Abstract
Background: The increasing prevalence of diabetes mellitus worldwide continues to pose a heavy burden. Though its gastrointestinal impact is appropriately recognized, the lesser known associations may be overlooked.
Objective: We aim to review the negative implications of diabetes on the gallbladder and the biliary tract.
Methods: A MEDLINE® database search of literature was conducted with emphasis on the previous five years, combining keywords such as "diabetes," "gallbladder," and "biliary".
Results: The association of diabetes to the formation of gallstones, gallbladder cancer, and cancer of the biliary tract are discussed along with diagnosis and treatment.
Conclusion: Though we uncover the role of diabetic neuropathy in gallbladder and biliary complications, the specific individual diabetic risk factors behind these developments is unclear. Also, in addition to diabetes control and surgical gallbladder management, the treatment approach also requires further focus.
Keywords: Gallstones, gallbladder disease, gallbladder cancer, cholangiocarcinoma, gastroparesis, diabetes mellitus.
[http://dx.doi.org/10.2337/diacare.26.2007.S5] [PMID: 12502614]
[http://dx.doi.org/10.2337/diab.28.12.1039] [PMID: 510803]
[http://dx.doi.org/10.2337/dc15-S005] [PMID: 25537714]
[http://dx.doi.org/10.1056/NEJM199411243312107] [PMID: 7969282]
[http://dx.doi.org/10.1038/298167a0] [PMID: 7045690]
[http://dx.doi.org/10.2337/diab.35.8.894] [PMID: 3525287]
[http://dx.doi.org/10.1172/JCI115573] [PMID: 1370298]
[http://dx.doi.org/10.2337/diab.41.7.782] [PMID: 1612192]
[http://dx.doi.org/10.1006/jaut.1994.1070] [PMID: 7888042]
[http://dx.doi.org/10.1006/jaut.1994.1071] [PMID: 7888043]
[http://dx.doi.org/10.2337/diab.44.11.1290] [PMID: 7589826]
[http://dx.doi.org/10.1073/pnas.93.13.6367] [PMID: 8692821]
[http://dx.doi.org/10.1073/pnas.93.6.2307] [PMID: 8637868]
[http://dx.doi.org/10.1016/0002-9343(76)90536-2] [PMID: 814810]
[PMID: 7046470]
[http://dx.doi.org/10.1016/0026-0495(79)90146-X] [PMID: 386029]
[http://dx.doi.org/10.2337/dc13-S067] [PMID: 23264425]
[PMID: 3883799]
[http://dx.doi.org/10.1172/JCI110350] [PMID: 7287908]
[http://dx.doi.org/10.4103/1319-3767.108482] [PMID: 23481135]
[http://dx.doi.org/10.2337/diab.36.4.523] [PMID: 3817306]
[http://dx.doi.org/10.2337/diacare.18.2.258] [PMID: 7729308]
[http://dx.doi.org/10.2337/diacare.16.4.642] [PMID: 8462395]
[http://dx.doi.org/10.1016/B978-0-444-53480-4.00006-0] [PMID: 25410215]
[http://dx.doi.org/10.1111/j.1464-5491.1989.tb01133.x] [PMID: 2522369]
[http://dx.doi.org/10.1212/WNL.43.4.817] [PMID: 8469345]
[http://dx.doi.org/10.2337/diab.45.3.308] [PMID: 8593935]
[PMID: 7433630]
[http://dx.doi.org/10.1001/archinte.1990.00390180056009] [PMID: 2353855]
[http://dx.doi.org/10.2337/diacare.26.6.1895] [PMID: 12766130]
[http://dx.doi.org/10.2337/diab.39.7.802] [PMID: 2354747]
[PMID: 2217668]
[PMID: 1946930]
[http://dx.doi.org/10.1111/j.1464-5491.1993.tb00173.x] [PMID: 8281726]
