Acute pancreatitis is a common systemic inflammatory disease, manifested by a spectrum of severity, ranging from mild in the majority of patients to severe acute pancreatitis. Patients with severe acute pancreatitis suffer from severe local and systemic complications and organ failure, leading to a poor prognosis. The early recognition of the severe condition is important to improve prognosis. Obesity has risen in tandem with an increase in the severity of acute pancreatitis in recent years. Studies have revealed that adipose tissue, particularly visceral adipose tissue is associated with the prognosis of acute pancreatitis. This review discussed the role of visceral adipose tissue in obese patients with acute pancreatitis and explored the possible mechanism involved.

急性胰腺炎是一种常见的全身炎症性疾病，其严重程度多种多样，从大多数患者的轻度到重症急性胰腺炎。重症急性胰腺炎患者患有严重的局部和全身并发症以及器官衰竭，导致预后不良。早期识别严重病情对于改善预后很重要。近年来，随着急性胰腺炎严重程度的增加，肥胖人数也随之增加。研究表明，脂肪组织尤其是内脏脂肪组织与急性胰腺炎的预后相关。本综述讨论了内脏脂肪组织在肥胖急性胰腺炎患者中的作用，并探讨了可能的机制。