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Acute Pancreatitis: Genetic Risk and Clinical Implications

机译:急性胰腺炎:遗传风险和临床意义

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摘要

Acute pancreatitis (AP) is one of the most common gastroenterological indications for emergency admittance and hospitalization. Gallstones, alcohol consumption or the presence of additional initiating factors give rise to a disease with a diverse clinical appearance and a hard-to predict course of progression. One major challenge in the treatment of AP patients is the early identification of patients at risk for the development of systemic complications and organ failure. In addition, 20%–30% of patients with a first episode of AP later experience progress to recurrent or chronic disease. Complex gene–environment interactions have been identified to play a role in the pathogenesis of pancreatitis, but so far no predictive genetic biomarkers could be implemented into the routine clinical care of AP patients. The current review explains common and rare etiologies of acute pancreatitis with emphasis on underlying genetic aberrations and ensuing clinical management.
机译:急性胰腺炎(AP)是应急入境和住院治疗最常见的胃肠学迹象之一。胆结石,酒精消费或额外的启动因子的存在引起疾病,临床外观多样化,难以预测进展。治疗AP患者的一个主要挑战是早期鉴定出于系统性并发症和器官衰竭的风险风险。此外,20%-30%的患者患者的第一个AP的患者以后经历转发或慢性疾病的进展。已经识别复杂的基因环境相互作用在胰腺炎的发病机制中起作用,但到目前为止没有可预测的遗传生物标志物可以在AP患者的常规临床护理中实施。目前的评论解释了急性胰腺炎的常见和稀有病因,重点是潜在的遗传像差和随后的临床管理。

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