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World J Clin Cases. Oct 26, 2023; 11(30): 7268-7276
Published online Oct 26, 2023. doi: 10.12998/wjcc.v11.i30.7268
Magnetic resonance imaging for acute pancreatitis in type 2 diabetes patients
Yan-Hui Ni, Ling-Ji Song, Bo Xiao
Yan-Hui Ni, Ling-Ji Song, Bo Xiao, Department of Radiology, The Affiliated Hospital of North Sichuan Medical College, Nanchong 637000, Sichuan Province, China
Bo Xiao, Department of Radiology, Bishan Hospital of Chongqing, Bishan Hospital of Chongqing Medical University, Chongqing 402760, China
Author contributions: Ni YH, Song LJ, and Xiao B designed the research study, performed the research, analyzed the data and wrote the manuscript; All authors have read and approve the final manuscript.
Conflict-of-interest statement: The authors declare that they have no conflicts-of-interest.
Open-Access: This article is an open-access article that was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution NonCommercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: https://creativecommons.org/Licenses/by-nc/4.0/
Corresponding author: Bo Xiao, MD, PhD, Associate Professor, Doctor, Department of Radiology, Bishan Hospital of Chongqing, Bishan Hospital of Chongqing Medical University, Chongqing 402760, China. xiaoboimaging@163.com
Received: June 27, 2023
Peer-review started: June 27, 2023
First decision: July 6, 2023
Revised: July 13, 2023
Accepted: September 19, 2023
Article in press: September 19, 2023
Published online: October 26, 2023
Abstract

Type 2 diabetes mellitus (T2DM) and its complications have significantly increased the burden of mortality and disability globally, making diabetes one of the most dangerous and prevalent chronic diseases. Acute pancreatitis (AP) is one of the most frequent gastrointestinal causes for hospital admission, which is a common exocrine pancreatic inflammatory disease that can cause severe abdominal pain and multiple organ dysfunction. There is an inseparable relationship between AP and diabetes. Diabetes is a high risk factor of AP, and patients with AP can develop pancreatogenic diabetes. In T2DM patients, the incidence rate of AP is significantly higher than that of the general population, and the clinical symptoms are more severe, with the majority of cases being moderate to severe AP. This review briefly introduces the pathogenesis and clinical features of AP in T2DM patients, focusing on the magnetic resonance imaging (MRI) manifestations of AP in T2DM patients. Our aim is to evaluate the severity of AP in patients with T2DM by MRI, so as to help clinicians assess the patient's condition and prognosis.

Keywords: Acute pancreatitis, Type 2 diabetes mellitus, Magnetic resonance imaging, Pancreatitis, Severity

Core Tip: Up to the present time, a host of researchers have focused on the type 2 diabetes mellitus (T2DM) clinical manifestations. However, there are currently few investigations on the imaging features of acute pancreatitis (AP) in patients with T2DM. This paper demonstrates that the patients with T2DM have a higher prevalence of AP and more severe clinical manifestations, showing the magnetic resonance imaging findings of AP in T2DM.