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Mechanism of acute pancreatitis complicated with injury of intestinal mucosa barrier
Authors:Zhang Xi-ping  Zhang Jie  Song Qiao-ling  Chen Han-qin
Institution:(1) Department of General Surgery, Hangzhou First People’s Hospital, Hangzhou, 310006, China;(2) The First College of Clinical Medicine, Zhejiang University of Traditional Chinese Medicine, Hangzhou, 310053, China
Abstract:Acute pancreatitis (AP) is a common acute abdomen in clinic with a rapid onset and dangerous pathogentic condition. AP can cause an injury of intestinal mucosa barrier, leading to translocation of bacteria or endotoxin through multiple routes, bacterial translocation (BT), gutorigin endotoxaemia, and secondary infection of pancreatic tissue, and then cause systemic inflammatory response syndrome (SIRS) or multiple organ dysfunction syndrome (MODS), which are important factors influencing AP’s severity and mortality. Meanwhile, the injury of intestinal mucosa barrier plays a key role in AP’s process. Therefore, it is clinically important to study the relationship between the injury of intestinal mucosa barrier and AP. In addition, many factors such as microcirculation disturbance, ischemical reperfusion injury, excessive release of inflammatory mediators and apoptosis may also play important roles in the damage of intestinal mucosa barrier. In this review, we summarize studies on mechanisms of AP. Project supported by the Traditional Chinese Medicine Science of Zhejiang Province (Nos. 2003C130 and 2004C142), the Medical Science and Technology of Zhejiang Province (No. 2003B134), and the Technological Development of Hangzhou (No. 2003123B19), China
Keywords:Acute pancreatitis (AP)  Intestinal mucosa barrier  Microcirculation disturbance  Apoptosis  Inflammatory mediators
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