[http://dx.doi.org/10.1046/j.1464-5491.2001.00442.x] [PMID: 11437856]
[http://dx.doi.org/10.2337/diacare.24.10.1793] [PMID: 11574444]
[http://dx.doi.org/10.2337/dc08-0107] [PMID: 18375412]
[http://dx.doi.org/10.1136/bmj.2.5971.585] [PMID: 1131623]
[http://dx.doi.org/10.1136/bmj.3.5974.15] [PMID: 1131653]
[http://dx.doi.org/10.1016/S0140-6736(81)90061-1] [PMID: 6109858]
[http://dx.doi.org/10.1161/CIRCULATIONAHA.105.584524] [PMID: 16449735]
[http://dx.doi.org/10.1056/NEJMcp062614] [PMID: 17314341]
[http://dx.doi.org/10.1038/ajg.2012.373] [PMID: 23147521]
[http://dx.doi.org/10.2337/db12-1706] [PMID: 23881199]
[http://dx.doi.org/10.7326/0003-4819-48-4-797] [PMID: 13521605]
[PMID: 3311557]
[http://dx.doi.org/10.1007/BF00265086] [PMID: 2753246]
[http://dx.doi.org/10.1001/archinte.1987.00370080113021] [PMID: 3632153]
[PMID: 8944695]
[http://dx.doi.org/10.2337/diacare.24.2.371] [PMID: 11213895]
[http://dx.doi.org/10.2165/00003495-200969080-00003] [PMID: 19496627]
[http://dx.doi.org/10.1111/j.1365-2982.2006.00804.x] [PMID: 16700718]
[http://dx.doi.org/10.1016/0016-5085(80)90916-6] [PMID: 7439629]
[http://dx.doi.org/10.7326/0003-4819-98-3-378] [PMID: 6402969]
[http://dx.doi.org/10.1001/archinte.160.18.2808] [PMID: 11025791]
[http://dx.doi.org/10.1002/dmrr.1223] [PMID: 21748841]
[http://dx.doi.org/10.1016/S0025-6196(12)60606-5] [PMID: 8350642]
[http://dx.doi.org/10.1111/j.1572-0241.1999.01289.x] [PMID: 10445544]
[http://dx.doi.org/10.1056/NEJM198212303072702] [PMID: 7144865]
[http://dx.doi.org/10.7326/0003-4819-102-2-197] [PMID: 3966758]
[http://dx.doi.org/10.3389/fendo.2018.00720] [PMID: 30555418]
[http://dx.doi.org/10.1016/j.mpmed.2014.09.007] [PMID: 25568613]
[http://dx.doi.org/10.1002/dmrr.3140] [PMID: 30770629]
[http://dx.doi.org/10.1002/mbo3.218] [PMID: 25336405]
[http://dx.doi.org/10.1016/j.femsre.2004.09.003] [PMID: 16102595]
[http://dx.doi.org/10.1073/pnas.0600780103] [PMID: 16537368]
[http://dx.doi.org/10.1073/pnas.0509592103] [PMID: 16473946]
[http://dx.doi.org/10.1016/j.bbadis.2017.08.021] [PMID: 28844960]
[http://dx.doi.org/10.1007/s00018-008-7568-6] [PMID: 18488143]
[http://dx.doi.org/10.1074/jbc.273.16.10046] [PMID: 9545351]
[http://dx.doi.org/10.1002/cphy.c150050] [PMID: 27347902]
[http://dx.doi.org/10.1046/j.1365-2036.2000.014s2062.x] [PMID: 10903007]
[http://dx.doi.org/10.1097/00000658-195203000-00011] [PMID: 14903868]
[PMID: 13668853]
[http://dx.doi.org/10.1002/hep.510250401] [PMID: 9096577]
[http://dx.doi.org/10.1002/hep.510260401] [PMID: 9328297]
[http://dx.doi.org/10.1007/BF02212700] [PMID: 7648978]
[http://dx.doi.org/10.1016/j.suc.2014.01.001] [PMID: 24679417]
[http://dx.doi.org/10.1001/archsurg.1964.01320060063012] [PMID: 14208474]
[http://dx.doi.org/10.1007/s00276-013-1157-6] [PMID: 23817807]
[http://dx.doi.org/10.1016/j.jhep.2011.09.022] [PMID: 22245898]
[http://dx.doi.org/10.3748/wjg.v17.i35.4023] [PMID: 22046092]
[http://dx.doi.org/10.1053/j.gastro.2011.12.001] [PMID: 22155636]
