Hypertriglyceridemia-Induced Acute Pancreatitis / 대한췌담도학회지
Korean Journal of Pancreas and Biliary Tract
; : 158-164, 2017.
Article
em Ko
| WPRIM
| ID: wpr-180599
Biblioteca responsável:
WPRO
ABSTRACT
Hypertriglyceridemia is a well-established cause of acute pancreatitis. The clinical presentation of hypertriglyceridemia-induced acute pancreatitis (HTG-AP) is generally not different from that of acute pancreatitis of any other etiology. There is concern about severity of HTG-AP, but data specifically comparing the severity of HTG-AP with that of acute pancreatitis caused by other etiologies are heterogeneous and scarce. Elevation of serum triglyceride levels to ≥ 1,000 mg/dL in a patient with acute pancreatitis provides strong support for HTG as the cause. Poorly controlled diabetes, obesity, alcoholism, pregnancy, and personal or family history of hyperlipidemia suggest HTG-AP. Initial supportive treatment of HTG-AP is not quite different from that of acute pancreatitis by other etiologies. In addition, insulin and plasmapheresis were effective in some studies. However, randomized controlled trials are needed to support these treatment methods. Lifestyle modifications and lipid lowering agents are required to prevent recurrences.
Palavras-chave
Texto completo:
1
Base de dados:
WPRIM
Assunto principal:
Pancreatite
/
Recidiva
/
Triglicerídeos
/
Hipertrigliceridemia
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Plasmaferese
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Alcoolismo
/
Hiperlipidemias
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Insulina
/
Estilo de Vida
/
Obesidade
Tipo de estudo:
Clinical_trials
Limite:
Humans
/
Pregnancy
Idioma:
Ko
Ano de publicação:
2017
Tipo de documento:
Article