够了解并治疗孕妇甲状旁腺功能亢进症所致急性胰腺炎,这有助于改善母体和胎儿的结局。此外,由于原发性甲状旁腺功能亢进症与多发性内分泌腺瘤病相关,进一步考虑对多发性内分泌腺瘤病进行筛查可能会带来更好的预后。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/546b/12146928/9fb69d99c592/105866-g001.jpg

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