Diabetes and pancreatic cancer: Exploring the two-way traffic

被引:53
作者
Roy, Ayan [1 ,2 ]
Sahoo, Jayaprakash [1 ]
Kamalanathan, Sadishkumar [1 ]
Naik, Dukhabandhu [1 ]
Mohan, Pazhanivel [3 ]
Kalayarasan, Raja [4 ]
机构
[1] Jawaharlal Inst Postgrad Med Educ & Res, Dept Endocrinol, Room 5444,4th Floor,Superspecialty Block, Pondicherry 605006, India
[2] All India Inst Med Sci, Dept Endocrinol & Metab, Jodhpur 342005, Rajasthan, India
[3] Jawaharlal Inst Postgrad Med Educ & Res, Dept Gastroenterol, Pondicherry 605006, India
[4] Jawaharlal Inst Postgrad Med Educ & Resenrch, Dept Surg Gastroenterol, Pondicherry 605006, India
关键词
Chronic pancreatitis; Diabetes; New onset diabetes; Pancreatic adenocarcinoma; Pancreatic cancer; Type 3c diabetes; LONG-TERM SURVIVAL; ISLET AMYLOID POLYPEPTIDE; POOR GLYCEMIC CONTROL; BLOOD-GLUCOSE LEVELS; BETA-CELL FUNCTION; NEW-ONSET; INSULIN-RESISTANCE; DUCTAL ADENOCARCINOMA; ANTIDIABETIC MEDICATIONS; METFORMIN USE;
D O I
10.3748/wjg.v27.i30.4939
中图分类号
R57 [消化系及腹部疾病];
学科分类号
摘要
Pancreatic cancer (PC) is often associated with a poor prognosis. Long-standing diabetes mellitus is considered as an important risk factor for its development. This risk can be modified by the use of certain antidiabetic medications. On the other hand, new-onset diabetes can signal towards an underlying PC in the elderly population. Recently, several attempts have been made to develop an effective clinical tool for PC screening using a combination of history of new-onset diabetes and several other clinical and biochemical markers. On the contrary, diabetes affects the survival after treatment for PC. We describe this intimate and complex two-way relationship of diabetes and PC in this review by exploring the underlying pathogenesis.
引用
收藏
页码:4939 / 4962
页数:24
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