,6€H
gU*iF
Liu
Yong-Mei
DIABETES AND
PANCREATITIS
Many diabetic patients exhibit
a
close correlation between severity
ol
their diabetes and pancreatic inflamma-
tion.
Reflux of bile or duodenal con-
tents into the pancreatic ducts
is pos-
tulated
as
the etiologic factor
in
the pro-
duction of acute
pancreatitis.
Recur-
rent upper abdominal pain may be the
outstanding
symptom.
The
degree
of
pain varies
with
the severity
of
the pan-
creatic injury,
and
in most cases it
is
mild
and
may
simulate
acute gastritis.
The
location
of
the
pain
is
uncertain.
Within
8
hr or onset, serum amylase
values provide the most helpful labora-
tory information. After 48
hr urinary
amylase values may be
a
helpful index
of
the
disease.
Any
diabetic
patient
with
pain
in
the
abdomen
or
back should
suggest the possibility
of
pancreatitis.
However, it should be noted that the
above symptomes are not
only
specific
for
pancreatitis.
lf pancreatitis
is
highly
suspected, the diagnosis can
be
estab-
lished by
the
measurement of pancre-
atic
enzymes,
by
exclusion
of
conditions
most
likely
to mimic pancreatitis and by
the
course of the disease.
-fiS,]€Yfi,T
'
'dSRffiiEE#
ftffi-nFffi.EEH.=X.H&+2r
HE!{t#f*ffil,
4dt
*c
H
WrEx-
XT
-
XE
- ffi+iH,fL#SE #rrhAA*
wffidw.h*F,
,
ffiiEjrj4rEE
ffiflRln6?frlHf+
,
WffiE#r#a
4e€
ffi
E
I
frsfiA
ttitr
tiil
Fu
JFflF
m'
&*.ffiffi/€#J#+-
"
HftFnRt,
6E
H6+
&.ffi
Rffi
ffJ ++
AEffi
@EI
4
I
tl
tBffi
&EI
E
I
*sffi
flR
t€
#J
&
+.
"
ffinFr€ffiHftffieF!&&.
,
E-18
*x.FJ
5
I
tc
ffi
H
#.
ffJ
h WW,9,
)naffi
F-IftHtffi'16' mAEl frsF
&.rEu.t
FlW
R.',Fffi
F'ffiW
t>)
WfriJfrifr,e-+ft
"
ffiRffieffiffiflflft.ffi.+w
+.4#8.8+
_L.F'fi
,
{E]FTfr
H
-M.ffiflFft#J#.ET€f.EH&ffi
'
EI AAFqffi
Wl+Rrffi ,
ffii
*.rR
H,
W
,L.
IEFA
Ho'lFLt
&hffi
E'
ttHtrJ
##H€.'L+HW^.
"
Fy(
,ffiL
PJ+Aitljm'ffimmeF?6F
"
€H
TE
,
+_L.FEffiTIF,&#EE
[EHZKi€ffi,
4KA4FT,E'HT
rR, a'wffi/\Fj
FEttE FIH
gfJ.fn
4+
Lffi_lffiE.fE[*tr.fn
"
ffi+nh.ffi
ffi.^.
,
trH'#.8&r84ffiffi.^D-
ffi,,t+ffiRffi
,ffi),+.fr&€ffi,
}EM'
F
F!
*.IEtr-I
A
ffi
E#&,EI
D)-TEH
+
'
Ef,'TLffifr-,\trlA
ffiA.H"*.W
,ffirE4,t6'€,
€F
Ffi6E
#8
"
*t$/ffiEffi€^ffiffi&tr
tr+ffi
tIE
rh&Htw. , friftfr.wx+-rBH,
&xffimftx-+.ft '
trtbtEt{+
HEWfr.frJN
D)
Ffi
h,
-.EJT
ffi,H,
74
ffi
#Jffiffi,
H*R+HFFrtffiffi.*.Vs
4X+.
,.ffiFlJEb,Hr$**R
'
t1E_L.
tzffi.
"
ffi
ffir
-.- \
ffi
ffi
ffi
,m
fr.+ *-Etr,^-tTilFlJ
T
f.iffi
Rffi
EE
E l+AfiEf,fr.,
ffi
h
E+rF,,\tr*
1I
tu
E
A
{J
E+H,
*HR;E
fr
,tr
tFi6iff
in
E,
EtHfu
*E
*
.
{#H
Ffr
ffi
tgrtr
E+trft
++
R
t
rF,,
lE
E
f,#,iE
F€ Jm
-*.
E
&
E,
EEffiB+€FrEff
)rnD/ffiPfr
E)6.ffi
H!'
E&Ei+€tt)H
+2