[http://dx.doi.org/10.1186/1756-9966-29-24] [PMID: 20219134]
[http://dx.doi.org/10.1016/j.biocel.2010.06.020] [PMID: 20601079]
[http://dx.doi.org/10.1113/jphysiol.2010.192146] [PMID: 20624794]
[http://dx.doi.org/10.1136/jnnp.65.5.620] [PMID: 9810929]
[http://dx.doi.org/10.1016/0016-5085(88)90307-1] [PMID: 3371612]
[PMID: 10694079]
[http://dx.doi.org/10.1308/003588412X13373405385052] [PMID: 22943323]
[http://dx.doi.org/10.1080/003655298750026787] [PMID: 9829363]
[http://dx.doi.org/10.1136/gut.34.8.1128] [PMID: 8174967]
[http://dx.doi.org/10.1007/BF01299857] [PMID: 1425065]
[PMID: 8931423]
[http://dx.doi.org/10.1023/A:1018810523399] [PMID: 9512128]
[http://dx.doi.org/10.1007/BF01296703] [PMID: 3301231]
[http://dx.doi.org/10.1007/BF01537580] [PMID: 2202570]
[PMID: 2375326]
[http://dx.doi.org/10.1111/j.1365-2796.1992.tb00512.x] [PMID: 1541933]
[PMID: 1413934]
[http://dx.doi.org/10.1136/gut.34.8.1123] [PMID: 8174966]
[http://dx.doi.org/10.1007/BF00428781] [PMID: 8150234]
[http://dx.doi.org/10.1007/BF02934112] [PMID: 9349988]
[http://dx.doi.org/10.1007/BF01316504] [PMID: 8444081]
[http://dx.doi.org/10.1097/00006231-199310000-00006] [PMID: 8233230]
[http://dx.doi.org/10.1016/0016-5085(87)90957-7] [PMID: 3454164]
[http://dx.doi.org/10.1136/gut.32.11.1406] [PMID: 1752478]
[http://dx.doi.org/10.1016/0016-5085(95)90348-8] [PMID: 7615209]
[http://dx.doi.org/10.1136/gut.31.3.344] [PMID: 2182400]
[http://dx.doi.org/10.1136/gut.31.12.1422] [PMID: 2265792]
[http://dx.doi.org/10.1016/S0168-8278(98)80282-1] [PMID: 9566827]
[http://dx.doi.org/10.3109/00365519009104949] [PMID: 2084820]
[http://dx.doi.org/10.1016/0016-5085(92)90334-U] [PMID: 1587426]
[http://dx.doi.org/10.1002/ar.a.20089] [PMID: 15382017]
[http://dx.doi.org/10.1152/physiologyonline.1998.13.2.84] [PMID: 11390768]
[http://dx.doi.org/10.1046/j.1365-2036.1999.00437.x] [PMID: 9892875]
[http://dx.doi.org/10.1002/(SICI)1097-0029(19991115)47:4<223:AID-JEMT2>3.0.CO;2-C] [PMID: 10602284]
[http://dx.doi.org/10.1002/1097-0185(20010101)262:1<110:AID-AR1016>3.0.CO;2-0] [PMID: 11146434]
[http://dx.doi.org/10.1515/pp-2017-0024] [PMID: 30911646]
[PMID: 11273539]
[PMID: 30788010]
[http://dx.doi.org/10.4239/wjd.v5.i1.17] [PMID: 24567799]
[http://dx.doi.org/10.1002/dmrr.1239] [PMID: 21695768]
[http://dx.doi.org/10.1111/j.1440-1746.2006.04381.x] [PMID: 16984599]
[http://dx.doi.org/10.1136/bmj.g2669] [PMID: 24755732]
[http://dx.doi.org/10.1111/j.1553-2712.2011.01012.x] [PMID: 21401784]
[http://dx.doi.org/10.1097/MCG.0b013e318157c62c] [PMID: 18769362]
[http://dx.doi.org/10.1080/003655200750024560] [PMID: 10672838]
[http://dx.doi.org/10.1002/hep.1840210309] [PMID: 7875663]
[http://dx.doi.org/10.1007/BF02087780] [PMID: 8050321]
[http://dx.doi.org/10.1002/bjs.4547] [PMID: 15164444]
[http://dx.doi.org/10.1016/j.bpg.2006.05.005] [PMID: 17127185]
[http://dx.doi.org/10.1002/ijc.21683] [PMID: 16397865]
[http://dx.doi.org/10.1016/0002-9343(90)90094-T] [PMID: 2368790]
