title: [Acute hypertrygliceridemic pancreatitis].
abstract: 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.
authors.affiliation: Servicio de Gastroenterología, Hospital Universitario Ramón y Cajal, Madrid, España. carsenosiain@gmail.com
authors.forename: Carla
authors.initials: C
authors.lastname: Senosiain Lalastra
authors.forename: Eduardo
authors.initials: E
authors.lastname: Tavío Hernández
authors.forename: Victor
authors.initials: V
authors.lastname: Moreira Vicente
authors.forename: Maite
authors.initials: M
authors.lastname: Maroto Castellanos
authors.forename: Maria Concepción
authors.initials: MC
authors.lastname: García Sánchez
authors.forename: Marta
authors.initials: M
authors.lastname: Aicart Ramos
authors.forename: Luis
authors.initials: L
authors.lastname: Téllez Vivajos
authors.forename: José Luis
authors.initials: JL
authors.lastname: Cuño Roldán
mesh_terms: D015746:Abdominal Pain / Q000209:etiology; D000208:Acute Disease; D000437:Alcoholism / Q000150:complications; D000681:Amylases / Q000097:blood; D048909:Diabetes Complications; D003951:Diagnostic Errors; D004198:Disease Susceptibility; D005188:False Negative Reactions; D005260:Female; D005440:Fluid Therapy; D005526:Food, Formulated; D006493:Heparin / Q000627:therapeutic use; D006801:Humans; D006953:Hyperlipoproteinemia Type IV / Q000150:complications; D015228:Hypertriglyceridemia / Q000097:blood / Q000150:complications* / Q000628:therapy; D007328:Insulin / Q000627:therapeutic use; D008077:Lipoproteins, LDL / Q000097:blood; D009325:Nausea / Q000209:etiology; D009765:Obesity / Q000150:complications; D010195:Pancreatitis / Q000175:diagnosis / Q000209:etiology* / Q000628:therapy; D010956:Plasmapheresis; D011247:Pregnancy; D011248:Pregnancy Complications / Q000175:diagnosis / Q000628:therapy; D012964:Sodium / Q000097:blood
chemical_list: D007328:Insulin; D008077:Lipoproteins, LDL; D006493:Heparin; D012964:Sodium; D000681:Amylases