メタボリックシンドロームを伴った慢性膵炎の1例

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タイトル別名
  • A Case of Chronic Pancreatitis in Conjunction with Metabolic Syndrome
  • メタボリックシンドローム オ トモナッタ マンセイスイエン ノ 1レイ

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To date there have been no clinical research reports illustrating a clear relationship between metabolic syndrome and chronic pancreatitis. The author experienced a case of chronic pancreatitis in conjunction with metabolic syndrome. 　　A 25-year-old male visited the author’s facility for complaints of back pain, lumbago and general fatigue in 2007. Body mass index(BMI) of 29, waist circumference of 93 cm, hypertension, and hyperlipidemia were observed; on this basis, metabolic syndrome was diagnosed. Serum amylase value was low, and abdominal ultrasonography demonstrated enlargement of the head of the pancreas. The patient had visited the author’s facility for complaints of repeated upper abdominal pain and diarrhea in 1999 (at age 18 years), then BMI of 27 , hypercholesterolemia, low serum amylase, and fatty liver were observed. In 2008 (at age 26 years), hyperechoic　were observed on the head of the pancreas, serum amylase value was also low, and chronic pancreatitis was diagnosed on this basis. The patient enjoyed fried foods and had ongoing, long-term dietary habits including consumption of 2 or more commercial soft drinks per day and rapid eating.

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