Diabetes and the Pancreatobiliary Diseases

Current Treatment Options in Gastroenterology
Muhammad Shafqet, Kaveh Sharzehi

Abstract

The emphasis of this review article is to bring to the forefront the spectrum of pancreatobiliary disorders and their association with diabetes. We hope to systematically discuss the link between diabetes and disorders of the pancreas including acute and chronic pancreatitis, as well as pancreatic cancer. We also hope to review and highlight the literature with respect to other cancers of the biliary tree including gallbladder and cholangiocarcinoma. Lastly, we discuss diabetes and biliary dyskinesia. Newer cohort studies suggest the presence of diabetes to increase the severity and worsen outcomes in acute pancreatitis. Post pancreatitis diabetes is a novel disease entity being increasingly recognized. The use of pancreatic enzyme replacement therapy (PERT) in chronic pancreatitis may attenuate the risk of endocrine dysfunction. Pancreatic cancer may either be the consequence of diabetes or a presenting manifestation. The use of anti-diabetic medications may confer protection against development of pancreatic cancer. Gallbladder adenocarcinoma and cholangiocarcinoma risks are elevated in those with underlying diabetes. Diabetes can directly impact or deteriorate outcome of acute and chronic pancreatitis and well as pancreatobi...Continue Reading

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Citations

Mar 26, 2019·American Journal of Men's Health·Chien-Hua ChenChia-Hung Kao
Dec 4, 2019·BMJ : British Medical Journal·O Joe Hines, Stephen J Pandol
Jan 16, 2020·Diabetology International·Chia-Hsien Chang, Motonobu Sakaguchi

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