Treatment of hypertriglyceridemia-induced acute pancreatitis with plasmapheresis

Year 2012, , - , 01.12.2012

Gülbanu Erkan( Esat Kıvanç Kaya() Fatma Betül Polat() Bülent Değertekin( Gökçe Kaan Ataç() Güldane Cengiz Seval() Meltem Aylı() Ahmet Çorakcı() Halil Değertekin(

https://doi.org/10.17940/endoskopi.74826

Abstract

The pancreas. The clinical pre-sentation may vary from edematous pancreatitis, a milder form, to necroti-zing pancreatitis, which has an unfavorable clinical course. The most com-mon etiological agents are bile stones and alcohol. Hypertriglyceridemia can also cause acute pancreatitis. The risk of acute pancreatitis increases when se­rum triglyceride levels exceed 1000 mg/L. Herein, we present a case wth type I familial hyperlipidemia who presented with hypertriglyceridemia-induced acute pancreatitis, which did not respond to conservative treatment but only abated after plasmapheresis.

Keywords

Acute pancreatitis, hypertriglyceridemia, plasmapheresis

Hipertrigliseridemiye bağlı akut pankreatit tedavisinde plazmaferez

Abstract

Akut pankreatit pankreasın akut inflamasyonudur. Hastalığın hafif bir şekli olan ödematöz pankreatitten, ağır bir klinikle seyreden nekrotizan pankreati-te kadar farklı klinik şekillerde prezente olabilir. Etyolojide en sık sebep, saf­ra taşları ve alkoldür. Hipertrigliseridemi de akut pankreatite yol açabilir. Se­rum trigliserid düzeyi 1000 mgr/dl ve üstüne çıktığında akut pankreatit riski artar. Biz Tip I ailevi hiperlipidemisi olan, hipertrigliseridemiye bağlı akut pankreatitle başvuran, konservatif tedaviye rağmen akut pankreatit tablosu yatışmayan ve plazmaferez ile klinik düzelme sağlanan bir olgu sunacağız.

Keywords

Akut pankreatit, hipertrigliseridemi, plazmaferez

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