Plasmapheresis in hypertriglyceridemia-related pancreatitis: a case report
Hypertriglyceridemia (HTG) is the third most common cause of acute pancreatitis (AP), accounting for up to 7% of cases. The clinical manifestations are similar to those of AP from other causes, but it may be difficult to recognize because of confounding laboratory investigations induced by HTG, such...
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doaj-8ac97e9fe989460a9e938702708a83772020-11-25T02:34:40ZengPAGEPress PublicationsEmergency Care Journal1826-98262012-07-018291210.4081/ecj.2012.2.9630Plasmapheresis in hypertriglyceridemia-related pancreatitis: a case reportAndrea Tampieri0Patrizia Cenni1Claudia Morselli2Tiziano Lenzi3Emergency Department, S.M. Scaletta Hospital, BolognaEmergency Department, S.M. Scaletta Hospital, BolognaEmergency Department, S.M. Scaletta Hospital, BolognaEmergency Department, S.M. Scaletta Hospital, BolognaHypertriglyceridemia (HTG) is the third most common cause of acute pancreatitis (AP), accounting for up to 7% of cases. The clinical manifestations are similar to those of AP from other causes, but it may be difficult to recognize because of confounding laboratory investigations induced by HTG, such as a falsely normal serum amylase. Prompt recognition is important to provide adequate treatment. The maintenance of blood triglyceride (TG) levels below 500 mg/dl has been shown to accelerate the clinical improvement in patients with hypertriglyceridemic pancreatitis (HTGP). In many cases series apheresis was effective in reducing HTG and an early initiation is likely to be beneficial in order to prevent recurrence of AP and the development of necrotizing pancreatitis. Definitive guidelines for the treatment of HTGP and randomized trials that compare the effectiveness of apheresis with the medical therapy alone are still lacking.http://www.pagepressjournals.org/index.php/ecj/article/view/1077Hypertriglyceridemiapancreatitis |
collection |
DOAJ |
language |
English |
format |
Article |
sources |
DOAJ |
author |
Andrea Tampieri Patrizia Cenni Claudia Morselli Tiziano Lenzi |
spellingShingle |
Andrea Tampieri Patrizia Cenni Claudia Morselli Tiziano Lenzi Plasmapheresis in hypertriglyceridemia-related pancreatitis: a case report Emergency Care Journal Hypertriglyceridemia pancreatitis |
author_facet |
Andrea Tampieri Patrizia Cenni Claudia Morselli Tiziano Lenzi |
author_sort |
Andrea Tampieri |
title |
Plasmapheresis in hypertriglyceridemia-related pancreatitis: a case report |
title_short |
Plasmapheresis in hypertriglyceridemia-related pancreatitis: a case report |
title_full |
Plasmapheresis in hypertriglyceridemia-related pancreatitis: a case report |
title_fullStr |
Plasmapheresis in hypertriglyceridemia-related pancreatitis: a case report |
title_full_unstemmed |
Plasmapheresis in hypertriglyceridemia-related pancreatitis: a case report |
title_sort |
plasmapheresis in hypertriglyceridemia-related pancreatitis: a case report |
publisher |
PAGEPress Publications |
series |
Emergency Care Journal |
issn |
1826-9826 |
publishDate |
2012-07-01 |
description |
Hypertriglyceridemia (HTG) is the third most common cause of acute pancreatitis (AP), accounting for up to 7% of cases. The clinical manifestations are similar to those of AP from other causes, but it may be difficult to recognize because of confounding laboratory investigations induced by HTG, such as a falsely normal serum amylase. Prompt recognition is important to provide adequate treatment. The maintenance of blood triglyceride (TG) levels below 500 mg/dl has been shown to accelerate the clinical improvement in patients with hypertriglyceridemic pancreatitis (HTGP). In many cases series apheresis was effective in reducing HTG and an early initiation is likely to be beneficial in order to prevent recurrence of AP and the development of necrotizing pancreatitis. Definitive guidelines for the treatment of HTGP and randomized trials that compare the effectiveness of apheresis with the medical therapy alone are still lacking. |
topic |
Hypertriglyceridemia pancreatitis |
url |
http://www.pagepressjournals.org/index.php/ecj/article/view/1077 |
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