title: [TOTAL PARENTERAL NUTRITION IN A PREGNANT PATIENT WITH ACUTE PANCREATITIS AND LIPOPROTEIN LIPASE DEFICIENCY].
abstract: We present a case of severe acute pancreatitis induced by hypertriglyceridemia secondary to lipoprotein lipase (LPL) deficiency in a pregnant patient with gestational diabetes, initially maneged with diet but it was later necessary to carry out artificial nutricional support measures: total parenteral nutrition. LPL deficiency might cause severe hypertriglyceridemia, repetition acute pancreatitis which is an unwieldy and severe situation during pregnancy. Acute familial hypertriglyceridemia pancreatitis accounts for 5% of cases, including LPL deficiency. The goal of treatment is to reach triglycerides levels below 500 mg/dl, being very low fat diet the treatment of choice, drugs or plasmapheresis techniques can also be associated. TPN enriched in ω3 fatty acids and glutamine was safe and effective in our patient with significant decrease in triglyceride levels.
authors.affiliation: UGC Endocrinología y Nutrición, Hospital Regional Universitario de Málaga. IBIMA. Universidad de Málaga.. victoriacontreras_87@hotmail.com.
authors.forename: Victoria
authors.initials: V
authors.lastname: Contreras-Bolívar
authors.affiliation: UGC Endocrinología y Nutrición, Hospital Regional Universitario de Málaga. IBIMA. Universidad de Málaga.. inmagonzalezmolero@hotmail.com.
authors.forename: Inmaculada
authors.initials: I
authors.lastname: González-Molero
authors.affiliation: UGC Medicina Interna, Hospital Virgen de la Victoria. IBIMA. Universidad de Málaga. España.. valdivieso@uma.es.
authors.forename: Pedro
authors.initials: P
authors.lastname: Valdivieso
authors.affiliation: UGC Endocrinología y Nutrición, Hospital Regional Universitario de Málaga. IBIMA. Universidad de Málaga.. gabrielm.olveira.sspa@juntadeandalucia.es.
authors.forename: Gabriel
authors.initials: G
authors.lastname: Olveira
mesh_terms: D000328:Adult; D016640:Diabetes, Gestational / Q000628:therapy; D005260:Female; D005526:Food, Formulated; D006801:Humans; D008072:Hyperlipoproteinemia Type I / Q000628:therapy*; D015228:Hypertriglyceridemia / Q000097:blood / Q000209:etiology; D007231:Infant, Newborn; D010195:Pancreatitis / Q000628:therapy*; D010289:Parenteral Nutrition, Total / Q000379:methods*; D011247:Pregnancy