[http://dx.doi.org/10.1002/ijc.29292] [PMID: 25348605]
[http://dx.doi.org/10.1007/s00535-013-0846-6] [PMID: 23807230]
[http://dx.doi.org/10.1007/BF02071404] [PMID: 8943976]
[http://dx.doi.org/10.1016/j.jhep.2013.11.017] [PMID: 24291242]
[http://dx.doi.org/10.1016/j.ejim.2014.03.015] [PMID: 24713207]
[http://dx.doi.org/10.4103/1119-3077.106770] [PMID: 23377475]
[http://dx.doi.org/10.1111/j.1572-0241.2006.01019.x] [PMID: 17156142]
[PMID: 28145671]
[http://dx.doi.org/10.1016/j.pop.2011.05.004] [PMID: 21872092]
[PMID: 4020753]
[http://dx.doi.org/10.1007/s001250051573] [PMID: 11206408]
[http://dx.doi.org/10.4239/wjd.v7.i6.134] [PMID: 27022444]
[http://dx.doi.org/10.1111/pedi.12063] [PMID: 23914949]
[http://dx.doi.org/10.3109/00365529209096020] [PMID: 1298041]
[http://dx.doi.org/10.5604/01.3001.0010.5494]
[http://dx.doi.org/10.1038/nrendo.2017.80] [PMID: 28731034]
[http://dx.doi.org/10.1016/j.tem.2017.03.003] [PMID: 28416361]
[http://dx.doi.org/10.1097/00000658-197901000-00020] [PMID: 758854]
[http://dx.doi.org/10.1136/gut.14.2.83] [PMID: 4696536]
[http://dx.doi.org/10.1172/JCI107321] [PMID: 4703231]
[http://dx.doi.org/10.1007/s10552-011-9754-3] [PMID: 21424210]
[http://dx.doi.org/10.1055/s-2004-828889] [PMID: 15192785]
[http://dx.doi.org/10.1002/(SICI)1097-0215(19991112)83:4<435:AID-IJC1>3.0.CO;2-J] [PMID: 10508476]
[http://dx.doi.org/10.3748/wjg.v13.i10.1505] [PMID: 17461441]
[http://dx.doi.org/10.1038/sj.bjc.6603703] [PMID: 17375043]
[http://dx.doi.org/10.1016/j.cgh.2007.05.020] [PMID: 17689296]
[http://dx.doi.org/10.1111/j.1572-0241.2007.01104.x] [PMID: 17324130]
[http://dx.doi.org/10.1002/ijc.22283] [PMID: 17109384]
[http://dx.doi.org/10.1080/13813450801969715] [PMID: 18465356]
[http://dx.doi.org/10.1038/nrc1408] [PMID: 15286738]
[http://dx.doi.org/10.2337/db16-1477] [PMID: 28507210]
[http://dx.doi.org/10.3322/caac.21332] [PMID: 26742998]
[http://dx.doi.org/10.1158/0008-5472.CAN-14-0155] [PMID: 24840647]
[http://dx.doi.org/10.1016/j.bbadis.2015.09.022] [PMID: 26435083]
[http://dx.doi.org/10.1055/s-2008-1062522] [PMID: 1459014]
[http://dx.doi.org/10.1016/j.jacc.2016.03.597] [PMID: 27364051]
[http://dx.doi.org/10.1161/01.ATV.0000125702.26272.f6] [PMID: 15016639]
[http://dx.doi.org/10.1161/ATVBAHA.106.131755] [PMID: 17303782]
[http://dx.doi.org/10.1056/NEJM198805123181901] [PMID: 3283552]
[http://dx.doi.org/10.1161/01.CIR.0000012467.61045.87] [PMID: 11956132]
[http://dx.doi.org/10.1016/j.amjcard.2013.05.036] [PMID: 23800548]
[http://dx.doi.org/10.2337/dc14-0761] [PMID: 25011943]
[http://dx.doi.org/10.1146/annurev.nutr.22.010402.102849] [PMID: 12055354]
[http://dx.doi.org/10.1155/2019/3129286] [PMID: 31192262]
[http://dx.doi.org/10.1530/JOE-14-0283] [PMID: 25006217]
[http://dx.doi.org/10.1183/09031936.00139810] [PMID: 21310876]
[http://dx.doi.org/10.1164/rccm.201405-0796OC] [PMID: 25629580]
[http://dx.doi.org/10.1007/s12272-018-1047-x] [PMID: 29978427]
