title: The crosstalk between gut inflammation and gastrointestinal disorders during acute pancreatitis.
abstract: The intestinal inflammation caused by intestinal ischemia reperfusion during acute pancreatitis (AP) often leads to multiple organ dysfunction and aggravation of acute pancreatitis. This review concerns up-date progress of the pathophysiology and molecular mechanism of the excessive production of gut-derived cytokines. The regulation effects of immuno-neuro-endocrine network for pancreatic necrosis are the basis for pharmacological therapeutic in AP. The translation from basic research to clinical trials for the prevention or treatment of severe acute pancreatitis (SAP) is of great value. Early enteral nutrition is necessary for the restitution, proliferation, and differentiation of the intestinal epithelial cells adjacent to the wounded area. Clearance of the excess intestinal bacteria and supplement of probiotics may be helpful to prevent bacterial translocation and infection of pancreas.
authors.forename: Zhen-Zhen
authors.initials: ZZ
authors.lastname: Guo
authors.forename: Pu
authors.initials: P
authors.lastname: Wang
authors.forename: Zhi-Hui
authors.initials: ZH
authors.lastname: Yi
authors.forename: Zhi-Yin
authors.initials: ZY
authors.lastname: Huang
authors.affiliation: Dept. Gastroenterology, West China Hospital, Sichuan University, Chengdu, 610041, P. R. China. shcqcdmed@163.com.
authors.forename: Cheng-Wei
authors.initials: CW
authors.lastname: Tang
mesh_terms: D000893:Anti-Inflammatory Agents / Q000627:therapeutic use; D016207:Cytokines / Q000378:metabolism; D004750:Enteral Nutrition; D005759:Gastroenteritis / Q000150:complications / Q000188:drug therapy / Q000382:microbiology / Q000503:physiopathology; D005767:Gastrointestinal Diseases / Q000150:complications / Q000188:drug therapy / Q000382:microbiology / Q000503:physiopathology; D041981:Gastrointestinal Tract / Q000187:drug effects / Q000378:metabolism; D006801:Humans; D010195:Pancreatitis / Q000150:complications / Q000188:drug therapy / Q000382:microbiology / Q000503:physiopathology; D019936:Probiotics / Q000494:pharmacology / Q000627:therapeutic use
chemical_list: D000893:Anti-Inflammatory Agents; D016207:Cytokines