Abstract

ZARAGOZA, José J. et al. Apheresis in the treatment of acute hypertriglyceridemic pancreatitis: Case report and literature review. Rev. Asoc. Mex. Med. Crít. Ter. Intensiva [online]. 2015, vol.29, n.3, pp.179-188. ISSN 0187-8433.

Severe hypertriglyceridemia is associated with various pathologies including acute pancreatitis. The treatment options for hypertriglyceridemic acute pancreatitis include insulin, glucose and heparin infusions and many types of apheresis. Patients may benefit from the prompt use of plasma exchange to reduce lipid levels. The timing of initiation and the type of therapy play a role to achieve the full benefits of the procedure. Blood purification and cytokine removal could be factors for the good outcomes reported in most of the patients. It seems even safe and efficient during pregnancy, a state with high prevalence of hypertriglyceridemia opposed to general population. We present a case report of a 40 year old woman with acute pancreatitis due to hypertriglyceridemia who was treated with a single session of plasma exchange with significant improvement of clinical and hemodynamic parameters and resolution of the acute event. Furthermore, we prepared a literature review in this topic.

Keywords : Hypertriglyceridemia; acute pancreatitis; plasmapheresis; plasma exchange; Intensive Care Unit.

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