Pancreatitis aguda hiperlipidemia

Abstract

In this titration study, the study of pancreatitis caused by hypertriglyceridemia was presented with a clinical case reported from “Hospital IESS Latacunga”, in the case of a 51-year-old woman with a history of gestational pancreatitis twice and hypertriglyceridemia, with allergy to the penicillin and diclofenac, comes to present a history of acute pancreatitis that when laboratory tests are demonstrated TG of 1513.40 mg / dL, so that the aetiology of pancreatitis can be identified; with vital signs within normal parameters, plasmapheresis is decided but in that health house it is not possible to do it by deciding to transfer, since not receiving answers from other health houses it is decided to implant treatment with insulin pump, obtaining good results. There is a high frequency of hospitalizations due to this gastrointestinal pathology, so its study is of vital importance; Regarding the order of frequency of appearance according to its aetiology, hypertriglyceridemia occupies the third place in pancreatitis, especially when there are values of triglycerides greater than 1000 mg / dL, different studies have shown that triglyceride levels do not have a direct relationship with the severity of this pathology. The main objective of the treatment is to decrease the amount of TG, for which there are various treatments that are used according to the patient's condition, among them we find plasmapheresis, which is the treatment with the best results (according to several pieces of research), intravenous insulin and heparin; treatments that until now have been much discussed. Several publications of clinical case studies, of opportune treatments for this pathology, were used as review material; In comparison with the prognosis of pancreatitis due to other aetiologies, pancreatitis due to hypertriglyceridemia has the worst prognosis due to its wide spectrum of local, regional or systemic complications.