摘要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 prog-nosis.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 pancre-atitis.This review discussed the role of visceral adipose tissue in obese patients with acute pancreatitis and explored the possible mechanism involved.