Alterations in exocrine pancreatic function after acute pancreatitis

被引:3
作者
Bejjani, Joseph [1 ]
Ramsey, Mitchell L. [1 ]
Lee, Peter J. [1 ]
Phillips, Anna Evans [2 ]
Singh, Vikesh K. [3 ]
Yadav, Dhiraj [2 ]
Papachristou, Georgios I. [1 ]
Hart, Phil A. [1 ]
机构
[1] Ohio State Univ, Wexner Med Ctr, Div Gastroenterol Hepatol & Nutr, Columbus, OH 43210 USA
[2] Univ Pittsburgh, Med Ctr, Div Gastroenterol, Pittsburgh, PA USA
[3] Johns Hopkins Med Inst, Div Gastroenterol, Baltimore, MD USA
关键词
Exocrine pancreatic insufficiency; Exocrine pancreatic dysfunction; Pancreatic enzymes; TRANSMEMBRANE CONDUCTANCE REGULATOR; FECAL ELASTASE-1 DETERMINATION; DIABETES-MELLITUS; FLUID RESUSCITATION; STELLATE CELLS; ACINAR-CELL; INSUFFICIENCY; PREVALENCE; NECROSIS; DISEASES;
D O I
10.1016/j.pan.2024.03.003
中图分类号
R57 [消化系及腹部疾病];
学科分类号
摘要
Exocrine pancreatic dysfunction (EPD) is a malabsorptive complication of pancreatic disorders that can lead to a host of symptoms ranging from flatulence to diarrhea and contribute to weight loss and metabolic bone disease. It is increasingly recognized to occur after acute pancreatitis (AP), including episodes with mild severity. The risk of developing EPD after AP is influenced by a range of factors, including the degree of acinar cell destruction and inflammation during AP, and persistent structural derangements following AP. In this article, we discuss the epidemiology, pathophysiology, and clinical management of EPD after AP while highlighting key knowledge gaps. (c) 2024 The Authors. Published by Elsevier B.V. on behalf of IAP and EPC. This is an open access article under the CC BY license (http://creativecommons.org/licenses/by/4.0/).
引用
收藏
页码:505 / 510
页数:6
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