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2011, Number 1

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Med Sur 2011; 18 (1)

Pancreatitis aguda por hipertrigliceridemia

Brizuela ADC, Pérez GO, Uribe EM, Lizardi CJ
Full text How to cite this article

Language: Spanish
References: 5
Page: 11-13
PDF size: 91.14 Kb.


Key words:

Pancreatic disease, Case report, Hypertriglyceridemia.

ABSTRACT

Background. Hypertrigliceridemia (HTG) has been reported as an infrequent cause of acute pancreatitis, with an incidence of 1 to 4%. Serum triglyceride levels › 1,000 mg/dL are usually needed to trigger acute pancreatitis. In our environment there is little information about the clinical course of these groups of patients. Objective. Describing demographic, clinical, biochemical and radiologic characteristics of patients with pancreatitis HTG. Material and methods. We reviewed the medical records of patients with acute pancreatitis who atended Fundación Clínica Médica Sur in a period between January 2006 to July 2009. We identified patients with HTG pancreatitis were determined demographic, clinical, biochemical and radiological characteristics. Descriptive statistics was used for analysis. Results. From a total of 95 patients with acute pancreatitis 10 (10.5%) were secondary to HTG. Average levels of triglycerides were 5,036 mg/dL (1 699-10,104 mg/dL). The severity was classified as 80% behaved as mild, none received surgical treatment, an abdominal CT scan was performed in 6 patients [Balthazar A (1), C (4), D (1)]. Complications were observed in 30% with mortality of 0%. Conclusions. The prevalence of hypertriglyceridemic pancreatitis in this study was 10%, above the previously reported in literature.


REFERENCES

  1. Tsuang W, Navaneethan U, Ruiz L, et al. Hypertriglyceridemic Pancreatitis: Presentation and Management. Am J Gastroenterol 2009; 104: 984-91.

  2. Yadav D, Pitchumoni CS. Issues in hyperlipidemic pancreatitis. J Clin Gastroenterol 2003; 36: 54-62.

  3. Navarro S, Cubiella J, Feu F, et al. Hypertriglyceridemic acute pancreatitis. Is its clinical course different from lithiasic acute pancreatitis? Med Clin (Barc) 2004; 123: 567-70.

  4. Gan S, Edwards A, Symonds C. Hypertriglyceridemia-induced pancreatitis: A case based review. World J Gastroenterol 2006; 12: 7197-202.

  5. Fortson MR, Freedman SN, Webster PD III. Clinical assessment of hyperlipidemic pancreatitis. Am J Gastroenterol 1995; 90: 2134-9.




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Med Sur. 2011;18