Acute hypertrygliceridemic pancreatitis

作者：Senosiain Lalastra Carla; Tavio Hernandez Eduardo; Moreira Vicente Victor; Maroto Castellanos Maite; Garcia Sanchez Maria Concepcion; Aicart Ramos Marta; Tellez Vivajos Luis; Cuno Roldan Jose Luis

来源：Gastroenterologia y Hepatologia, 2013, 36(4): 274-279.

DOI：10.1016/j.gastrohep.2012.11.006

• Acute pancreatitis
• Hypertriglyceridemia
• Hyperlipidemia
• Plasmapheresis

Acute hypertriglyceridemic pancreatitis is the third cause of acute pancreatitis in the Western population. There is usually an underlying alteration in lipid metabolism and a secondary factor. Clinical presentation is similar to that of pancreatitis of other etiologies, but the course of acute hypertriglyceridemic pancreatitis seems to be worse and more recurrent. Some laboratory data can be artefacts, leading to diagnostic errors. This is the case of amylase, which can show false low levels. Treatment is based on intense fluidotherapy and analgesia. When there is no response to conservative management, other methods to lower triglyceride levels should be used. Several options are available, such as plasmapheresis, insulin, and heparin. The present article provides a review of the current literature on this entity.

• 出版日期2013-4