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Chronic pancreatitis and the heart disease:Still terra incognita?

World Journal of Gastroenterology 2019年第44期25卷 6561-6570页

作者： Sara Nikolic ana dugic Corinna Steiner Apostolos V Tsolakis Ida Marie Haugen Lofman J-Matthias Lohr Miroslav Vujasinovic Department of Medicine Huddinge Karolinska InstituteStockholm 14183Sweden Department of Gastroenterology Division of Internal MedicineUniversity Medical Centre MariborMaribor 2000Slovenia Department of Medicine Klinikum BayreuthBayreuth 95445Germany Department for Digestive Diseases Karolinska University HospitalStockholm 14186Sweden Department of Oncology and Pathology Karolinska InstituteStockholm 17176Sweden Cancer Centre Karolinska CCKKarolinska University HospitalStockholm 17176Sweden Unit of Cardiology Heart and Vascular ThemeKarolinska University Hospital HuddingeStockholm 14186Sweden Department of Medicine Solna Karolinska InstituteStockholm 17176Sweden Department of Clinical Science Interventionand Technology(CLINTEC)Karolinska InstituteStockholm 17176Sweden

BACKGROUND It has been suggested that chronic pancreatitis(CP)may be an independent risk factor for development of cardiovascular disease(CVD).At the same time,it seems that congestive heart failure(CHF)and CP share the responsibility for the development of important clinical conditions such as sarcopenia,cachexia and malnutrition due to development of cardiac cachexia and pancreatic exocrine insufficiency(PEI),*** To explore the evidence regarding the association of CP and heart disease,more specifically CVD and *** A systematic search of MEDLINE,Web of Science and Google Scholar was performed by two independent investigators to identify eligible studies where the connection between CP and CVD was *** search was limited to articles in the English *** last search was run on the 1st of May *** primary outcomes were:(1)Incidence of cardiovascular event[acute coronary syndrome(ACS),chronic coronary disease,peripheral arterial lesions]in patients with established CP;and(2)Incidence of PEI in patients with *** Out of 1166 studies,only 8 were eligible for this *** regarding PEI and CHF showed an important incidence of PEI as well as associated malabsorption of nutritional markers(vitamin D,selenium,phosphorus,zinc,folic acid,and prealbumin)in patients with ***,after substitution of pancreatic enzymes,it seems that,at least,loss of appetite was *** the other side,studies investigating cardiovascular events in patients with CP showed that,in CP cohort,there was a 2.5-fold higher incidence of *** another study,patients with alcohol–induced CP with concomitant type 3c diabetes had statistically significant higher incidence of carotid atherosclerotic plaques in comparison to patients with diabetes mellitus of other *** studies demonstrated a marked correlation between the clinical symptoms in CP and chronic coronary ***,statistically significant higher incidenc

关键词： Chronic Pancreatitis Pancreatic exocrine insufficiency Heart failure Cardiovascular diseases

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