Treatment approach in our hypertriglyceridemia induced acute pancreatitis patients

Year 2015, Volume: 1 Issue: 3, 129 - 133, 07.12.2015

Utku Erdem Soyaltın Tuba Demirci Yıldırım Emin Taşkıran Andaç Develi Ferhat Ekinci Bilgin Demir Harun Akar

Abstract

Objectives: We aimed to research the superiority of insulin infusion and triglyceride apheresis for the treatment of hypertriglyceridemia-induced acute pancreatitis (HIAP).

Patients and methods: In this retrospective, single-center cohort study, demographic data, clinical and biochemical parameters of HIAP were retrieved from the medical record database. The clinical data of 12 patients with HIAP were retrospectively analyzed.

Results: The indication and timing of intervention and which treatment modality in HIAP is most efficacious remains unclear. We want to highlight our experience that seems to be equal therapeutic potential of both options.

Conclusion: In treatment of HIAP, comorbidities should be taken into consideration and treatment should be personalized. More studies are needed to help define the best treatment option for HIAP.

Keywords

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Hipertrigliseridemi ilişkili akut pankreatitli hastalarda tedavi yaklışımımız

Abstract

Amaç: Çalışmamızda hipertrigliseridemi ilişkili akut pankreatit (HİAP) tedavisinde insülin infüzyonu ve trigliserid aferezinin, birbirine üstünlüğünü araştırmayı amaçladık.Hastalar ve yöntemler: Retrospektif, tek merkezli, kohort olan bu çalışmada, HİAP’nin klinik ve biyokimyasal parametreleri tıbbi kayıt veri bankasından elde edildi. On iki HİAP’li hastanın klinik verileri retrospektif olarak incelendi.Bulgular: HİAP’de tedavi endikasyonu, zamanlaması ve hangi tedavi yönteminin en etkili olduğu halen net değildir. Her iki tedavi seçeneğinin eşit iyileştirici potansiyeli olduğuna dair deneyimlerimizi vurgulamak istiyoruz. Sonuç: HİAP tedavisinde komorbit hastalıklar dikkate alınmalı ve tedavi bireyselleştirilmelidir. HİAP için en iyi tedavi seçeneğini tanımlamak için daha fazla çalışmaya ihtiyaç duyulmaktadır

Keywords

Akut pankreatit, Baltazar skoru, hipertriglisidemi, trigliserid aferezi

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