[http://dx.doi.org/10.1210/me.2015-1030] [PMID: 25984632]
[http://dx.doi.org/10.1016/j.cmet.2006.01.004] [PMID: 16517403]
[http://dx.doi.org/10.1210/en.2010-0233] [PMID: 20534724]
[http://dx.doi.org/10.1080/00365521.2018.1530297] [PMID: 30449207]
[http://dx.doi.org/10.1016/j.jpedsurg.2016.02.017] [PMID: 26951963]
[http://dx.doi.org/10.1016/j.jpedsurg.2013.11.053] [PMID: 24528968]
[http://dx.doi.org/10.1016/j.surg.2013.04.040] [PMID: 24074432]
[PMID: 18646475]
[http://dx.doi.org/10.1016/j.surg.2005.06.052] [PMID: 16269302]
[http://dx.doi.org/10.1016/j.jpedsurg.2012.08.036] [PMID: 23932611]
[http://dx.doi.org/10.1016/j.jdiacomp.2015.11.012] [PMID: 26684168]
[http://dx.doi.org/10.1093/ajcn/80.1.38] [PMID: 15213025]
[http://dx.doi.org/10.1136/gut.2005.076133] [PMID: 16478796]
[http://dx.doi.org/10.7326/0003-4819-128-6-199803150-00001] [PMID: 9499324]
[http://dx.doi.org/10.1056/NEJM199909093411101] [PMID: 10477775]
[http://dx.doi.org/10.2337/dc12-0002] [PMID: 22699290]
[http://dx.doi.org/10.1016/S1047-2797(01)00260-5] [PMID: 11880221]
[http://dx.doi.org/10.2337/diab.18.7.493] [PMID: 5795032]
[http://dx.doi.org/10.2337/diab.12.4.308] [PMID: 14081841]
[http://dx.doi.org/10.5114/wiitm.2017.72321] [PMID: 29362652]
[http://dx.doi.org/10.1097/00000658-193499060-00005] [PMID: 17867204]
[http://dx.doi.org/10.1007/s00464-014-3765-6] [PMID: 25159627]
[http://dx.doi.org/10.1136/gut.32.8.956] [PMID: 1885081]
[PMID: 29783219]
[http://dx.doi.org/10.1177/1932296816678263] [PMID: 27898388]
[http://dx.doi.org/10.1185/03007995.2014.952716] [PMID: 25105305]
[http://dx.doi.org/10.1309/AJCPYK1KV2KBCDDL] [PMID: 25319979]
[http://dx.doi.org/10.2337/diacare.22.11.1785] [PMID: 10546008]
[http://dx.doi.org/10.2337/diacare.26.4.1158] [PMID: 12663590]
[http://dx.doi.org/10.1371/journal.pone.0162204] [PMID: 27606813]
[http://dx.doi.org/10.1016/S1590-8658(03)00087-2] [PMID: 12974503]
[http://dx.doi.org/10.1016/S1499-3872(16)60091-7] [PMID: 27733323]
[http://dx.doi.org/10.4103/0019-5049.135049] [PMID: 25024479]
[http://dx.doi.org/10.1080/110241501753361613] [PMID: 11841083]
[http://dx.doi.org/10.1148/radiographics.22.3.g02ma06543] [PMID: 12006686]
[http://dx.doi.org/10.1136/bmj.289.6455.1350] [PMID: 6437547]
[http://dx.doi.org/10.3109/09637486.2011.644767] [PMID: 22229881]
[http://dx.doi.org/10.1007/BF02914515] [PMID: 15732228]
[http://dx.doi.org/10.1038/ajg.2013.70] [PMID: 23545713]
[http://dx.doi.org/10.1016/S1665-2681(19)31490-5] [PMID: 22166565]
[PMID: 8586372]
[http://dx.doi.org/10.1210/jc.2015-3901] [PMID: 26760177]
[http://dx.doi.org/10.1158/1940-6207.CAPR-13-0424] [PMID: 24985407]
[http://dx.doi.org/10.2337/dc14-0584] [PMID: 24898303]
[http://dx.doi.org/10.1155/2015/548436] [PMID: 25866793]
[http://dx.doi.org/10.1093/annonc/mdt204] [PMID: 23720454]
[http://dx.doi.org/10.2337/dc10-0666] [PMID: 20587728]
[http://dx.doi.org/10.1007/s10552-012-9996-8] [PMID: 22622863]
[http://dx.doi.org/10.1002/ijc.25362] [PMID: 20473855]