The prevalence of diabetes in patients with acute necrotizing pancreatitis and exacerbation of chronic pancreatitis
AbstractDiabetes mellitus is declared as a “non-infectious epidemic” of the 21st century, its prevalence is steadily increasing year by year, and the frequency of acute and chronic pancreatitis is similarly increasing. Hyperglycemia against the background of destruction of the pancreas makes a significant contribution to both the tactics of patient management and its prognosis. Given that acute and chronic pancreatitis take a significant place in the structure of patients of abdominal surgeons, the relevance of studying carbohydrate metabolism disorders in this group of patients is beyond doubt. The study demonstrated that in the case of acute necrotizing pancreatitis for the first time, a previously established diagnosis of diabetes mellitus is present in 11% of patients, while with a targeted assessment of carbohydrate metabolism, the diagnosis can be established in 19% of patients without previously diagnosed disorders of carbohydrate metabolism. With exacerbation of chronic pancreatitis, diabetes mellitus is already present in 50% of patients. On average, diabetes mellitus develops 1 year after an episode of acute necrotizing pancreatitis.
Keywords:diabetes mellitus; pancreatitis; acute necrotizing pancreatitis; glucose
Funding. The study had no sponsor support.
Conflict of interest. The authors declare no conflict of interest.
For citation: Golodnikov I.I., Amikishieva K.A., Ametov A.S., Pashkova E. Yu. The prevalence of diabetes in patients with acute necrotizing pancreatitis and exacerbation of chronic pancreatitis. Clinical case. Endokrinologiya: novosti, mneniya, obuchenie [Endocrinology: News, Opinions, Training]. 2022; 11 (3): 103–5. DOI: https://doi.org/10.33029/2304-9529-2022-11-3-103-105 (in Russian)