Heparin and insulin regimen in the treatment of a patient with acute pancreatitis caused by hypertriglyceridemia

Öz

Hypertriglyceridemia is an important and under-diagnosed etiology of acute non-biliary pancreatitis. There has been no standardized protocol to treat these patients. Our patient was a case with severe acute pancreatitis caused by hypertriglyceridemia. We gave a treatment protocol consisting of heparin and insulin combination to stimulate lipoprotein-lipase activity. The patient's parameters were all improved at the end of the treatment. Our aim was to present this case of acute pancreatitis secondary to hypertriglyceridemia, including differential diagnosis and treatment approach.

Anahtar Kelimeler

• Hypertriglyceridemia, pancreatitis, treatment

Hipertrigliseridemi nedenli akut pankreatit tedavisinde heparin ve insülin rejimi uygulanan bir olgu

Öz

Hipertrigliseridemi, akut nonbiliyer pankreatitin önemli ve gözardı edilen sebeplerindendir. Bu hastaların tedavisinde halen standart bir protokol yoktur. Hastamız, hipertrigliseridemi zemininde gelişen bir akut nekrotizan pankreatit olgusu idi. Hastaya, lipoprotein lipaz aktivitesini arttırmaya yönelik insülin ve heparin kombinasyonundan oluşan bir tedavi protokolu verdik. Tedavi sonunda hastanın tüm verileri düzeldi. Amacımız hipertrigliseridemiye sekonder gelişen bu akut pankreatit olgusunu, ayırıcı tanı ve tedavi yaklaşımını sunmak idi.

Anahtar Kelimeler

• Hipertrigliseridemi, pankreatit, tedavi

Kaynakça

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